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Updated: Dec 6, 2025

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Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
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Tentorial Venous Anatomy: Variation in the Healthy Population
J S Rosenblum1,2, J M Tunacao3, V Chandrashekhar4
1Surgical Neurology Branch (J.S.R., J.D.H.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland Jared.rosenblum@nih.gov.
AJNR. American Journal of Neuroradiology
|October 7, 2020
Summary
The transtentorial venous system
Area of Science:
- Neuroanatomy
- Vascular Anatomy
- Skull Development
Background:
- A novel transtentorial venous system connecting supra- and infratentorial compartments has been identified.
- This system includes medial, intermediate, and lateral tentorial veins.
Purpose of the Study:
- To characterize tentorial venous patterns in healthy adults.
- To investigate the relationship between venous patterns and cranial development measures.
Main Methods:
- Retrospective analysis of 238 patient head CTAs/CTV.
- Assessment of tentorial venous anatomy, dural sinus configurations, and skull base development.
- Statistical analysis including Cramér V association and Pearson correlation.
Main Results:
- Tentorial vein development correlates with tentorial sinus ringed configurations (p < .005).
- Three configurations were identified: ringed (Groups 1A, 1B) and non-ringed (Group 2).
- Skull base development measures predicted these configurations; specific patterns linked to internal auditory canal-petroclival angle and petrous apex pneumatization.
Conclusions:
- Transtentorial venous system variations are directly associated with cranial development.
- Understanding these variations is crucial for neurosurgical and radiological assessments.
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