Dural Arteriovenous Fistula as a Treatable Dementia

Enofe, Ikponmwosa; Thacker, Ike; Shamim, Sadat

doi:10.1080/08998280.2017.11929592

Cited by 9 publications

(11 citation statements)

References 10 publications

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“…Early diagnosis and prompt treatment of dAVF are crucial because dAVF with cortical venous hypertension can result in intracranial hypertension carrying a high risk for intracranial hemorrhage, non‐hemorrhagic neurological deficit, or death. Differentiation of the symptoms of dAVF from those associated with primary opthalmological and neurodegenerative diseases is of great importance because dAVF‐associated deficits may be reversed with treatment 6,10 …”

Section: Resultsmentioning

confidence: 99%

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Visual loss and rapidly progressive neurocognitive dysfunction in dural arteriovenous fistula

Chee

Halim

Ong

2020

Neurology & Clinical Neurosc

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Dural arteriovenous fistula (dAVF) is a rare type of cerebral arteriovenous malformation. The occurrence of visual loss with rapidly progressive cognitive dysfunction caused by dAVF has rarely been reported. Ocular signs are also unusual in the presentation of cranial dAVF at locations other than the cavernous sinus. We report a case of a young lady who presented with rapidly progressive visual loss and cognitive decline due to venous hypertensive encephalopathy, later found to have cranial dAVF. It was diagnosed by magnetic resonance angiography (MRA) and digital subtraction angiography (DSA). Recognizing rapidly progressive cognitive dysfunction in dAVF is of paramount importance as it is among one of the treatable causes of rapidly progressive dementia.

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Section: Resultsmentioning

confidence: 99%

“…Differentiation of the symptoms of dAVF from those associated with primary opthalmological and neurodegenerative diseases is of great importance because dAVF-associated deficits may be reversed with treatment. 6,10…”

Section: Con Clus Ionmentioning

confidence: 99%

Visual loss and rapidly progressive neurocognitive dysfunction in dural arteriovenous fistula

Chee

Halim

Ong

2020

Neurology & Clinical Neurosc

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“…On the other hand, dementia in patients with DAVF is frequent and has been described in various case reports and case series [31,32,33,34,35,36,37]. The principal factor for dementia in DAVF cases is the cortical venous drainage, which produces venous congestion and hypertension, leading to congestive encephalopathy.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review

Hernández-Díaz

Llibre-Guerra

Arteche-Prior

et al. 2019

Behavioral Sciences

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Dural arteriovenous fistulas (DAVFs) represent 10–15% of intracranial arteriovenous malformations. Of these, only 12–29% cause intracranial hemorrhage. The presentation of DAVF as a subdural hematoma (SDH) and intraparenchymal hemorrhage (IPH) is infrequent; additionally, behavioral changes are not common among these patients. We report, for the first time in our country, the case of a 23-year-old man with no history of head injury, in which a brain computed tomography (CT) scan revealed SDH and IPH with behavioral disturbances. The angiotomography showed ecstatic venous vessels, indicating the presence of a DAVF, which was later confirmed by cerebral angiography. Endovascular therapy, which followed the clinical diagnosis, resulted in satisfactory evolution two years after treatment. A review of the literature concerning cases with DAVF and behavioral disturbances is presented. DAVF may lead to cognitive impairment, behavioral changes, and dementia as a result of diffuse white matter and thalamus modifications related to venous ischemia, and it should be considered as a reversible cause of vascular dementia.

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“…Patients often go undiagnosed for a long time leading to further worsening and irreversible neurological deficits. High index of clinical suspicion, coupled with appropriate imaging is vital for early diagnosis of this condition [ 8 9 ].…”

Section: Discussionmentioning

confidence: 99%

Dementia and Parkinsonism-a Rare Presentation of Intracranial Dural Arteriovenous Fistulae

et al. 2017

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Intracranial dural arteriovenous fistulae (DAVF) are acquired fistulous communications between dural arterial branches and dural venous sinuses or cortical veins with the nidus located within the leaflets of the duramater. Dementia and Parkinsonism are amongst the rarest of clinical presentations in DAVFs and are important to diagnose early, being treatable with timely intervention. We present an interesting case of a patient who presented with rapidly progressive dementia and features of parkinsonism who was diagnosed to have extensive DAVF and made remarkable recovery after embolization of the fistulae.

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Dural Arteriovenous Fistula as a Treatable Dementia

Cited by 9 publications

References 10 publications

Visual loss and rapidly progressive neurocognitive dysfunction in dural arteriovenous fistula

Visual loss and rapidly progressive neurocognitive dysfunction in dural arteriovenous fistula

Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review

Dementia and Parkinsonism-a Rare Presentation of Intracranial Dural Arteriovenous Fistulae

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