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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 32-37

Cognitive Improvement After Endovascular Treatment in a Case of Intracranial Dural Fistula With Concomitant Dementia


1 National Institute of Neurology and Neurosurgery “Manuel Velasco Suarez”, City, Mexico
2 Department of Neurosurgery, Neurosciences Centre, AIIMS, New Delhi, India
3 John Hopkins Hospital, Baltimore, Maryland, USA
4 Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
5 RED LATINO, Organización Latinoamericana de Trauma y Cuidado Neurointensivo, Bogota, Colombia

Correspondence Address:
Luis R Moscote-Salazar
RED LATINO, Organización, Latinoamericana de Trauma y Cuidado Neurointensivo, Bogota
Colombia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_48_17

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Dural fistulas associated with dementia are rarely reported and, among these, intracranial dural fistulas constitute an infrequent etiology. Moreover, dementia associated with dural fistulas occurs due to venous hypertension leading to ischemic neuronal dysfunction. This case report describes a male patient exhibiting unusual features of dementia with a concomitant dural fistula compromising the superior sagittal sinus. The fistula was completely occluded via endovascular embolization. Two months after the interventional therapy, clinical assessment revealed complete improvement of executive functions. Afterward, the patient returned to his daily activities without impairment.


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