Multiple Dural Arteriovenous Fistulas Causing Rapid Progressive Dementia Successfully Treated by Endovascular Surgery: Case Report
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概要
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A 67-year-old female presented with multiple dural arteriovenous fistulas (AVFs) manifesting as dementia rapidly progressing over 2 months. The initial diagnosis was Creutzfeldt-Jakob disease based on the acute clinical course. However, angiography eventually revealed multiple dural AVFs involving the bilateral convexities to the superior sagittal sinus and the right transverse-sigmoid sinus. Endovascular treatment combining arterial and venous embolization in multiple stages proved to be effective, as the hemodynamic pathology improved, and the patient recovered from dementia. The cause of the dementia was thought to be venous hypertension in the deep white matter induced by the dural AVFs. Dural AVFs should be included in the differential diagnosis of rapidly progressive dementia.
著者
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Abe Kazuhiro
Department Of Anatomy Hokkaido University Graduate School Of Medicine
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Ohishi Hidenori
Department Of Neurosurgery Juntendo University School Of Medicine
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Arai Hajime
Department Of Hematology And Oncology University Of Fukui
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Sonobe Makoto
Department Of Abdominal And General Sugery Tenri Hospital
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SONOBE Makoto
Department of Neurosurgery, Mito Medical Center, National Hospital Organization
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OKUDA Osamu
Department of Neurosurgery, Juntendo Tokyo Koto Geriatric Medical Center
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ABE Kazuhiro
Department of Neurosurgery, Juntendo Tokyo Koto Geriatric Medical Center
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