PT  - JOURNAL ARTICLE
AU  - Maksim Shapiro
AU  - Melanie Walker
AU  - Kate T Carroll
AU  - Michael R Levitt
AU  - Eytan Raz
AU  - Erez Nossek
AU  - Nader Delavari
AU  - Osman Mir
AU  - Peter Kim Nelson
TI  - Neuroanatomy of cranial dural vessels: implications for subdural hematoma embolization
AID  - 10.1136/neurintsurg-2020-016798
DP  - 2021 May 01
TA  - Journal of NeuroInterventional Surgery
PG  - 471--477
VI  - 13
IP  - 5
4099  - http://jnis.bmj.com/content/13/5/471.short
4100  - http://jnis.bmj.com/content/13/5/471.full
SO  - J NeuroIntervent Surg2021 May 01; 13
AB  - Adoption of middle meningeal artery embolization in the management of chronic subdural hematomas has led to a renewed interest in dural vascular anatomy. The readily identifiable major dural arteries and potential hazards associated with their embolization are well described. Less emphasized are several levels of intrinsic dural angioarchitecture, despite their more direct relationship to dural based diseases, such as subdural hematoma and dural fistula. Fortunately, microvascular aspects of dural anatomy, previously limited to ex vivo investigations, are becoming increasingly accessible to in vivo visualization, setting the stage for synthesis of the old and the new, and providing a rationale for the endovascular approach to subdural collections in particular. In contrast with traditional anatomical didactics, where descriptions advance from larger trunks to smaller pedicles, we present a strategic approach that proceeds from a fundamental understanding of the dural microvasculature and its relationship to larger vessels.