Sigmoid sinus

Synonyms
Sigmoid sinus

The sigmoid sinus is a paired intradural venous channel of the brain.

Anatomy

The sigmoid sinus runs within the sigmoid sinus groove in the posterior cranial fossa. The sigmoid sinus drains venous blood from the transverse sinus and the superior petrosal sinus and inferior and continues as the jugular foramen into the internal jugular vein. The sigmoid sinus exhibits substantial anatomical variability[^1].

Clinical relevance

pulsatile tinnitus may, for example, be caused by a sigmoid sinus diverticulum or a dural arteriovenous fistula in the region of the sigmoid sinus[^2].

Imaging

The sigmoid sinus can be visualized using various imaging modalities, such as CT, MRI, and DSA.

Sigmoid sinus on MRI
Sigmoid sinus (red arrow) on axial MRI (T1 sequence with contrast).
Sigmoid sinus DSA
Illustration of the sigmoid sinuses on both sides during the venous phase of digital subtraction angiography.

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