Guest Open Access Plus | Free Content | About | Sign in | New Users: Sign up | Mark List  

Current Neurovascular Research

Volume 6 Issue 3
ISSN: 1567-2026
eISSN: 1875-5739

 

   All Titles

  Venous Collateral Circulation of the Extracranial Cerebrospinal Outflow Routes
  pp.204-212 (9) Authors: Paolo Zamboni, Giuseppe Consorti, Roberto Galeotti, Sergio Gianesini, Erica Menegatti, Giovanna Tacconi, Francesco Carinci
 
 
      Abstract

A new nosologic vascular pattern that is defined by chronic cerebrospinal venous insufficiency (CCSVI) has been strongly associated with multiple sclerosis. The picture is characterized by significant obstacles of the main extracranial cerebrospinal veins, the jugular and the azygous system, and by the opening of substitute circles. The significance of collateral circle is still neglected. To the contrary, substitute circles are alternative pathways or vicarious venous shunts, which permit the drainage and prevent intracranial hypertension. In accordance with the pattern of obstruction, even the intracranial and the intrarachidian veins can also become substitute circles, they permit redirection of the deviated flow, piping the blood towards available venous segments outside the central nervous system. We review the complex gross and radiological anatomy of collateral circulation found activated by the means of EchoColor-Doppler and selective venography in the event of CCSVI, focusing particularly on the suboccipital cavernous sinus (SCS), the condylar venous system, the pterygoid plexus, the thyroid veins, and the emiazygous-lumbar venous anastomosis with the left renal vein.

 
  Keywords: Cerebrospinal venous insufficiency (CCSVI), multiple sclerosis (MS), cerebral venous system, collateral circulation
  Affiliation: University of Ferrara, C.so Giovecca203, 44100 Ferrara, Italy.
 
  Key: New Content Free Content Open Access Plus Subscribed Content

Bentham Science Publishers
www.benthamscience.com

 

  Copyright © 1994 - 2014   Bentham Science Publishers