Gopinath Manoj, Nagesh Chinmay, Santhosh K, Jayadevan E R
Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala. India.
Neurointervention. 2017 Sep;12(2):125-129. doi: 10.5469/neuroint.2017.12.2.125. Epub 2017 Sep 5.
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.
颅内硬脑膜动静脉瘘(DAVF)是硬脑膜动脉分支与硬脑膜静脉窦或皮质静脉之间后天形成的瘘性交通,其病灶位于硬脑膜小叶内。痴呆和帕金森症是DAVF最罕见的临床表现之一,早期诊断很重要,及时干预可治愈。我们报告一例有趣的病例,患者表现为快速进展性痴呆和帕金森症特征,经诊断患有广泛的DAVF,瘘管栓塞后恢复显著。