Evidence map›Paper›PMID 42282216›Full record

ArticleJournal of neuroendovascular therapy2026

Falcotentorial dAVF with Unusual Venous Drainage Presenting with Obstructive Hydrocephalus: A Case Report and Literature Review of Endoscopic Third Ventriculostomy Followed by Staged Transarterial Embolization.

Yusuke Otsu, Hideaki Shigematsu, Kohei Miyagi, Takayasu Ando, Sosho Kajiwara, Yukihiko Nakamura, Kiyohiko Sakata, Takayuki Kawano, Shuichi Tanoue, Masaru Hirohata and 1 more

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In one paragraph

Article in Journal of neuroendovascular therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Yusuke OtsuDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Hideaki ShigematsuDepartment of Neurosurgery, Tokai University, Isehara, Kanagawa, Japan.
Kohei MiyagiDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Takayasu AndoDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Sosho KajiwaraDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Yukihiko NakamuraDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Kiyohiko SakataDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Takayuki KawanoDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Shuichi TanoueDepartment of Radiology, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Masaru HirohataDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.
Motohiro MoriokaDepartment of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to report a case of falcotentorial dural arteriovenous fistula (dAVF) presenting with obstructive hydrocephalus caused by an unusual venous drainage pattern and to describe a staged treatment strategy. Case Presentation: A 38-year-old man presented with photopsia and was found to have obstructive hydrocephalus. MRI demonstrated compression of the cerebral aqueduct by a dilated draining vein. DSA revealed a falcotentorial dAVF with deep venous reflux, supplied by multiple arterial feeders. Venous drainage occurred through a dilated trans-mesencephalic venous pathway, which compressed the cerebral aqueduct, resulting in obstructive hydrocephalus. Because hydrocephalus was present and embolization was considered to carry a risk of worsening obstruction of the cerebral aqueduct, endoscopic third ventriculostomy (ETV) was performed as the initial treatment. After improvement of hydrocephalus, staged transarterial embolization was successfully performed. At 6-month follow-up, DSA showed a small recurrent shunt without clinical deterioration, and the patient remained symptom-free. Conclusion: Falcotentorial dAVF can cause obstructive hydrocephalus depending on venous drainage patterns. When deep venous structures compress the cerebral aqueduct, careful evaluation of venous anatomy and a staged treatment approach, including initial ETV, may be useful for safe management.

Indexed as

endoscopic third ventriculostomyfalcotentorial dAVFobstructive hydrocephalustransarterial embolization

Identifiers

PMID42282216
PMCPMC13253064

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