Acute Brainstem Dysfunction Caused by Cavernous Sinus Dural Arteriovenous Fistula
Joint Authors
Matsumoto, Sadayuki
Oka, Yuwa
Komatsu, Kenichi
Abe, Soichiro
Yoshimoto, Naoya
Taki, Junya
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Symptoms of cavernous sinus dural arteriovenous fistula depend on the drainage patterns and are very diverse.
Among these, brainstem dysfunction is a rare but serious complication.
Here, we describe a case with isolated and rapidly progressive brainstem dysfunction due to cavernous sinus dural arteriovenous fistula.
An 80-year-old woman presented with a 2-day history of progressive gait disturbance.
Neurological examination revealed mild confusion, dysarthria, and left hemiparesis.
Magnetic resonance imaging (MRI) revealed pontine swelling without evidence of infarction.
Magnetic resonance angiography suggested a faint abnormality near the cavernous sinus.
Dural arteriovenous fistula was suspected, and digital subtraction angiography was planned for the next day.
Her condition had progressed to coma by the next morning.
Pontine swelling worsened, and hyperintensity appeared on diffusion-weighted imaging.
Digital subtraction angiography revealed a right-sided cavernous sinus dural arteriovenous fistula with venous reflux into the posterior fossa.
Orbital or ocular symptoms had preceded brainstem symptoms in all nine previously reported cases, but brainstem symptoms were the only presentation in our case, making the diagnosis difficult.
Some dural arteriovenous fistulas mimic inflammatory diseases when the clinical course is acute.
Prompt diagnosis using enhanced computed tomography or MRI and emergent treatment are needed to avoid permanent sequelae.
American Psychological Association (APA)
Oka, Yuwa& Komatsu, Kenichi& Abe, Soichiro& Yoshimoto, Naoya& Taki, Junya& Matsumoto, Sadayuki. 2020. Acute Brainstem Dysfunction Caused by Cavernous Sinus Dural Arteriovenous Fistula. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148883
Modern Language Association (MLA)
Oka, Yuwa…[et al.]. Acute Brainstem Dysfunction Caused by Cavernous Sinus Dural Arteriovenous Fistula. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148883
American Medical Association (AMA)
Oka, Yuwa& Komatsu, Kenichi& Abe, Soichiro& Yoshimoto, Naoya& Taki, Junya& Matsumoto, Sadayuki. Acute Brainstem Dysfunction Caused by Cavernous Sinus Dural Arteriovenous Fistula. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148883
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148883