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Unlabelled: The anatomy of the cerebral venous system (CVS) is based on a known variable three-dimensional structure. For a correct recognition and characterization of its elements, a detailed knowledge of its anatomy and potential variants is essential. However, this structural changes, commonly named as variants, may appear in asymptomatic situations as well as associated to certain pathological syndromes with diagnostic and therapeutic consequences., Purpose: The authors present a brief summary of the CVS anatomy, highlight the potential structural changes and discuss their ethiology as constitutional or pathological., Method and Results: Based on clinical cases, the most frequent anatomical modifications will be presented and their ethiology discussed,whether constitutional or pathological., Conclusion: The CVS is characterized by its various presentations. These changes are classically named as anatomic variants. However,they may appear associated to certain pathological situations. Only a profound recognition of the normal CVS anatomy allows a correct definition of the ethiology of the structural change as constitutional or pathologic.

The choroidal fissure is a narrow cleft in the medial part of the lateral ventricle, in a C-shaped arc, between the fornix and the thalamus, where the choroidal plexus join. Due to absence nervous tissue between ependyma and pia-mater along this invagination, it is an important route in brain ventricles and cisterns. Five brains were studied by injecting colored silicone arteries and veins and five brains without colored silicone, in a total number of 20 brain hemispheres. It was analyzed and revised the neural, arterial and venous relationships and surgical approaches in all parts of the choroidal fissure. In conclusion, the previous knowledge detailed this microanatomy is primordial for neurosurgeons that will approach brain ventricular and cisternal lesions because the neurosurgeons gain a tridimensional notion that will be indispensable during surgery.