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Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review
Dural arteriovenous fistulas (DAVFs) represent 10–15% of intracranial arteriovenous malformations. Of these, only 12–29% cause intracranial hemorrhage. The presentation of DAVF as a subdural hematoma (SDH) and intraparenchymal hemorrhage (IPH) is infrequent; additionally, behavioral changes are not...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616428/ https://www.ncbi.nlm.nih.gov/pubmed/31208005 http://dx.doi.org/10.3390/bs9060063 |
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author | Hernández-Díaz, Zenaida Milagros Llíbre-Guerra, Juan Carlos Arteche-Prior, Marianela de la Paz-Bermúdez, Tania Águila-Ruiz, Angel Francisco Figueroa-García, Luisa María Robinson-Agramonte, María de los Ángeles |
author_facet | Hernández-Díaz, Zenaida Milagros Llíbre-Guerra, Juan Carlos Arteche-Prior, Marianela de la Paz-Bermúdez, Tania Águila-Ruiz, Angel Francisco Figueroa-García, Luisa María Robinson-Agramonte, María de los Ángeles |
author_sort | Hernández-Díaz, Zenaida Milagros |
collection | PubMed |
description | Dural arteriovenous fistulas (DAVFs) represent 10–15% of intracranial arteriovenous malformations. Of these, only 12–29% cause intracranial hemorrhage. The presentation of DAVF as a subdural hematoma (SDH) and intraparenchymal hemorrhage (IPH) is infrequent; additionally, behavioral changes are not common among these patients. We report, for the first time in our country, the case of a 23-year-old man with no history of head injury, in which a brain computed tomography (CT) scan revealed SDH and IPH with behavioral disturbances. The angiotomography showed ecstatic venous vessels, indicating the presence of a DAVF, which was later confirmed by cerebral angiography. Endovascular therapy, which followed the clinical diagnosis, resulted in satisfactory evolution two years after treatment. A review of the literature concerning cases with DAVF and behavioral disturbances is presented. DAVF may lead to cognitive impairment, behavioral changes, and dementia as a result of diffuse white matter and thalamus modifications related to venous ischemia, and it should be considered as a reversible cause of vascular dementia. |
format | Online Article Text |
id | pubmed-6616428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-66164282019-07-18 Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review Hernández-Díaz, Zenaida Milagros Llíbre-Guerra, Juan Carlos Arteche-Prior, Marianela de la Paz-Bermúdez, Tania Águila-Ruiz, Angel Francisco Figueroa-García, Luisa María Robinson-Agramonte, María de los Ángeles Behav Sci (Basel) Case Report Dural arteriovenous fistulas (DAVFs) represent 10–15% of intracranial arteriovenous malformations. Of these, only 12–29% cause intracranial hemorrhage. The presentation of DAVF as a subdural hematoma (SDH) and intraparenchymal hemorrhage (IPH) is infrequent; additionally, behavioral changes are not common among these patients. We report, for the first time in our country, the case of a 23-year-old man with no history of head injury, in which a brain computed tomography (CT) scan revealed SDH and IPH with behavioral disturbances. The angiotomography showed ecstatic venous vessels, indicating the presence of a DAVF, which was later confirmed by cerebral angiography. Endovascular therapy, which followed the clinical diagnosis, resulted in satisfactory evolution two years after treatment. A review of the literature concerning cases with DAVF and behavioral disturbances is presented. DAVF may lead to cognitive impairment, behavioral changes, and dementia as a result of diffuse white matter and thalamus modifications related to venous ischemia, and it should be considered as a reversible cause of vascular dementia. MDPI 2019-06-14 /pmc/articles/PMC6616428/ /pubmed/31208005 http://dx.doi.org/10.3390/bs9060063 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Hernández-Díaz, Zenaida Milagros Llíbre-Guerra, Juan Carlos Arteche-Prior, Marianela de la Paz-Bermúdez, Tania Águila-Ruiz, Angel Francisco Figueroa-García, Luisa María Robinson-Agramonte, María de los Ángeles Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title | Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title_full | Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title_fullStr | Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title_full_unstemmed | Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title_short | Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review |
title_sort | spontaneous subdural hematoma and behavioral changes due to a dural arteriovenous fistula. a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616428/ https://www.ncbi.nlm.nih.gov/pubmed/31208005 http://dx.doi.org/10.3390/bs9060063 |
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