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Reversible cognitive impairment and parkinsonism with leukoencephalopathy due to cranial dural arteriovenous fistula

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dc.contributor.author Lara-Sanchez, Melanie
dc.contributor.author Dossi, Daiana Elizabeth
dc.contributor.author Ameriso, Sebastián Francisco
dc.date.accessioned 2022-12-14T13:48:15Z
dc.date.available 2022-12-14T13:48:15Z
dc.date.issued 2022-06-08
dc.identifier.citation Lara-Sanchez, M., Dossi, D.E., Ameriso, S. Reversible cognitive impairment and parkinsonism with leukoencephalopathy due to cranial dural arteriovenous fistula. Journal of Applied Cognitive Neuroscience 2022, 3, e00244459. es_ES
dc.identifier.uri https://revistascientificas.cuc.edu.co/JACN/article/view/4459
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/733
dc.description.abstract Parkinsonism and rapid cognitive impairment may have many causes, but only a few have specific treatment. Cranial dural arteriovenous fistula (DAVF) represents 10-15% of intracranial arteriovenous malformations. Clinical manifestations depend on location and venous drainage. It is common the presence of pulsatile tinnitus, bruits and headache or headache and papilledema. Progressive cognitive decline is an unusual presentation due to bilateral thalamic edema or cortical venous hypertension. Endovascular or surgical treatment can reverse disease symptoms. We present a 74-year old man with rapidly progressive cognitive impairment and parkinsonism and a subsequent diagnosis of dural arteriovenous fistula (DAVF). Brain MRI revealed diffuse leukoencephalopathy probably attributable to elevated venous pressure. He was treated with partial embolization with Onix and left transverse sinus angioplasty. Following the procedure, there was a substantial reduction of venous pressure signs and remarkable clinical and imaging improvement, persisting at two years follow-up. This case represents an unusual presentation of DAVF. It is important to suspect the diagnosis of DAVF in cases with rapidly evolving cognitive impairment, parkinsonism and leukoencephalopathy as it can be reversible with early treatment. es_ES
dc.language.iso eng es_ES
dc.publisher Universidad de la Costa es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Parkinsonian Disorders es_ES
dc.subject Trastornos Parkinsonianos es_ES
dc.subject Leukoencephalopathies es_ES
dc.subject Leucoencefalopatías es_ES
dc.subject Arteriovenous Fistula es_ES
dc.subject Fístula Arteriovenosa es_ES
dc.title Reversible cognitive impairment and parkinsonism with leukoencephalopathy due to cranial dural arteriovenous fistula es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:ar-repo/semantics/artículo es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Lara-Sanchez, Melanie. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Dossi, Daiana Elizabeth. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.description.fil Fil: Ameriso, Sebastián Francisco. Fleni. Departamento de Neurología. Servicio de Neurología Vascular; Argentina.
dc.relation.ispartofVOLUME 3
dc.relation.ispartofNUMBER 1
dc.relation.ispartofPAGINATION e00244459
dc.relation.ispartofCOUNTRY Colombia
dc.relation.ispartofTITLE Journal of Applied Cognitive Neuroscience
dc.relation.ispartofISSN 2745-0031
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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