{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:49:50Z","timestamp":1789195790390,"version":"build-2803163510"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2014,9]]},"abstract":"\n Object<\/jats:title>\n In patients with posterior fossa arteriovenous malformations (AVMs) who present with hemorrhage, feeding artery aneurysms are often the source of bleeding. The aim of this study was to evaluate the relative proportions of cases of infra- and supratentorial AVMs in which patients presented with prenidal aneurysm rupture. The management and outcome of 9 cases of posterior fossa AVMs associated with prenidal aneurysm rupture are presented.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The authors retrospectively reviewed 233 consecutive AVM cases involving patients treated at their institution between April 2001 and August 2012. Patients with a prenidal aneurysm as the cause of the hemorrhage were identified. The frequencies of prenidal aneurysm-related ruptures were compared in cases of supra- and infratentorial AVMs. Management and clinical outcome (modified Rankin Scale [mRS] score) of patients with posterior fossa AVMs treated for ruptured prenidal aneurysms were recorded.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 233 AVMs, 25 (11%) were in the posterior fossa, and in 22 (88%) of these cases, the patients presented with hemorrhage, including 9 patients (41%) who presented with hemorrhage due to prenidal aneurysm rupture. Of 208 patients with supratentorial AVMs, 107 (51%) presented with hemorrhage, including 5 patients (4.7%) in whom the hemorrhage was associated with a prenidal aneurysm (p < 0.01). All 9 patients with posterior fossa AVMs and prenidal aneurysm rupture were treated with early embolization of the offending aneurysm. There was no early rebleeding or clinical complication related to this approach. At the end of follow-up (mean 46.8 months), 2 patients had an mRS score of 0, 1 had a score of 1, 3 had a score of 2, 2 patients were dead (mRS score of 6), and 1 patient was lost to follow-up.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Posterior fossa AVM hemorrhages are frequently associated with prenidal arterial aneurysms. Urgent endovascular treatment of the aneurysm was effective in this case series.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2014.6.focus14219","type":"journal-article","created":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T03:40:04Z","timestamp":1409542804000},"page":"E4","source":"Crossref","is-referenced-by-count":24,"title":["Association between posterior fossa arteriovenous malformations and prenidal aneurysm rupture: potential impact on management"],"prefix":"10.3171","volume":"37","author":[{"given":"Evgueni","family":"Kouznetsov","sequence":"first","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Weill","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimmy S.","family":"Ghostine","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Christophe","family":"Gentric","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Raymond","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Radiology, CHUM, Montr\u00e9al, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0370004","series-title":"J Neurosurg","first-page":"352","article-title":"The natural history of unruptured intracranial arteriovenous malformations","volume":"68","author":"Brown","year":"1988"},{"key":"b2-0370004","series-title":"J Neurol Neurosurg Psychiatry","first-page":"376","article-title":"Management and clinical outcome of posterior fossa arteriovenous malformations: report on a single-centre 15-year experience","volume":"80","author":"da Costa","year":"2009"},{"key":"b3-0370004","series-title":"Stroke","first-page":"100","article-title":"The natural history and predictive features of hemorrhage from brain arteriovenous malformations","volume":"40","author":"da Costa","year":"2009"},{"key":"b4-0370004","series-title":"J Neurosurg","first-page":"331","article-title":"Bleeding from cerebral arteriovenous malformations as part of their natural history","volume":"58","author":"Graf","year":"1983"},{"key":"b5-0370004","series-title":"J Neurosurg","first-page":"437","article-title":"Natural history of cerebral arteriovenous malformations: a meta-analysis. Clinical article","volume":"118","author":"Gross","year":"2013"},{"key":"b6-0370004","series-title":"J Clin Ncurosci","first-page":"789","article-title":"Prognosis of intracranial dissection relates to site and presenting features","volume":"18","author":"Li","year":"2011"},{"key":"b7-0370004","series-title":"World Neurosurg","first-page":"103","article-title":"Distal aneurysms of intracranial arteries: application of numerical nomenclature, predilection for cerebellar arteries, and results of surgical management","volume":"80","author":"Rodr\u00edguez-Hern\u00e1ndez","year":"2013"},{"key":"b8-0370004","series-title":"Acta Neurochir Suppl","first-page":"131","article-title":"Clinical relevance of associated aneurysms with arteriovenous malformations of the posterior fossa","volume":"112","author":"Schmidt","year":"2011"},{"key":"b9-0370004","series-title":"J Neurol Neurosurg Psychiatry","first-page":"294","article-title":"Concurrent arterial aneurysms in brain arteriovenous malformations with haemorrhagic presentation","volume":"73","author":"Stapf","year":"2002"},{"key":"b10-0370004","series-title":"Stroke","first-page":"920","article-title":"Angioarchitectural factors present in brain arteriovenous malformations associated with hemorrhagic presentation","volume":"33","author":"Stefani","year":"2002"},{"key":"b11-0370004","series-title":"Neurosurgery","first-page":"856","article-title":"Correlation of the angioarchitectural features of cerebral arteriovenous malformations with clinical presentation of hemorrhage","volume":"37","author":"Turjman","year":"1995"},{"key":"b12-0370004","series-title":"J Neurosurg","first-page":"995","article-title":"Clinical significance of pedicle aneurysms on feeding vessels, especially those located in infratentorial arteriovenous malformations","volume":"92","author":"Westphal","year":"2000"},{"key":"b1-0370004","series-title":"J Neurosurg","first-page":"352","article-title":"The natural history of unruptured intracranial arteriovenous malformations","volume":"68","author":"Brown","year":"1988"},{"key":"b2-0370004","series-title":"J Neurol Neurosurg Psychiatry","first-page":"376","article-title":"Management and clinical outcome of posterior fossa arteriovenous malformations: report on a single-centre 15-year experience","volume":"80","author":"da Costa","year":"2009"},{"key":"b3-0370004","series-title":"Stroke","first-page":"100","article-title":"The natural history and predictive features of hemorrhage from brain arteriovenous malformations","volume":"40","author":"da Costa","year":"2009"},{"key":"b4-0370004","series-title":"J Neurosurg","first-page":"331","article-title":"Bleeding from cerebral arteriovenous malformations as part of their natural history","volume":"58","author":"Graf","year":"1983"},{"key":"b5-0370004","series-title":"J Neurosurg","first-page":"437","article-title":"Natural history of cerebral arteriovenous malformations: a meta-analysis. Clinical article","volume":"118","author":"Gross","year":"2013"},{"key":"b6-0370004","series-title":"J Clin Ncurosci","first-page":"789","article-title":"Prognosis of intracranial dissection relates to site and presenting features","volume":"18","author":"Li","year":"2011"},{"key":"b7-0370004","series-title":"World Neurosurg","first-page":"103","article-title":"Distal aneurysms of intracranial arteries: application of numerical nomenclature, predilection for cerebellar arteries, and results of surgical management","volume":"80","author":"Rodr\u00edguez-Hern\u00e1ndez","year":"2013"},{"key":"b8-0370004","series-title":"Acta Neurochir Suppl","first-page":"131","article-title":"Clinical relevance of associated aneurysms with arteriovenous malformations of the posterior fossa","volume":"112","author":"Schmidt","year":"2011"},{"key":"b9-0370004","series-title":"J Neurol Neurosurg Psychiatry","first-page":"294","article-title":"Concurrent arterial aneurysms in brain arteriovenous malformations with haemorrhagic presentation","volume":"73","author":"Stapf","year":"2002"},{"key":"b10-0370004","series-title":"Stroke","first-page":"920","article-title":"Angioarchitectural factors present in brain arteriovenous malformations associated with hemorrhagic presentation","volume":"33","author":"Stefani","year":"2002"},{"key":"b11-0370004","series-title":"Neurosurgery","first-page":"856","article-title":"Correlation of the angioarchitectural features of cerebral arteriovenous malformations with clinical presentation of hemorrhage","volume":"37","author":"Turjman","year":"1995"},{"key":"b12-0370004","series-title":"J Neurosurg","first-page":"995","article-title":"Clinical significance of pedicle aneurysms on feeding vessels, especially those located in infratentorial arteriovenous malformations","volume":"92","author":"Westphal","year":"2000"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/37\/3\/article-pE4.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/37\/3\/article-pE4.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/37\/3\/article-pE4.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:42:29Z","timestamp":1780130549000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/37\/3\/article-pE4.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":24,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2014.6.focus14219","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]}}}