Emissary veins

The emissary veins connect the extracranial venous system with the intracranial venous sinuses. They connect the veins outside the cranium to the venous sinuses inside the cranium. They drain from the scalp, through the skull, into the larger meningeal veins and dural venous sinuses.

Emissary veins
Details
Identifiers
Latinvena emissaria
TA98A12.0.00.033
A12.3.05.301
TA24872
FMA50790
Anatomical terminology

Emissary veins have an important role in selective cooling of the head. They also serve as routes where infections are carried into the cranial cavity from the extracranial veins to the intracranial veins.

There are several types of emissary veins including posterior condyloid, mastoid, occipital and parietal emissary vein.

Structure

There are also emissary veins passing through the foramen ovale, jugular foramen, foramen lacerum, and hypoglossal canal.

Function

Because the emissary veins are valveless, they are an important part in selective brain cooling through bidirectional flow of cooler blood from the evaporating surface of the head. In general, blood flow is from external to internal[1] but the flow can be altered by increased intracranial pressure.

Clinical significance

One notable emissary vein, the Vein of Vesalius, travels through the sphenoidal emissary foramen inferior to the zygomatic arch, connecting the pterygoid plexus with the cavernous sinus.[2] This is an important route for the spread of infection as cranial nerve VI and the internal carotid pass through the cavernous sinus, with cranial nerves III, IV, V1, and V2 passing alongside the lateral wall of the sinus. Subsequent infection or inflammation in the cavernous sinus can result in septic cavernous sinus thrombosis, with resultant damage to the cranial nerves contained within, as well as further spread of the infection leading to meningitis.[3]

Rupture of an emissary vein can result in a subgaleal hemorrhage, a rare but serious injury most often seen as a complication of vacuum extraction.[4]

See also

References
  1. Bajzer, Christopher (2004). "Cerebral vascular venous drainage". Remedica – via NCBI.
  2. Lanzieri, CF (November 1988). "The significance of asymmetry of the foramen of Vesalius". American Journal of Neuroradiology. 9 (6): 1201–1204. PMC 8331922. PMID 3143245.
  3. Leestma, J.E. (2008). Forensic Neuropathology, Second Edition. CRC Press. ISBN 9781420008685. Retrieved 2014-12-10.
  4. Plauché, WC (3 October 1980). "Subgaleal hematoma. A complication of instrumental delivery". JAMA. 244 (14): 1597–1598. doi:10.1001/jama.1980.03310140055031. PMID 7420661. Retrieved 11 May 2020.
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