Basicranial venous anomalies associated with complex nonsyndromic craniosynostosis in a child
Ruston Sanchez1, Kenneth Ward, Hugo St Hilaire
1From the *School of Medicine, Louisiana State University Health Sciences Center; †Department of Pediatric Radiology, Children's Hospital; ‡Department of Surgery, Division of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center; and §Department of Cell Biology and Anatomy, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
The Journal of Craniofacial Surgery
|November 14, 2013
Summary
This study details severe jugular foraminal stenosis and unusual venous drainage in a child with craniosynostosis. Anomalous basicranial venous anatomy can pose surgical risks in these patients.
Area of Science:
- Radiology
- Pediatric Neurosurgery
- Vascular Anatomy
Background:
- Complex craniosynostosis can be associated with atypical venous drainage patterns.
- Understanding these anomalies is crucial for surgical planning and patient management.
Observation:
- Radiological imaging revealed severe bilateral jugular foraminal stenosis.
- Anomalous basicranial venous drainage included transosseous drainage through enlarged emissary veins.
- Lateral sinuses drained via mastoid emissaries to deep cervical, vertebral, and paravertebral plexuses.
Findings:
- The primary venous outflow pathway involved large mastoid emissary veins.
- Venous collaterals reconstituted the internal jugular veins.
- The observed anomalies, while not typical intracranial vascular outflow deficiencies, presented significant surgical considerations.
Implications:
- Accurate assessment and documentation of anomalous venous anatomy are essential for managing craniosynostosis.
- These findings highlight potential surgical risks associated with basicranial venous anomalies.
- This case underscores the importance of comprehensive radiological evaluation in complex pediatric craniofacial cases.
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