{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:05:13Z","timestamp":1772085913291,"version":"3.50.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-03854-x","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T08:15:09Z","timestamp":1760429709000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The chevron-shaped dural opening technique for the median suboccipital approach"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9123-8158","authenticated-orcid":false,"given":"Carmine Antonio","family":"Donofrio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Riccio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Badaloni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Servadei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Shane","family":"Tubbs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Fioravanti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"3854_CR1","doi-asserted-by":"publisher","first-page":"252","DOI":"10.3171\/jns.1997.86.2.0252","volume":"86","author":"KI Arnautovic","year":"1997","unstructured":"Arnautovic KI, al-Mefty O, Pait TG, Krisht AF, Husain MM (1997) The suboccipital cavernous sinus. J Neurosurg 86:252\u2013262. https:\/\/doi.org\/10.3171\/jns.1997.86.2.0252","journal-title":"J Neurosurg"},{"key":"3854_CR2","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1002\/ca.20947","volume":"23","author":"N Balak","year":"2010","unstructured":"Balak N, Ersoy G, Uslu U, Tanriover N, Tapul L, Cetin G, Isik N, Elmaci I (2010) Microsurgical and histomorphometric study of the occipital sinus: quantitative measurements using a novel approach of stereology. Clin Anat 23:386\u2013393. https:\/\/doi.org\/10.1002\/ca.20947","journal-title":"Clin Anat"},{"key":"3854_CR3","first-page":"1127","volume":"20","author":"RD Caruso","year":"1999","unstructured":"Caruso RD, Rosenbaum AE, Chang JK, Joy SE (1999) Craniocervical junction venous anatomy on enhanced MR images: the suboccipital cavernous sinus. AJNR Am J Neuroradiol 20:1127\u20131131","journal-title":"AJNR Am J Neuroradiol"},{"key":"3854_CR4","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1055\/a-2018-4745","volume":"85","author":"DD Dang","year":"2024","unstructured":"Dang DD, Rechberger JS, Leonel L, Hallak H, Graepel S, Link MJ, Daniels DJ, Peris-Celda M (2024) Anatomical step-by-step dissection of midline suboccipital approaches to the fourth ventricle for trainees: surgical anatomy of the telovelar, transvermian, and superior transvelar routes, surgical principles, and illustrative cases. J Neurol Surg B Skull Base 85:172\u2013188. https:\/\/doi.org\/10.1055\/a-2018-4745","journal-title":"J Neurol Surg B Skull Base"},{"key":"3854_CR5","doi-asserted-by":"publisher","first-page":"307","DOI":"10.3171\/jns.1970.33.3.0307","volume":"33","author":"AC Das","year":"1970","unstructured":"Das AC, Hasan M (1970) The occipital sinus. J Neurosurg 33:307\u2013311. https:\/\/doi.org\/10.3171\/jns.1970.33.3.0307","journal-title":"J Neurosurg"},{"key":"3854_CR6","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/0090-3019(85)90042-4","volume":"24","author":"E de Oliveira","year":"1985","unstructured":"de Oliveira E, Rhoton AL, Peace D (1985) Microsurgical anatomy of the region of the foramen magnum. Surg Neurol 24:293\u2013352. https:\/\/doi.org\/10.1016\/0090-3019(85)90042-4","journal-title":"Surg Neurol"},{"key":"3854_CR7","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1093\/ons\/opz420","volume":"19","author":"CA Donofrio","year":"2020","unstructured":"Donofrio CA, Capitanio JF, Riccio L, Herur-Raman A, Caputy AJ, Mortini P (2020) Mini fronto-orbital approach: window opening towards the superomedial orbit - a virtual reality-planned anatomic study. Oper Neurosurg 19:330\u2013340. https:\/\/doi.org\/10.1093\/ons\/opz420","journal-title":"Oper Neurosurg"},{"key":"3854_CR8","doi-asserted-by":"publisher","first-page":"3297","DOI":"10.1007\/s10143-021-01494-5","volume":"44","author":"CA Donofrio","year":"2021","unstructured":"Donofrio CA, Riccio L, Pathmanaban ON, Fioravanti A, Caputy AJ, Mortini P (2021) Endoscopic sublabial transmaxillary approach to the inferior orbit: pearls and pitfalls-a comparative anatomical study. Neurosurg Rev 44:3297\u20133307. https:\/\/doi.org\/10.1007\/s10143-021-01494-5","journal-title":"Neurosurg Rev"},{"key":"3854_CR9","doi-asserted-by":"publisher","first-page":"175","DOI":"10.23736\/S0390-5616.20.05122-X","volume":"67","author":"CA Donofrio","year":"2023","unstructured":"Donofrio CA, Riccio L, Capitanio JF, Herur-Raman A, Panni P, Gagliardi F, Caputy AJ, Mortini P (2023) Transcortical endoportal subchoroidal endoscope-assisted approach to the third ventricle: from virtual reality to anatomical laboratory. J Neurosurg Sci 67:175\u2013184. https:\/\/doi.org\/10.23736\/S0390-5616.20.05122-X","journal-title":"J Neurosurg Sci"},{"key":"3854_CR10","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13092713","author":"CA Donofrio","year":"2024","unstructured":"Donofrio CA, Corrivetti F, Riccio L, Corvino S, Dallan I, Fioravanti A, de Notaris M (2024) Combined endoscopic endonasal transclival and contralateral transmaxillary approach to the petrous apex and the petroclival synchondrosis: working around the corner of the internal carotid artery-quantitative anatomical study and clinical applications. J Clin Med. https:\/\/doi.org\/10.3390\/jcm13092713","journal-title":"J Clin Med"},{"key":"3854_CR11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/BF00346857","volume":"20","author":"F Dora","year":"1980","unstructured":"Dora F, Zileli T (1980) Common variations of the lateral and occipital sinuses at the confluens sinuum. Neuroradiology 20:23\u201327. https:\/\/doi.org\/10.1007\/BF00346857","journal-title":"Neuroradiology"},{"key":"3854_CR12","doi-asserted-by":"publisher","first-page":"e121","DOI":"10.1016\/j.wneu.2024.01.070","volume":"184","author":"G Erol","year":"2024","unstructured":"Erol G, Cavusoglu N, Sevgi UT, Fidan S, Canbolat C, Dogruel Y, Luzzi S, Cohen Gadol AA, Gungor A (2024) Occipital sinus-sparing linear paramedian dural incision: a technical note and case series for median suboccipital approach. World Neurosurg 184:e121\u2013e128. https:\/\/doi.org\/10.1016\/j.wneu.2024.01.070","journal-title":"World Neurosurg"},{"key":"3854_CR13","doi-asserted-by":"publisher","first-page":"3045","DOI":"10.1007\/s00701-023-05576-9","volume":"165","author":"A Fioravanti","year":"2023","unstructured":"Fioravanti A, Badaloni F, Tubbs RS, Donofrio CA (2023) How i do it - the drum skin duraplasty technique after foramen magnum decompression for Chiari malformations. Acta Neurochir (Wien) 165:3045\u20133050. https:\/\/doi.org\/10.1007\/s00701-023-05576-9","journal-title":"Acta Neurochir (Wien)"},{"key":"3854_CR14","doi-asserted-by":"publisher","first-page":"141","DOI":"10.4103\/2152-7806.103881","volume":"3","author":"P Graupman","year":"2012","unstructured":"Graupman P, Defillo A, Nussbaum L, Nussbaum ES (2012) Limited vertical dural opening for lesions of the vermis, 4(th) ventricle, and distal PICA segments. Surg Neurol Int 3:141. https:\/\/doi.org\/10.4103\/2152-7806.103881","journal-title":"Surg Neurol Int"},{"key":"3854_CR15","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1007\/s00276-024-03416-8","volume":"46","author":"M Hosapatna","year":"2024","unstructured":"Hosapatna M, Kunder K, Bhat NP, Shetty A, Sanyal S, Prabhath S, Sumalatha S (2024) Falx cerebelli and its associated occipital venous sinus: an anatomical study. Surg Radiol Anat 46:1561\u20131569. https:\/\/doi.org\/10.1007\/s00276-024-03416-8","journal-title":"Surg Radiol Anat"},{"key":"3854_CR16","doi-asserted-by":"publisher","first-page":"2429","DOI":"10.1007\/s00381-016-3169-0","volume":"32","author":"HC Lee","year":"2016","unstructured":"Lee HC, Lee JY, Ryu SK, Lim JM, Chong S, Phi JH, Kim SK, Wang KC (2016) A method of posterior fossa dural incision to minimize hemorrhage from the occipital sinus: the mosquito method. Childs Nerv Syst 32:2429\u20132431. https:\/\/doi.org\/10.1007\/s00381-016-3169-0","journal-title":"Childs Nerv Syst"},{"key":"3854_CR17","first-page":"1871","volume":"15","author":"T Okudera","year":"1994","unstructured":"Okudera T, Huang YP, Ohta T, Yokota A, Nakamura Y, Maehara F, Utsunomiya H, Uemura K, Fukasawa H (1994) Development of posterior fossa dural sinuses, emissary veins, and jugular bulb: morphological and radiologic study. AJNR Am J Neuroradiol 15:1871\u20131883","journal-title":"AJNR Am J Neuroradiol"},{"key":"3854_CR18","doi-asserted-by":"publisher","first-page":"2115","DOI":"10.1007\/s00701-012-1457-3","volume":"154","author":"M Panigrahi","year":"2012","unstructured":"Panigrahi M, Krishnan SS, Varma DR (2012) Crescent posterior fossa durotomy for occipito-marginal venous sinus preservation: a pilot study. Acta Neurochir (Wien) 154:2115\u20132121. https:\/\/doi.org\/10.1007\/s00701-012-1457-3","journal-title":"Acta Neurochir (Wien)"},{"key":"3854_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/s1052-5149(02)00062-x","volume":"13","author":"JN Scott","year":"2003","unstructured":"Scott JN, Farb RI (2003) Imaging and anatomy of the normal intracranial venous system. Neuroimaging Clin N Am 13:1\u201312. https:\/\/doi.org\/10.1016\/s1052-5149(02)00062-x","journal-title":"Neuroimaging Clin N Am"},{"key":"3854_CR20","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s00381-006-0234-0","volume":"23","author":"P Steinbok","year":"2007","unstructured":"Steinbok P, Singhal A, Mills J, Cochrane DD, Price AV (2007) Cerebrospinal fluid (CSF) leak and pseudomeningocele formation after posterior fossa tumor resection in children: a retrospective analysis. Childs Nerv Syst 23:171\u2013174. https:\/\/doi.org\/10.1007\/s00381-006-0234-0. (discussion 175)","journal-title":"Childs Nerv Syst"},{"key":"3854_CR21","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1002\/ca.10013","volume":"15","author":"RS Tubbs","year":"2002","unstructured":"Tubbs RS, Dockery SE, Salter G, Elton S, Blount JP, Grabb PA, Oakes WJ (2002) Absence of the falx cerebelli in a Chiari II malformation. Clin Anat 15:193\u2013195. https:\/\/doi.org\/10.1002\/ca.10013","journal-title":"Clin Anat"},{"issue":"3","key":"3854_CR22","doi-asserted-by":"publisher","first-page":"429","DOI":"10.3171\/jns.2006.104.3.429","volume":"104","author":"RS Tubbs","year":"2006","unstructured":"Tubbs RS, Ammar K, Liechty P, Wellons JC 3rd, Blount JP, Salter EG, Oakes WJ (2006) The marginal sinus. J Neurosurg 104(3):429\u2013431. https:\/\/doi.org\/10.3171\/jns.2006.104.3.429","journal-title":"J Neurosurg"},{"key":"3854_CR23","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1007\/s00276-011-0831-9","volume":"33","author":"RS Tubbs","year":"2011","unstructured":"Tubbs RS, Bosmia AN, Shoja MM, Loukas M, Cure JK, Cohen-Gadol AA (2011) The oblique occipital sinus: a review of anatomy and imaging characteristics. Surg Radiol Anat 33:747\u2013749. https:\/\/doi.org\/10.1007\/s00276-011-0831-9","journal-title":"Surg Radiol Anat"},{"key":"3854_CR24","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","volume":"370","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP, Initiative S (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370:1453\u20131457. https:\/\/doi.org\/10.1016\/S0140-6736(07)61602-X","journal-title":"Lancet"},{"key":"3854_CR25","first-page":"1557","volume":"25","author":"E Widjaja","year":"2004","unstructured":"Widjaja E, Griffiths PD (2004) Intracranial MR venography in children: normal anatomy and variations. AJNR Am J Neuroradiol 25:1557\u20131562","journal-title":"AJNR Am J Neuroradiol"},{"key":"3854_CR26","doi-asserted-by":"publisher","first-page":"2299","DOI":"10.1007\/s00381-018-3922-7","volume":"34","author":"J Zipfel","year":"2018","unstructured":"Zipfel J, da Silva Freitas R, Lafitte LM, Kural C, Schuhmann MU (2018) U-shaped durotomy for midline posterior fossa tumor removal: technical note and evaluation of results. Childs Nerv Syst 34:2299\u20132303. https:\/\/doi.org\/10.1007\/s00381-018-3922-7","journal-title":"Childs Nerv Syst"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03854-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-03854-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03854-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:16:55Z","timestamp":1772079415000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-03854-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,14]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3854"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-03854-x","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,14]]},"assertion":[{"value":"14 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 August 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted according to the guidelines of the Declaration of Helsinki and the Good Clinical Practice (GCP) guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors affirm that human research participants provided informed consent for publication of the images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"The authors declare no competing interests.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"703"}}