Evidence map›Paper›PMID 34224274›Full record

ArticleThe neuroradiology journal2022

A proposed framework for cerebral venous congestion.

Anirudh Arun, Matthew R Amans, Nicholas Higgins, Waleed Brinjikji, Mithun Sattur, Sudhakar R Satti, Peter Nakaji, Mark Luciano, Thierry Agm Huisman, Abhay Moghekar and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The neuroradiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  6. Follow-up imaging characteristics of a Novel Braided Stent (BosSTENT™) in treating transverse sinus stenosis related to venous congestion and/or pulsatile tinnitus.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  7. Article
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  9. Plasma brain-related biomarkers and potential therapeutic targets in pediatric ECMO.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  10. Article
  11. Altered functional connectivity of the thalamus and salience network in patients with cluster headache: a pilot study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 4 countries.

Anirudh ArunDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, USA.ORCID https://orcid.org/0000-0001-6599-7508
Matthew R AmansDepartment of Radiology and Biomedical Imaging, University of California San Francisco, USA.
Nicholas HigginsCambridge University Hospitals NHS Foundation Trust, UK.
Waleed BrinjikjiDepartment of Radiology, 6915Mayo Clinic, USA.
Mithun SatturDepartment of Neurosurgery, Medical University of South Carolina, USA.
Sudhakar R SattiDepartment of Neurointerventional Surgery, ChristianaCare Christiana Hospital, USA.ORCID https://orcid.org/0000-0001-6671-7918
Peter NakajiDepartment of Neurosurgery, Banner University Medical Center, USA.
Mark LucianoDepartment of Neurosurgery, Johns Hopkins University School of Medicine, USA.
Thierry Agm HuismanDepartment of Radiology, Texas Children's Hospital, USA.
Abhay MoghekarDepartment of Neurology, Johns Hopkins University School of Medicine, USA.
Vitor M PereiraDepartment of Medical Imaging, Toronto Western Hospital, Canada.
Ran MengDepartment of Neurology, Xuanwu Hospital, China.
Kyle FargenDepartment of Neurosurgery, Wake Forest School of Medicine, USA.
Ferdinand K HuiDepartment of Radiology and Radiological Science, Johns Hopkins University School of Medicine, USA.
Johns Hopkins University · USBeijing Xuanwu Traditional Chinese Medicine Hospital · CNCambridge University Hospitals NHS Foundation Trust · GBChristiana Hospital · USMayo Clinic in Arizona · USMedical University of South Carolina · USTexas Children's Hospital · USToronto Western Hospital · CAUniversity Medical Center · USUniversity of California, San Francisco · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile venous congestion in the peripheral vasculature has been described and accepted, intracranial venous congestion remains poorly understood. The characteristics, pathophysiology, and management of cerebral venous stasis, venous hypertension and venous congestion remain controversial, and a unifying conceptual schema is absent. The cerebral venous and lymphatic systems are part of a complex and dynamic interaction between the intracranial compartments, with interplay between the parenchyma, veins, arteries, cerebrospinal fluid, and recently characterized lymphatic-like systems in the brain. Each component contributes towards intracranial pressure, occupying space within the fixed calvarial volume. This article proposes a framework to consider conditions resulting in brain and neck venous congestion, and seeks to expedite further study of cerebral venous diagnoses, mechanisms, symptomatology, and treatments.

methodsA multi-institution retrospective review was performed to identify unique patient cases, complemented with a published case series to assess a spectrum of disease states with components of venous congestion affecting the brain. These diseases were organized according to anatomical location and purported mechanisms. Outcomes of treatments were also analyzed. Illustrative cases were identified in the venous treatment databases of the authors.

conclusionThis framework is the first clinically structured description of venous pathologies resulting in intracranial venous and cerebrospinal fluid hypertension. Our proposed system highlights unique clinical symptoms and features critical for appropriate diagnostic work-up and potential treatment. This novel schema allows clinicians effectively to approach cases of intracranial hypertension secondary to venous etiologies, and furthermore provides a framework by which researchers can better understand this developing area of cerebrovascular disease.

Indexed as

Cerebral VeinsHyperemiaIntracranial HypertensionHumansIntracranial PressureRetrospective Studiesdural sinus stenosisintracranial hypertensionneurointerventionalVenous

Identifiers

PMID34224274
PMCPMC8826290
OpenAlexW3182167890

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.