Mejia P, Piedra L M, Merchan-Del Hierro X
Hospital Alcivar, Guayaquil, Ecuador.
Hospital Roberto Gilbert Elizalde, Guayaquil, Ecuador.
Rev Neurol. 2017 Mar 1;64(5):214-218.
Rapidly progressive dementias are an infrequent group of diseases characterised by cognitive deterioration and other neurological disorders that develop over a period ranging from weeks to months. Their causation is varied and includes a large number of neurodegenerative, toxic, metabolic, autoimmune, infectious and vascular conditions.
We report the case of a 69-year-old male who was admitted to hospital due to a rapidly progressive dementia and parkinsonism caused by multiple dural arteriovenous fistulas, which were successfully treated by means of endovascular therapy.
Dural arteriovenous fistulas are anomalous connections between the dural arteries and the venous sinuses or cortical veins that are an unusual cause of rapidly progressive dementia. They must, however, be taken into account, given the availability of a specific treatment with reversal of the symptoms.
快速进展性痴呆是一组罕见的疾病，其特征是在数周数月内出现认知功能衰退及其他神经功能障碍。其病因多样，包括大量神经退行性、中毒性、代谢性、自身免疫性、感染性及血管性疾病。
我们报告一例69岁男性患者，因多发硬脑膜动静脉瘘导致快速进展性痴呆和帕金森综合征入院，通过血管内治疗成功治愈。
硬脑膜动静脉瘘是硬脑膜动脉与静脉窦或皮质静脉之间的异常连接，是快速进展性痴呆的罕见病因。然而，鉴于有可逆转症状的特效治疗方法，必须考虑到这种病因。
