Unusual caudal terminations of the inferior petrosal sinus (IPS) chara
cterized by an extracranial extension joining the internal jugular vei
n up to 40 mm below the external skull base are reported. This variati
on was observed bilaterally on an anatomical specimen and unilaterally
on four patients during diagnostic cerebral angiography. It may be co
nsidered an accessory internal jugular vein and, if present, may allow
for an alternate endovascular access to the IPS. (C) 1997 Wiley-Liss,
Inc.