{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:00:19Z","timestamp":1780736419765,"version":"3.54.1"},"reference-count":46,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>Developmental venous anomalies (DVAs) represent a rare cause of intraparenchymal hemorrhage. This case demonstrates an unusual DVA associated with venous hypertension, arteriovenous shunting, and a ruptured transitional aneurysm. The authors describe the first use of embolization as a treatment method for an unstable ruptured transitional aneurysm associated with a DVA. This 33-year-old man suffered acute onset of headache, gait ataxia, and left hemiparesis. Computed tomography brain scans demonstrated a deep paramedian right frontal intraparenchymal hemorrhage. No cavernous malformation was apparent on MR imaging. Diagnostic angiography revealed arteriovenous shunting from the right anterior and middle cerebral arteries to a large DVA with an associated arteriovenous fistula, with a 3-mm aneurysm in the transition from pericallosal artery to the collecting vein. Both surgical and endovascular treatment options were considered. The patient underwent repeat angiography on hospital Day 7, at which time the aneurysm had increased to 5 mm, and endovascular treatment was selected. Acrylic occlusion of the aneurysm was performed and confirmed angiographically. The patient's neurological symptoms resolved throughout the hospital stay, and he remains symptom free in the 10 months since treatment. Developmental venous anomalies are not usually associated with arteriovenous shunting and aneurysms as a source of intraparenchymal hemorrhage. Endovascular occlusion of the aneurysm without blockage of physiologically necessary venous structures is a possible method of treatment for this complex mixed vascular lesion, and has proven safe and effective in this patient. To the authors' knowledge, this is the first presentation of this situation in the literature.<\/jats:p>","DOI":"10.3171\/2009.1.focus08291","type":"journal-article","created":{"date-parts":[[2009,5,1]],"date-time":"2009-05-01T09:57:26Z","timestamp":1241171846000},"page":"E8","source":"Crossref","is-referenced-by-count":4,"title":["Endovascular occlusion of a ruptured transitional aneurysm associated with a developmental venous anomaly"],"prefix":"10.3171","volume":"26","author":[{"given":"Andrew F.","family":"Ducruet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Kellner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Sander","family":"Connolly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M.","family":"Meyers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0260008","series-title":"Neurosurgery","first-page":"179","article-title":"Mixed vascular malformations of the brain: clinical and pathogenetic considerations","volume":"33","author":"Awad","year":"1993"},{"key":"b2-0260008","series-title":"AJNR Am J Neuroradiol","first-page":"1885","article-title":"Spontaneous hemorrhage from a cerebral venous malformation related to thrombosis of the central draining vein: demonstration with angiography and serial MR","volume":"16","author":"Field","year":"1995"},{"key":"b3-0260008","series-title":"J Neurosurg","first-page":"715","article-title":"The natural history of intracranial venous angiomas","volume":"75","author":"Garner","year":"1991"},{"key":"b4-0260008","series-title":"J Neurosurg","first-page":"539","article-title":"Genesis of a dural arteriovenous malformation in a rat model","volume":"83","author":"Herman","year":"1995"},{"key":"b5-0260008","series-title":"Neurosurgery","first-page":"262","article-title":"Thrombophilic abnormalities among patients with cranial dural arteriovenous fistulas","volume":"61","author":"Izumi","year":"2007"},{"key":"b6-0260008","series-title":"J Neurosurg","first-page":"267","article-title":"Redefined role of angiogenesis in the pathogenesis of dural arteriovenous malformations","volume":"87","author":"Lawton","year":"1997"},{"key":"b7-0260008","series-title":"J Neurosurg","first-page":"531","article-title":"Radiosurgery for venous angiomas","volume":"78","author":"Lindquist","year":"1993"},{"key":"b8-0260008","series-title":"Surg Neurol","first-page":"482","article-title":"Venous angiomas: an underestimated cause of intracranial hemorrhage","volume":"31","author":"Malik","year":"1989"},{"key":"b9-0260008","series-title":"J Neurosurg","first-page":"807","article-title":"The pathology of vascular (\u201carteriovenous\u201d) malformations","volume":"24","author":"McCormick","year":"1966"},{"key":"b10-0260008","series-title":"J Neurosurg","first-page":"141","article-title":"Association of venous and true arteriovenous malformation: a rare entity among mixed vascular malformations of the brain. 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