The emissary veins connect the extracranial venous system with the intracranial venous sinuses. They connect the

vein Veins () are blood vessels in the circulatory system of humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and feta ...

s outside the cranium to the venous sinuses inside the cranium. They drain from the scalp, through the

skull The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent ...

, into the larger meningeal veins and

dural venous sinuses The dural venous sinuses (also called dural sinuses, cerebral sinuses, or cranial sinuses) are venous sinuses (channels) found between the periosteal and meningeal layers of dura mater in the brain. They receive blood from the cerebral veins, ...

. They may also connect to

diploic vein The diploic veins are large, thin-walled valveless veins that channel in the diploë between the inner and outer layers of the cortical bone in the skull, first identified in dogs by the anatomist Guillaume Dupuytren. A single layer of endothel ...

s within the skull. Emissary veins have an important role in selective cooling of the head. They also serve as routes where infections are carried into the cranial cavity from the extracranial veins to the intracranial veins. There are several types of emissary veins including the posterior condyloid, mastoid, occipital and parietal emissary veins.

Structure

There are also emissary veins passing through the foramen ovale,

jugular foramen A jugular foramen is one of the two (left and right) large foramina (openings) in the base of the skull, located behind the carotid canal. It is formed by the temporal bone and the occipital bone. It allows many structures to pass, including the ...

, foramen lacerum, and hypoglossal canal. Gray769-en

Function

Because the emissary veins are valveless, they are an important part in selective brain cooling through bidirectional flow of cooler blood from the evaporating surface of the head. In general, blood flow is from external to internal but the flow can be altered by increased intracranial pressure.

Clinical significance

One notable emissary vein, the vein of Vesalius, travels through the sphenoidal emissary foramen inferior to the

zygomatic arch In anatomy, the zygomatic arch (colloquially known as the cheek bone), is a part of the skull formed by the zygomatic process of temporal bone, zygomatic process of the temporal bone (a bone extending forward from the side of the skull, over the ...

, connecting the pterygoid plexus with the

cavernous sinus The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica. Structure The ...

. This is an important route for the spread of infection as

cranial nerve Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and f ...

VI and the internal carotid pass through the cavernous sinus, with cranial nerves III, IV, V1, and V2 passing alongside the lateral wall of the sinus. Subsequent infection or inflammation in the cavernous sinus can result in septic cavernous sinus thrombosis, with resultant damage to the cranial nerves contained within, as well as further spread of the infection leading to

meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasion ...

. Rupture of an emissary vein can result in a

subgaleal hemorrhage Subgaleal hemorrhage, also known as subgaleal hematoma, is bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis (dense fibrous tissue surrounding the skull). Symptoms The diagnosis is generally clinical ...

, a rare but serious injury most often seen as a complication of vacuum extraction.

References

{{Authority control Veins of the head and neck