Head and neck anatomy may be important in the development of the BBB. Astrocytes may also be responsible for transporting ions (electrolytes) from the brain to the blood. Blood from the brain and neck flows from: (1) within the cranium via the internal jugular veins, a continuation of the sigmoid sinuses. The right and left external jugular veins drain from the parotid glands, facial muscles, scalp into the subclavian veins. The right and left vertebral veins drain the vertebrae and muscles into the right subclavian vein and into the superior vena cava, into the right atrium of the heart. The lymphatic system drains the
Cardiac function curve The higher pressures normally occur only in disease, in conditions such as heart failure, where the heart is unable to pump forward all the blood returning to it and so the pressure builds up in the right atrium and the great veins. Swollen neck veins are often an indicator of this type of heart failure. At low right atrial pressures this graph serves as a graphic demonstration of the Frank–Starling mechanism, that is as more blood is returned to the heart, more blood is pumped from it without extrinsic signals. In vivo however, extrinsic factors such as an increase in