Article Text

Download PDFPDF
CASE REPORT
Delayed postoperative dural arteriovenous fistula presenting with progressive dementia
  1. Tetsuhiro Higashida
  1. Department of Neurosurgery, Yokohama City University, School of Medicine, Yokohama, Kanagawa, Japan
  1. Correspondence to Dr Tetsuhiro Higashida, tets018{at}gmail.com

Summary

A 64-year-old woman underwent right suboccipital craniotomy to treat spontaneous cerebrospinal fluid (CSF) otorrhoea. Although the CSF leak was cured, the patient developed pulsatile tinnitus, ambulatory disturbance and progressive dementia. Four years after the surgery, she presented with generalised seizure. Cerebral angiography showed a dural arteriovenous fistula at the right transverse-sigmoid sinus, which was associated with sinus occlusion, retrograde blood flow in the sinus and diffuse intracranial cortical venous reflux. A combination of endovascular transarterial embolisation and transvenous embolisation with direct sinus puncture was performed. After the procedure, the patient's mental status and cognitive function improved significantly.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.