A cerebrovascular accident with unusual features.
A 64 y/o man experienced during 2 weeks TIA's or TIA's like episodes, once or twice a day, with or without contralateral pain in the head. CT Scans showed peculiar enhanced areas appended to the superior sagittal sinus. Angiography was refused. Twenty-seven months later during mild exertion a left frontal hematoma developed. Among frontal symptoms and signs laconism, abulia and a striking whispering were prominent. Angiography showed a dural arteriovenous fistula draining into cortical veins on the inner aspect of the left hemisphere. The fistula was successfully operated.
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging; D003392:Cranial Sinuses / Q000000981:diagnostic imaging*; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging; D006801:Humans; D002546:Ischemic Attack, Transient / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed