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ArticleClinical neuroradiology2024

Detailed Anatomy of Bridging Veins Around the Foramen Magnum: a Multicenter Study Using Three-dimensional Angiography.

Masafumi Hiramatsu, Tomohiko Ozaki, Shuichi Tanoue, Katsuhiro Mizutani, Hajime Nakamura, Kohei Tokuyama, Hiroyuki Sakata, Yuji Matsumaru, Ichiro Nakahara, Yasunari Niimi and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

12 authors at 11 institutions in 1 country.

Masafumi HiramatsuDepartment of Neurological Surgery, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. mhiramatsu@okayama-u.ac.jp.ORCID http://orcid.org/0000-0002-1054-0612
Tomohiko OzakiDepartment of Neurosurgery, National Hospital Organization, Osaka National Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0003-1558-4785
Shuichi TanoueDepartment of Radiology, Kurume University School of Medicine, Kurume, Japan.ORCID http://orcid.org/0000-0001-8813-8108
Katsuhiro MizutaniDepartment of Neurosurgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-3158-0189
Hajime NakamuraDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-8834-9447
Kohei TokuyamaDepartment of Radiology, Oita University Faculty of Medicine, Yuhu, Japan.ORCID http://orcid.org/0000-0002-5807-4067
Hiroyuki SakataDepartment of Neuroendovascular Therapy, Kohnan Hospital, Sendai, Japan.ORCID http://orcid.org/0000-0003-0745-9538
Yuji MatsumaruDivision of Stroke Prevention and Treatment, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID http://orcid.org/0000-0002-4827-8410
Ichiro NakaharaDepartment of Comprehensive Strokology, Fujita Health University School of Medicine, Toyoake, Japan.ORCID http://orcid.org/0000-0001-8909-2949
Yasunari NiimiDepartment of Neuroendovascular Therapy, St Luke's International Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0003-2239-6432
Toshiyuki FujinakaDepartment of Neurosurgery, National Hospital Organization, Osaka National Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0002-1546-5666
Hiro KiyosueDepartment of Diagnostic Radiology, Kumamoto University Faculty of Medicine, Kumamoto, Japan.ORCID http://orcid.org/0000-0003-3305-8316
Osaka National Hospital · JPFujita Health University · JPKeio University · JPKohnan Hospital · JPKumamoto University · JPKurume University · JPOita University · JPOkayama University · JPSt. Luke's International Hospital · JPThe University of Osaka · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThere has been limited literature regarding the bridging veins (BVs) of the medulla oblongata around the foramen magnum (FM). The present study aims to analyze the normal angioarchitecture of the BVs around the FM using slab MIP images of three-dimensional (3D) angiography.

methodsWe collected 3D angiography data of posterior fossa veins and analyzed the BVs around the FM using slab MIP images. We analyzed the course, outlet, and number of BVs around the FM. We also examined the detection rate and mean diameter of each BV.

resultsOf 57 patients, 55 patients (96%) had any BV. The median number of BVs was two (range: 0-5). The BVs originate from the perimedullary veins and run anterolaterally to join the anterior condylar vein (ACV), inferior petrosal sinus, sigmoid sinus, or jugular bulb, inferolaterally to join the suboccipital cavernous sinus (SCS), laterally or posterolaterally to join the marginal sinus (MS), and posteriorly to join the MS or occipital sinus. We classified BVs into five subtypes according to the draining location: ACV, jugular foramen (JF), MS, SCS, and cerebellomedullary cistern (CMC). ACV, JF, MS, SCS, and CMC BVs were detected in 11 (19%), 18 (32%), 32 (56%), 20 (35%), and 16 (28%) patients, respectively. The mean diameter of the BVs other than CMC was 0.6 mm, and that of CMC BV was 0.8 mm.

conclusionUsing venous data from 3D angiography, we detected FM BVs in most cases, and the BVs were connected in various directions.

Indexed as

Cerebral VeinsForamen MagnumAngiographyCranial SinusesHumansJugular VeinsBridging veinCone-beam CTDural arteriovenous fistulaForamen magnumSlab maximum intensity projectionVenous phase three-dimensional rotational angiography

Identifiers

PMID37552244
PMCPMC10881699
OpenAlexW4385659378

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Registered trials

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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.