A case of curable dementia treated by effective endovascular embolization for dural arteriovenous fistula

BACKGROUNDWe report a case in which an effective endovascular treatment cured the worsening of dementia due to a dural arteriovenous fistula (dAVF). CASE REPORTA 73-year-old woman suffered for 1.5 years from gait disturbance and disorientation that were suspicious of dementia. A brain MRI revealed t...

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Published in:Case reports in neurology 2014, Vol.6 (1), p.116-121
Main Authors: Yoshihara, Tomoyuki, Kanazawa, Ryuzaburo, Maeshima, Shinichiro, Osawa, Aiko, Ochiai, Ikuo, Uemiya, Nahoko, Kohyama, Shinya, Yamane, Fumitaka, Ishihara, Shoichiro
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container_issue 1
container_start_page 116
container_title Case reports in neurology
container_volume 6
creator Yoshihara, Tomoyuki
Kanazawa, Ryuzaburo
Maeshima, Shinichiro
Osawa, Aiko
Ochiai, Ikuo
Uemiya, Nahoko
Kohyama, Shinya
Yamane, Fumitaka
Ishihara, Shoichiro
description BACKGROUNDWe report a case in which an effective endovascular treatment cured the worsening of dementia due to a dural arteriovenous fistula (dAVF). CASE REPORTA 73-year-old woman suffered for 1.5 years from gait disturbance and disorientation that were suspicious of dementia. A brain MRI revealed that her symptoms were likely due to dAVF. An angiography provided a definitive diagnosis of dural transverse-sigmoid sinus fistula. Transvenous embolization completely occluded the fistula and led to a significant improvement of her cognitive function in tandem with a restoration of the cerebral blood flow. CONCLUSIONEndovascular treatment for dAVF is sometimes effective in treating worsening dementia, which might be due to the drastic change in cerebral blood flow in the area relevant to the cognitive function.
doi_str_mv 10.1159/000362515
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CASE REPORTA 73-year-old woman suffered for 1.5 years from gait disturbance and disorientation that were suspicious of dementia. A brain MRI revealed that her symptoms were likely due to dAVF. An angiography provided a definitive diagnosis of dural transverse-sigmoid sinus fistula. Transvenous embolization completely occluded the fistula and led to a significant improvement of her cognitive function in tandem with a restoration of the cerebral blood flow. 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title A case of curable dementia treated by effective endovascular embolization for dural arteriovenous fistula
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