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

 Heewon Hwang  ;  Yun Kyung La  ;  Min Seok Baek  ;  Kyoungwon Baik  ;  Sang Hyun Suh  ;  Won-Joo Kim 
 Neurointervention, Vol.12(1) : 50-53, 2017 
Journal Title
Issue Date
Dementia ; Dural arteriovenous fistula ; Therapeutic embolization
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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1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Joo(김원주) ORCID logo https://orcid.org/0000-0002-5850-010X
La, Yun Kyung(라윤경) ORCID logo https://orcid.org/0000-0002-3439-0479
Baik, Kyoungwon(백경원) ORCID logo https://orcid.org/0000-0001-7215-375X
Baek, Min Seok(백민석) ORCID logo https://orcid.org/0000-0001-5250-9480
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Hwang, Hee Won(황희원)
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