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Acute dural venous sinus injuries: Imaging and challenges.

Ruben Gabriel Ortiz Cordero¹, Oswaldo André Guevara Tirado¹, Hrishabh Bhosale²

¹Department of Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, FL, USA.

The Neuroradiology Journal

|July 7, 2026

Summary

Dural venous sinus injury (DVSI) after head trauma can cause venous outflow problems. Early detection using venography is crucial for effective management and preventing complications like venous infarction.

Keywords:

CT venography MR venography dural venous sinus injury traumatic brain injury traumatic dural venous sinus thrombosis

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Published on: July 5, 2011

Area of Science:

Neuroscience
Radiology
Trauma Surgery

Background:

Dural venous sinus injury (DVSI) is a complication of traumatic brain injury.
DVSI can impair cerebral venous outflow via compression or thrombosis, potentially leading to hemorrhage.
Imaging can be challenging due to confounding factors like fractures and blood products.

Purpose of the Study:

To review acute post-traumatic DVSI, focusing on angiographic anatomy.
To evaluate imaging modalities for DVSI detection and characterization.
To discuss management strategies for DVSI and dural venous sinus thrombosis (DVST).

Main Methods:

Narrative review of current literature on DVSI.
Synthesis of knowledge on angiographic anatomy and imaging techniques (CTV, MRV, DSA).
Review of management strategies, including surgical and anticoagulation approaches.

Main Results:

DVSI is more common than previously thought, especially with skull base fractures.
CT venography (CTV), MR venography (MRV), and DSA have varying strengths in detecting and characterizing DVSI.
Management strategies are evolving, with a focus on venographic mapping for surgical planning.

Conclusions:

Timely recognition of DVSI and its complications is essential.
A systematic venographic approach aids in mechanism-based management.
Effective management can reduce the risk of severe sequelae such as venous infarction.