Rapidly progressive cognitive impairment in a patient with high flow dural arteriovenous fistulas, cerebral sinus thrombosis and protein S deficiency

J Clin Neurosci. 2014 Sep;21(9):1654-6. doi: 10.1016/j.jocn.2013.12.025. Epub 2014 Apr 13.

Abstract

Dural arteriovenous fistula (DAVF) may present with a variety of neurological symptoms, ranging from tinnitus to fatal hemorrhage. We report a case of rapidly progressive cognitive impairment due to cerebral venous engorgement that reversed after endovascular treatment in a patient with DAVF, cerebral sinus thrombosis and protein S deficiency. DAVF may be a cause of vascular cognitive impairment and should be considered particularly in cases with a rapidly progressive course because they are potentially treatable.

Keywords: Angiographic procedure; Cognitive impairment; Dural arteriovenous fistula; Neuropsychological evaluation; Vascular dementia.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography, Digital Subtraction
  • Brain / pathology
  • Central Nervous System Vascular Malformations / pathology
  • Central Nervous System Vascular Malformations / physiopathology*
  • Central Nervous System Vascular Malformations / therapy*
  • Cerebral Angiography
  • Cognition Disorders / diagnosis
  • Cognition Disorders / pathology
  • Cognition Disorders / physiopathology*
  • Cognition Disorders / therapy
  • Disease Progression
  • Embolization, Therapeutic
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neuropsychological Tests
  • Protein S Deficiency / pathology
  • Protein S Deficiency / physiopathology*
  • Sinus Thrombosis, Intracranial / pathology
  • Sinus Thrombosis, Intracranial / physiopathology*