Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only

A 43-year-old male presented with daytime sleepiness at work and indifferent behavior like never before. Two weeks prior to hospital admission, he had episodic memory loss with well preserved remote memory. Brain MRI showed a dural arteriovenous fistula (DAVF) in the right lateral transverse sinus w...

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Main Authors: Heewon Hwang, Yun Kyung La, Min Seok Baek, Kyoungwon Baik, Sang Hyun Suh, Won-Joo Kim
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2017-03-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/ni-12-50.pdf
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author Heewon Hwang
Yun Kyung La
Min Seok Baek
Kyoungwon Baik
Sang Hyun Suh
Won-Joo Kim
author_facet Heewon Hwang
Yun Kyung La
Min Seok Baek
Kyoungwon Baik
Sang Hyun Suh
Won-Joo Kim
author_sort Heewon Hwang
collection DOAJ
description A 43-year-old male presented with daytime sleepiness at work and indifferent behavior like never before. Two weeks prior to hospital admission, he had episodic memory loss with well preserved remote memory. Brain MRI showed a dural arteriovenous fistula (DAVF) in the right lateral transverse sinus with a bilateral thalamic venous infarction. Cerebral angiography confirmed a right transverse sigmoid dural arteriovenous fistula with a feeding artery of the right occipital artery and left posterior meningeal artery. The DAVF was completely eliminated through multiple endovascular interventions. Recently, endovascular treatment has become one of the main therapeutic options to obliterate a fistulous site, which has led to a rapid diagnostic approach and management of DAVFs with high curative rates. We report a rare case of posterior fossa located at a dural arteriovenous fistula that caused rapid progressive dementia and was successfully eliminated through only endovascular treatment.
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spelling doaj.art-dd983c4b0da34ac9905a6854bd21c2842024-02-02T14:56:22ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732017-03-01121505310.5469/neuroint.2017.12.1.50138Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization OnlyHeewon Hwang0Yun Kyung La1Min Seok Baek2Kyoungwon Baik3Sang Hyun Suh4Won-Joo Kim5Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.A 43-year-old male presented with daytime sleepiness at work and indifferent behavior like never before. Two weeks prior to hospital admission, he had episodic memory loss with well preserved remote memory. Brain MRI showed a dural arteriovenous fistula (DAVF) in the right lateral transverse sinus with a bilateral thalamic venous infarction. Cerebral angiography confirmed a right transverse sigmoid dural arteriovenous fistula with a feeding artery of the right occipital artery and left posterior meningeal artery. The DAVF was completely eliminated through multiple endovascular interventions. Recently, endovascular treatment has become one of the main therapeutic options to obliterate a fistulous site, which has led to a rapid diagnostic approach and management of DAVFs with high curative rates. We report a rare case of posterior fossa located at a dural arteriovenous fistula that caused rapid progressive dementia and was successfully eliminated through only endovascular treatment.http://neurointervention.org/upload/pdf/ni-12-50.pdfdural arteriovenous fistuladementiatherapeutic embolization
spellingShingle Heewon Hwang
Yun Kyung La
Min Seok Baek
Kyoungwon Baik
Sang Hyun Suh
Won-Joo Kim
Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
Neurointervention
dural arteriovenous fistula
dementia
therapeutic embolization
title Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
title_full Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
title_fullStr Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
title_full_unstemmed Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
title_short Dural Arteriovenous Fistula Manifested as Rapid Progressive Dementia Successfully Treated by Endovascular Embolization Only
title_sort dural arteriovenous fistula manifested as rapid progressive dementia successfully treated by endovascular embolization only
topic dural arteriovenous fistula
dementia
therapeutic embolization
url http://neurointervention.org/upload/pdf/ni-12-50.pdf
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