{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:48:53Z","timestamp":1790639333816,"version":"4.1.0"},"reference-count":27,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Dural arteriovenous malformations (AVMs) involving the tentoria\u2014incisura are associated with an aggressive clinical course characterized by subarachnoid and intracranial hemorrhage (ICH). In these lesions, venous outflow obstruction precipitates leptomeningeal venous drainage, resulting in the arterialization of pial veins and the formation of venous aneurysms, both of which are prone to hemorrhage. Stenotic lesions of the dural sinuses also contribute to the development of retrograde leptomeningeal drainage, which is responsible for the aggressive clinical course of the dural AVM. Endovascular approaches are successful in the treatment of these lesions and of any potential venous outflow obstruction caused by stenosis of a dural sinus. The authors report on a patient with a tentorial\u2014incisural dural AVM and an accompanying stenotic venous sinus. A combined transvenous and transarterial embolization procedure was performed, resulting in complete obliteration of the dural AVM, followed by primary stent placement across a stenotic segment of the straight sinus and normalization of venous outflow. The authors conclude that dural AVMs can be treated safely by using a combined transarterial and transvenous approach and that an extensive search for venous outflow obstruction often reveals stenosis of a draining sinus. Consideration should be given to primary stent placement in the stenotic sinus to protect against ICH.<\/jats:p>","DOI":"10.3171\/jns.2003.99.3.0579","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:51:10Z","timestamp":1242237070000},"page":"579-583","source":"Crossref","is-referenced-by-count":38,"title":["Combined transvenous and transarterial embolization of a tentorial\u2014incisural dural arteriovenous malformation followed by primary stent placement in the associated stenotic straight sinus"],"prefix":"10.3171","volume":"99","author":[{"given":"Neil A.","family":"Troffkin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cole Blease","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turgut","family":"Berkmen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay K.","family":"Wakhloo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg","first-page":"839","article-title":"Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course.","volume":"72","author":"Awad","year":"1990"},{"key":"b2","series-title":"J Neurosurg","first-page":"166","article-title":"A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment.","volume":"82","author":"Borden","year":"1995"},{"key":"b3","series-title":"J Neurosurg","first-page":"531","article-title":"Intracranial dural arteriovenous fistulae: angiographic predictors of intracranial hemorrhage and clinical outcome in nonsurgical patients.","volume":"81","author":"Brown","year":"1994"},{"key":"b4","series-title":"Stroke","first-page":"157","article-title":"Intracranial dural arteriovenous malformations: a clinical, radiologic, and long-term follow-up study.","volume":"23","author":"Brown","year":"1992"},{"key":"b5","series-title":"AJNR","first-page":"13","article-title":"Dural arteriovenous malformation of the major venous sinuses: an acquired lesion.","volume":"3","author":"Chaudhary","year":"1982"},{"key":"b6","series-title":"Radiology","first-page":"671","article-title":"Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage.","volume":"194","author":"Cognard","year":"1995"},{"key":"b7","series-title":"J Neurosurg","first-page":"976","article-title":"Tentorial arteriovenous malformation presenting as an intracerbral hematoma. Case report.","volume":"55","author":"Fardoun","year":"1981"},{"key":"b8","series-title":"J Neurosurg","first-page":"962","article-title":"Radiological and pathological aspects of dural arteriovenous fistulas. Case report.","volume":"64","author":"Graeb","year":"1986"},{"key":"b9","series-title":"AJNR","first-page":"385","article-title":"Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses.","volume":"10","author":"Halbach","year":"1989"},{"key":"b10","series-title":"Mayo Clin Proc","first-page":"651","article-title":"Arteriovenous malformation affecting the transverse dural venous sinus\u2014an acquired lesion.","volume":"54","author":"Houser","year":"1979"},{"key":"b11","series-title":"Neurosurg Clin N Am","first-page":"577","article-title":"Intracerebral hemorrhage due to dural arteriovenous malformations and fistulae.","volume":"3","author":"King","year":"1992"},{"key":"b12","series-title":"Surg Neurol","first-page":"396","article-title":"Dural arteriovenous malformations in the anterior cranial fossa.","volume":"30","author":"Kobayashi","year":"1988"},{"key":"b13","series-title":"J Neurosurg","first-page":"724","article-title":"Neurological manifestations of intracranial dural arteriovenous malformations.","volume":"64","author":"Lasjaunias","year":"1986"},{"key":"b14","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":"b15","series-title":"J Neurosurg","first-page":"851","article-title":"Management of tentorial dural arteriovenous malformations: transarterial embolization combined with stereotactic radiation or surgery.","volume":"81","author":"Lewis","year":"1994"},{"key":"b16","series-title":"Neurosurg Clin N Am","first-page":"449","article-title":"Intracranial dural arteriovenous fistulas: endovascular therapy.","volume":"5","author":"Lownie","year":"1994"},{"key":"b17","series-title":"Neurosurgery","first-page":"1119","article-title":"Treatment for intracranial dural arteriovenous malformations: a meta-analysis from the English language literature.","volume":"40","author":"Lucas","year":"1997"},{"key":"b18","series-title":"Neurosurgery","first-page":"896","article-title":"Endovascular recanalization with balloon angioplasty and stenting of an occluded occipital sinus for treatment of intracranial venous hypertension: technical case report.","volume":"44","author":"Malek","year":"1999"},{"key":"b19","series-title":"J Neurosurg","first-page":"288","article-title":"Vein of Galen aneurysm associated with dural AVM and straight sinus thrombosis. Case report.","volume":"68","author":"Mayberg","year":"1988"},{"key":"b20","series-title":"J Neurosurg","first-page":"606","article-title":"Reflections upon the nature and management of intracranial and intraspinal vascular malformations and fistulae.","volume":"80","author":"Mullan","year":"1994"},{"key":"b21","series-title":"Radiology","first-page":"1071","article-title":"Involvement of the dural arteries in intracranial arteriovenous malformations.","volume":"93","author":"Newton","year":"1969"},{"key":"b22","series-title":"J Neuroradiol","first-page":"9","article-title":"Intracranial dural arteriovenous fistulas and sinus thrombosis. Report of five cases.","volume":"20","author":"Pierot","year":"1993"},{"key":"b23","series-title":"AJNR","first-page":"315","article-title":"Dural arteriovenous fistulas of the posterior fossa draining into subarachnoid veins.","volume":"13","author":"Pierot","year":"1992"},{"key":"b24","series-title":"J Otolaryngol","first-page":"409","article-title":"Pulsatile tinnitus and dural arteriovenous fistula of the transverse sinus.","volume":"22","author":"Roy","year":"1993"},{"key":"b25","series-title":"Neurosurgery","first-page":"1133","article-title":"The role of transvenous embolization in the treatment of intracranial dural arteriovenous fistulas.","volume":"40","author":"Roy","year":"1997"},{"key":"b26","series-title":"J Neurosurg","first-page":"884","article-title":"Development of acquired arteriovenous fistulas in rats due to venous hypertension.","volume":"80","author":"Terada","year":"1994"},{"key":"b27","series-title":"Acta Neurochir","first-page":"877","article-title":"The role of angiogenic factor bFGF in the development of dural AVFs.","volume":"138","author":"Terada","year":"1996"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/99\/3\/article-p579.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/99\/3\/article-p579.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/99\/3\/article-p579.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T23:39:56Z","timestamp":1679269196000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/99\/3\/article-p579.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2003,9]]},"references-count":27,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.2003.99.3.0579","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2003,9]]}}}