Summary
We report two types of venous patterns associated with great cerebral vein (vein of Galen) absence or unavailability. Developmental venous anomalies or vein of Galen arteriovenous malformations (VGAM) serve as an illustrative material. A diencephalic pattern that collects the thalamo-striate veins into the tentorial sinus is recognized in most VGAM. A telencephalic arrangement connecting the striate veins with the rostral afferents to the basal vein is less frequent. Both patterns reproduce embryonic stages preceeding the development of the great cerebral vein, thus confirming Raybaud's hypothesis that in VGAM the pouch is not the vein of Galen but the medial vein of the prosencephalon. The prognostic value of each pattern can then be appreciated and the therapeutic strategies rationalized; some unexplained complications of the venous approach for non selected VGAM can thus be avoided.
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References
Barkovitch AJ (1988) Abnormal vascular drainage in anomalies of neuronal migration. AJNR 9: 939–942
Bedford TH (1934) The great vein of Galen and the syndrome of increased intracranial pressure. Brain 57: 1–24
Goetzen B (1964) Veines internes du cerveau humain. Arch Anat Pathol 12: 126–133
Huang YP, Wolf BS (1974) Veins of the posterior fossa. In: Newton TH, Pott DG (eds) Radiology of the skull and brain, vol II. Mosby, St Louis, pp 2155–2216
Jimenez JL, Lasjaunias P, Terbrugge K, Flodmark O, Rodesch G (1989) The trans-cerebral veins: normal and non pathologic anatomic aspects. Surg Radiol Anat 11: 63–72
Kaplan HA (1959) The transcerebral venous system. An anatomic study. Arch Neurol 1: 148–152
Lasjaunias P, Burrows P, Planet C (1986) Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9: 233–244
Lasjaunias P, Berenstein A (1987) Surgical neuro-angiography. Functional anatomy of craniofacial arteries, vol 1. Springer, Berlin Heidelberg New York
Lasjaunias P (1989) Vein of Galen malformation — correspondance. Neurosurgery 25: 666
Morgan MK, Johnston IH, Sundt TM (1989) Normal perfusion breakthough complicating surgery for vein of Galen malformation: report of three cases. Neurosurgery 24: 406–409
Okudera T, Ohta T, Huang YP (1984) Embryology of the cranial venous system (with particular reference to the dural venous sinuses related to the torcular). In: Knap JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York, pp 93–108
Ono M, Rhoton AL, Peace D, Rodriguez RJ (1984) Microsurgical anatomy of the deep venous system of the brain. Neurosurgery 15: 621–657
Padget DH (1957) The development of the cranial venous system in man from the viewpoint of comparative anatomy. Contrib Embryol 36: 81–139
Raybaud Ch, Hald JK, Strother CM, Choux M, Jiddane M (1987) Les anévrysmes de la veine de Galien. Etude angiographique et considérations morphogénétiques. Neurochirurgie 33: 302–314
Schlesinger B (1939) The venous drainage of the brain, with special reference to the Galenic system. Brain 62: 274–291
Terbrugge K, Lasaunias P (1988) Radiologic and anatomic feature of a case. The tentorial sinus. Surg Radiol Anat 10: 243–246
Valavanis A, Wellauer J, Yasargil MG (1983) The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology 24: 193–199
Yokota A, Oota T, Matsukado Y, Okudera T (1978) Structure and development of the venous system in congenital malformation of the brain. Neuroradiology 16: 26–30
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Lasjaunias, P., Garcia-Monaco, R., Rodesch, G. et al. Deep venous drainage in great cerebral vein (vein of Galen) absence and malformations. Neuroradiology 33, 234–238 (1991). https://doi.org/10.1007/BF00588224
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DOI: https://doi.org/10.1007/BF00588224