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COMMENTARY raditionally, the attention of the neurovascular community of CSF from the subarachnoid space to the venous blood of the Thas beenonthe arterial system. Evenwhenlooking at venous dural sinuses. However, the mechanisms of formation of these TSSs cerebral pathology, most attention has to date focused on cerebral are still poorly understood. venous thrombosis. More recently, parallel developments in both Accordingly, it is crucial that we improve our knowledge of ve- medical imaging and neurointerventional techniques have focused nous sinus stenoses. With this in mind, Sundararajan et al provide more attention on the cerebral veins and venous sinuses. Our a very good radiologic observation of patients with symptomatic knowledge of venous and arteriovenous physiology and pathology TSSs. In one of the largest series published so far, they report that is improving significantly, thanks to the anatomic and physiologic most patients with IIH possessed extrinsic TSSs, and most patients data we are gleaning from both modern MR imaging techniques with PT were found to have intrinsic TSSs. Whereas an extrinsic and venous endovascular techniques. Despite this, however, our stenosis is usually defined as a long segment of sinus stenosis with- knowledge of the cerebral venous physiology is still significantly out an
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Feb 1, 2021
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