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

Authors
 Heewon Hwang  ;  Yun Kyung La  ;  Min Seok Baek  ;  Kyoungwon Baik  ;  Sang Hyun Suh  ;  Won-Joo Kim 
Citation
 Neurointervention, Vol.12(1) : 50-53, 2017 
Journal Title
 Neurointervention 
ISSN
 2093-9043 
Issue Date
2017
Keywords
Dementia ; Dural arteriovenous fistula ; Therapeutic embolization
Abstract
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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DOI
10.5469/neuroint.2017.12.1.50
Appears in Collections:
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
김원주(Kim, Won Joo) ORCID logo https://orcid.org/0000-0002-5850-010X
라윤경(La, Yun Kyung) ORCID logo https://orcid.org/0000-0002-3439-0479
백경원(Baik, Kyoungwon) ORCID logo https://orcid.org/0000-0001-7215-375X
백민석(Baek, Min Seok) ORCID logo https://orcid.org/0000-0001-5250-9480
서상현(Suh, Sang Hyun) ORCID logo https://orcid.org/0000-0002-7098-4901
황희원(Hwang, Hee Won)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154503
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