Anat Cell Biol.  2020 Dec;53(4):516-518. 10.5115/acb.20.095.

Case report of a vertical straight sinus with hydrocephalus and Chiari I malformation

Affiliations
  • 1Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA
  • 2Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA
  • 3Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA
  • 4Department of Anatomical Sciences, St. George’s University, St. George’s, Grenada

Abstract

The straight sinus is a division of the dural venous sinuses, found beneath the splenium of the corpus callosum. At the internal occipital protuberance, it comes together with the superior sagittal sinus and transverse sinus to form the torcular Herophili. It functions as a major site of venous drainage for the cerebellum, inferior sagittal sinus, and vein of Galen. Many morphological variations have been reported involving the angulation, positioning, and number of straight sinuses present. Patients with Chiari II and III malformations have been observed to have a high incidence of anatomical variation with their dural venous sinuses, including vertically oriented straight sinuses. Additionally, there is a high rate of hydrocephalus in this patient population. Herein, we report a vertically oriented straight sinus in a child.

Keyword

Straight sinus; Dural venous sinus; Chiari malformation; Chiari malformation

Figure

  • Fig. 1 T2-weighted sagittal magnetic resonance imaging noting a normally positioned straight sinus.

  • Fig. 2 Patient presented herein. Note the well-developed inferior sagittal sinus (upper arrow), superior sagittal sinus (middle arrow) and near vertical straight sinus (lower arrow). The herniated cerebellar tonsils (asterisk) noting the Chiari I malformation are also seen.


Reference

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