BASAL VEIN OF ROSENTHAL - keywords
basal vein of Rosenthal
Friedrich Christian Rosenthal (1780 – 1829) was a German anatomist who was a native
of Greifswald.
He earned his doctorate from the University of Jena, and later opened a medical practice
in Greifswald (1804). In Greifswald he worked closely with naturalist Karl Asmund
Rudolphi (1771–1832), earning his habilitation in 1807 from the local university with a
treatise on olfaction. In 1810 he accepted an appointment to the University of Berlin, and in
1820 returned to Greifswald as a professor of physiology and anatomy. He died in 1829 at the
age of 49 due to consequences from tuberculosis.
Rosenthal is remembered today for two anatomical terms that contain his name:
•
Rosenthal's canal, or the spiral canal of the cochlea (canalis spiralis cochleae): A
section of the bony labyrinth of the inner ear that is approximately 30 mm long, making
23⁄4 turns about the modiolus.
•
https://en.wikipedia.org/wiki/Friedrich_Christian_Rosenthal
Rosenthal's vein, or the cerebral basal vein (vena basalis): a vein that arises at
the anterior perforated substance, passes backward and around the cerebral peduncle,
joins the internal cerebral veins, forming the vein of Galen before draining into
the straight sinus.
PCA and basal vein
ICV
basal vein
territory
BVR
basal vein of Rosenthal: major branches
I
I
I
I
I
1
2
3
4
5
6
II
II
II
II
III
BVR (segments I, II, III)
anterior cerebral vein
insular veins (DMCV)
superficial middle cerebral vein
inferior striatal vein
anterior pontomesencephalic vein
7 lateral mesencephalic vein (descending to petrosal vein)
8 inferior ventricle vein
9 anterior hippocampal vein
10 inferior choroidal vein
11 lateral atrial vein
12 internal cerebral vein
anterolateral view
12
11
III
7
II
5
I
2
9
10
8
6
3
4
tributaries and connections of the basal vein
superior view
3
2
4
7
7
23
6
8
5
1I
13
1 BVR (segments I, II, III)
2 anterior cerebral vein
3 olfactory vein
4 fronto-orbital vein
5 uncal vein
6 insular veins (DMCV)
7 superficial middle cerebral vein
8 inferior striatal vein
9 anterior pontomesencephalic vein
10 peduncular vein
11 inferior/posterior thalamic vein
12 lateral mesencephalic vein (descending
to petrosal vein)
13 inferior ventricle vein
14 anterior hippocampal vein
15 inferior choroidal vein
16 lateral atrial vein
17 precentral cerebellar vein (below 20)
18 superior vermian vein
19 internal cerebral vein
20 great cerebral vein
21 sinus rectus
22 internal occipital vein
23 cavernous sinus
24 superior petrosal sinus
24
10
9
11
1 II
15
12
14
1 III
16
19
11
18
17
20
I anterior cerebral, insular, striatal, uncal, superficial
middle cerebral, anterior pontomesencephalic veins
II hippocampal, inferior ventricle, thalamic, lateral
mesencephalic veins
21
22
III thalamic, lateral atrial, superior vermian veins
tributaries and connections of the basal vein
anterior view
22
21
19
20
16
1 III
18
1 BVR (segments I, II, III)
2 anterior cerebral vein
3 olfactory vein
4 fronto-orbital vein
5 uncal vein
6 insular veins (DMCV)
7 superficial middle cerebral vein
8 inferior striatal vein
9 anterior pontomesencephalic vein
10 peduncular vein
11 inferior/posterior thalamic vein
12 lateral mesencephalic vein (descending
to petrosal vein)
13 inferior ventricle vein
14 anterior hippocampal vein
15 inferior choroidal vein
16 lateral atrial vein
17 precentral cerebellar vein (below 20)
18 superior vermian vein
19 internal cerebral vein
20 great cerebral vein
21 sinus rectus
22 internal occipital vein
23 cavernous sinus
24 superior petrosal sinus
8
20
11
14
17
11
1 II
12
1I
2
15
13
6
10
5
9
7
4
24
23
3
7
tributaries and connections of the basal vein
lateral view
7
7
19
2
1 BVR (segments I, II, III)
2 anterior cerebral vein
3 olfactory vein
4
4 fronto-orbital vein
5 uncal vein
6 insular veins (DMCV)
7 superficial middle cerebral vein
8 inferior striatal vein
9 anterior pontomesencephalic vein
10 peduncular vein
11 inferior/posterior thalamic vein
12 lateral mesencephalic vein (descending
to petrosal vein)
13 inferior ventricle vein
14 anterior hippocampal vein
15 inferior choroidal vein
16 lateral atrial vein
17 precentral cerebellar vein (below 20)
18 superior vermian vein
19 internal cerebral vein
20 great cerebral vein
21 sinus rectus
22 internal occipital vein
23 cavernous sinus
24 superior petrosal sinus
8
11
11
3
1I
6
13
7
5
20
5
15
22
1 III
14
10
21
16
1 II
9
23
17
18
24
12
tributaries and connections of the basal vein
lateral view
7
7
19
2
1 BVR (segments I, II, III)
2 anterior cerebral vein
3 olfactory vein
4
4 fronto-orbital vein
5 uncal vein
6 insular veins (DMCV)
7 superficial middle cerebral vein
8 inferior striatal vein
9 anterior pontomesencephalic vein
10 peduncular vein
11 inferior/posterior thalamic vein
12 lateral mesencephalic vein (descending
to petrosal vein)
13 inferior ventricle vein
14 anterior hippocampal vein
15 inferior choroidal vein
16 lateral atrial vein
17 precentral cerebellar vein (below 20)
18 superior vermian vein
19 internal cerebral vein
20 great cerebral vein
21 sinus rectus
22 internal occipital vein
23 cavernous sinus
24 superior petrosal sinus
8
11
11
3
1I
6
13
7
5
A
20
5
15
1 III
14
10
22
21
D
16
1 II
B
23
9
17
18
24
C 12
five possible drainage pathways
A: to cavernous sinus or sphenoparietal sinus
B: to superior petrosal sinus via the peduncular vein
C: to superior petrosal sinus via lateral mesencephalic vein
D: to great vein of Galen
E: to transverse sinus or straight sinus via the tentorium
E
formation of the basal vein of Rosenthal
8
4
5
8
4
8
9
5
3
2
9
7
7
7
3
6
1
12
2
9
2
6
6
24 mm
40 mm
term newborn
1 basal vein of Rosenthal
2 tentorial sinus
->3 ventral diencephalic vein
4 dorsal diencephalic vein
5 mesencephalic vein
->6 deep telencephalic vein
->7 superficial telencephalic vein
8 internal cerebral vein
9 transverse sinus
->10 lateral mesencephalic vein
11 anterior pontomesencephalic vein
12 uncal vein
5
7
8
9
8
7
10
6
12
3
2
60-80 mm
12-14w PMA
6
adult
Padget DH (1956) The cranial venous system in man in reference to development, adult configuration, and relation to the arteries. Am J Anat 98: 307-55.
1
11
10
9
formation of the basal vein of Rosenthal
superior choroidal vein
thalamostriate
vein
internal cerebral vein
straight sinus
inferior
choroidal vein
septal
vein
ventral
diencephalic vein
basal
vein
primitive
tentorial sinus
basal vein in
formation
tentorial
sinus
tentorial
sinus
80 mm stage
superior choroidal vein
thalamostriate
vein
transverse
sinus
posterior
pericallosal vein
internal
cerebral vein
septal
vein
basal
vein
GA 14w
transverse
sinus
GA 24w
transverse
sinus
term
straight
sinus
inferior
choroidal
vein
basal vein in
formation
term neonate
a fetal tentorial sinus ?
healthy near term preterm infant
keyhole drainage tentorial vein with very high velocities
different drainage pathways of the superficial sylvian (middle cerebral) veins: sinus cavernosus capture
12 w embryo
third trimester
sphenoparietal 54 %
mature
emissary 12 %
superior petrosal 2 %
cavernous 7%
basal 2 %
SMCV
squamosal 2 %
tentorial sinus
SMCV: superficial middle cerebral vein
Suzuki and Matsumoto 2000
variations of the SPS (sphenoparietal sinus)
SPS
PP
CS
San Millan Ruiz et al. 2004
- SPS runs along the lesser sphenoid wing and connects to the anterior aspect of the
cavernous sinus (CS) 72 %
- SPS runs along the lesser sphenoid wing and connects with the foramen ovale plexus or
the pterygoid plexus (PP) 4 %
- the hypoplastic SPS connects with the cavernous sinus 14 %
Tanoue et al. 2006
superior view of right middle cranial fossa
cavernous drainage of the superficial middle cerebral vein
(arrows) in the laterosellar region into the cavernous sinus and not
related to the lesser sphenoid wing
ICA internal carotid artery
double arrow, tentorial edge
arrowheads, middle meningeal veins
uncal vein, between BVR and sinus cavernosus
34 %
48 %
13 %
3%
1
2
3
4
5
adults, direct cerebral angiography
1
2
3
4
5
6
uncal vein
superficial middle cerebral vein
sinus cavernosus
sinus laterocavernosus
sinus paracavernosus
deep middle cerebral vein
2
5
4
3
6
1
7
inferior striate veins to co-form the basilar
vein at the anterior perforated substance
1
2
3
4
5
6
7
uncal vein
superficial sylvian vein to cavernous sinus
inferior striate veins
olfactory vein
anterior cerebral vein
deep telencephalic/insular vein
basal vein
variations of BVR development
variations in course
variations in drainage
tortuous BVR
distal or proximal drainage of
BVR into straight sinus
typical
pattern
BVR into petrosal
sinus via lateral
mesencephalic vein
zigzag BVR
BVR draining in
transverse sinus coursing
along tentorium
anterior drainage
into the ICV
straight BVR
BVR via longitudinal
hippocampal vein into
internal cerebral vein
BVR via posterior
communicating vein to
other side
low BVR II below
the uncus
BVR draining forward into
sphenoparietal sinus
Huang YP, Wolff BS (1974). In: Newton TH, Potts DG, eds. Radiology of the Skull and Brain, vol 2, book 3. St Louis: Mosby. Chapter 74: the basal cerebral vein and its tributaries. pp 2111-2154.
BVR segmentation
variations in formation
failure of connection BVR I to
BVR II; anterior drainage via
uncal vein to cavernous sinus
extra posterior
mesencephalic vein
persistent tentorial sinus
three segments
three separate segments
- BVR I via uncal vein to cavernous sinus
- BVR II via lateral mesencephalic vein
to petrosal vein or sinus
- BVR III = posterior mesencephalic vein
three separate segments
- BVR I via uncal vein to cavernous sinus
- BVR II via anterior pontomesencephalic vein
- BVR III = lateral mesencephalic vein
three separate segments
- BVR I via uncal vein to cavernous sinus
- BVR II via mesencephalic veins
- BVR III to internal cerebral vein
- BVR I via persistent tentorial sinus to transverse sinus
- BVR II and III = posterior mesencephalic veins, with
thalamic vein
- BVR I via persistent tentorial sinus to sigmoid sinus
- BVR II and III = posterior mesencephalic veins
- BVR I via anterior pontomesencephalic vein to
superior petrosal sinus
- BVR II and III replaced by large inferior ventricle
vein draining into persistent tentorial sinus and then
transverse sinus
Huang YP, Wolff BS (1974). In: Newton TH, Potts DG, eds. Radiology of the Skull and Brain, vol 2, book 3. St Louis: Mosby. Chapter 74: the basal cerebral vein and its tributaries. pp 2111-2154.
BVR segmentation
variations in formation
failure of connection BVR I to
BVR II; anterior drainage via
uncal vein to cavernous sinus
superior thalamic vein
15
1/10
to an atrial vein
11
3
7
12
3
4
5
1
2
4
75 %
10 to the ICV
8
ventrolateral
thalamus
8
6
1 superior choroidal vein
2 internal cerebral vein
3 septal vein (in ICV at venous angle or
more posterior)
4 thalamostriate vein (terminal vein)
5 anterior thalamic vein
9
rse
transve
r
u
fiss e
1
7 transverse caudate vein
2
13
14
6 superior striatal vein
8 direct lateral vein (supra- or
retrothalamic)(= thalamo-caudate vein)
9 medial atrial vein
10 superior thalamic vein
13 %
to the basal vein
11 anterior inferior caudate vein
12 longitudinal caudate vein
13 basal vein
cerebellum
14 great cerebral vein
15 medullary veins
Dorfer C, Khalaveh F, Mallouhi A, Millesi M, Czech T. The Superior Thalamic Vein and its Variations: A Proposed Classification. Oper Neurosurg (Hagerstown). 2018 Jun 1;14(6):675-680. doi: 10.1093/ons/
opx157. PMID: 28973580.
Gogia B, Kumar VA, Chavali LS, Ketonen L, Hunter J, Prabhu SS, Schomer D, Hayman LA. MRI venous architecture of the thalamus. J Neurol Sci. 2016 Nov 15;370:88-93. doi: 10.1016/j.jns.2016.09.020.
Epub 2016 Sep 13. PMID: 27772794.