There are few syndromes of parkinsonism with dementia which can be treated. We report two patients with dural arteriovenous fistula (DAVF) who presented with rapidly progressive parkinsonism and cognitive dysfunction. DAVF are rare lesions resulting from abnormal connections between meningeal arteries and dural sinuses. Angiography in both patients revealed DAVF associated with multiple occlusive changes in the dural venous sinus. This report emphasizes the need for a high level of clinical suspicion to diagnose DAVF and consider it as one of the causes of rapidly progressive cognitive dysfunction in patients with parkinsonism. (C) 2010 Elsevier Ltd. All rights reserved.
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, New York, NY 10065 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
Patsalides, Athos
Tzatha, Efstathia
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurol, New York, NY 10065 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
Tzatha, Efstathia
Stuebgen, Joerg-Patrick
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurol, New York, NY 10065 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
Stuebgen, Joerg-Patrick
Shungu, Dikoma C.
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, New York, NY 10065 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
Shungu, Dikoma C.
Stieg, Philip E.
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机构:New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA
Stieg, Philip E.
Gobin, Y. Pierre
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Radiol, New York, NY 10065 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, Div Intervent Neuroradiol, New York, NY 10065 USA