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Ann Indian Acad Neurol. 2014 Oct;17(4):451-4. doi: 10.4103/0972-2327.144037.

Endovascular treatment of vein of Galen dural arteriovenous fistula presenting as dementia.

Annals of Indian Academy of Neurology

Vikram Huded, Syed Zafer Moeed, Romnesh Desouza, Ravikesh Tripathi, Rithesh Nair

Affiliations

  1. Department of Neurology, Division of Neurointervention and Stroke, Narayana Health Institute of Neurosciences, Bangalore, Karnataka, India.

PMID: 25506172 PMCID: PMC4251024 DOI: 10.4103/0972-2327.144037

Abstract

Dural arteriovenous fistula (DAVF) is an important cause of neurological dysfunction that is often misdiagnosed, especially in elderly population. Galenic DAVFs are a subtype of the rare falcotentorial DAVFs with a high risk of hemorrhage and aggressive clinical course. In most cases, DAVFs present with pulsatile tinnitus, headache, or orbital symptoms such as chemosis and proptosis. We report a patient with DAVF of Vein of Galen presented with progressive dementia, treated by Onyx embolisation and had good clinical outcome.

Keywords: Dementia; endovascular treatment; vein of Galen dural AV fistula

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