Online ISSN: 2515-8260

Utility Of Non-Contrast MR Venography In Detection Of Normal Anatomy, Anatomical Variations And Potential Diagnostic Pitfalls In Diagnosis Of Cerebral Venous Sinus Thrombosis.

Main Article Content

1Dr. Sai Sabari Vinay Kumar Parripati, 2Dr.Sanjay M Khaladkar , 3Dr.Satvik Dhirwani*, 4Dr.Deepak Koganti, 5Dr.Krishna Teja 6Dr.Vijetha Chanabasanavar.

Abstract

The venous system of the brain is a complicated system that is distinct from the venous systems of the other sections of the body because it does not adhere to the standard pattern of the cerebral artery system.1Both the cerebral veins and the dural sinuses lack valves and do not have tunica muscularis, which would otherwise enable the veins to enlarge and stay dilated in response to even prolonged blockage. Because veins do not have valves, blood can flow in both ways via them, which can lead to an infection spreading throughout the brain from the scalp and mastoid air cells. In order to diagnose normal variant cerebral venous sinus, it is vital to have knowledge of the normal variant in the anatomy of the cerebral dural venous sinus visible on magnetic resonance (MR) venography. 1 The precise functions of the major dural venous sinuses vary from one another depending on their position inside the cranium and the related structures of the cranium that are traversed by the sinuses. 2 Due to the various pitfalls in image interpretation that are caused by Sinus Hypoplasia and Atresia, the most common of which is the left transverse sinus hypoplasia, as well as the variations of normal venous anatomy that can mimic sinus thrombosis and lead to an over diagnosis or an incorrect diagnosis, it is possible that sinus thrombosis will be misdiagnosed. Flow Gaps on TOF MR Venography most frequently manifest themselves in the non-dominant transverse sinus, in conjunction with arachnoid granulations. Arachnoid granulations are structures that often project into the dural sinus lumen or lateral lacunae. When the newborn is placed in the supine position, the compression may be more pronounced compared to when the head is examined in the decubitus position.3 The non-contrast bright-blood MRV approach known as two-dimensional time-of-flight, or 2D TOF, depend on inflow blood to produce a vascular signal.4

Article Details