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Endovascular treatment resolves non-hemorrhagic brainstem dysfunction due to tentorial dural AV fistula

Panagiotopoulos, V.; Kastrup, O.; Wanke, I.

Journal of clinical neuroscience. VOL 16; NUMBER 2, ; 2009, 317-320 -- Elsevier Science B.V., Amsterdam (pages 317-320) -- 2009

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  • Title:
    Endovascular treatment resolves non-hemorrhagic brainstem dysfunction due to tentorial dural AV fistula
  • Author: Panagiotopoulos, V.;
    Kastrup, O.;
    Wanke, I.
  • Found In: Journal of clinical neuroscience. VOL 16; NUMBER 2, ; 2009, 317-320
  • Journal Title: Journal of clinical neuroscience.
  • Subjects: Medicine; Biotechnology; Pharmaceutical Chemistry; LCC: RC; Dewey: 616.8
  • Publication Details: Elsevier Science B.V., Amsterdam
  • Language: English
  • Abstract: Tentorial dural arteriovenous fistulas (tDAVF) clinically present usually with subarachnoid and/or intraparenchymal hemorrhage. Reported rates range from 58% to 92% and neurological deficits occur in 79% to 92% of patients. This is due to venous congestion resulting from retrograde leptomeningeal venous drainage, which rarely, can be clinically silent. A 69-year-old woman presented with vertigo, double vision and gait instability. Cerebral digital subtraction angiography revealed a tDAVF with retrograde cerebellar venous drainage directed through the vein of Galen into the straight sinus. MRI showed extensive cerebellar edema due to venous congestion. Clinical manifestations of cerebellar and brainstem dysfunction resolved completely after transarterial embolization with N-butylcyanoacrylate.
  • Identifier: Journal ISSN: 0967-5868
  • Publication Date: 2009
  • Physical Description: Electronic
  • Accrual Information: Monthly
  • Shelfmark(s): 4958.585000
  • UIN: ETOCRN243173228

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