Reversibility of white matter changes and dementia after treatment of dural fistulas.
We describe two patients with dural fistulas who presented with dementia and diffuse white matter signal changes on MR that significantly improved after surgery. One patient had preoperative embolization.
Zeidman
S M
SM
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Md, USA.
Monsein
L H
LH
Arosarena
O
O
Aletich
V
V
Biafore
J A
JA
Dawson
R C
RC
Debrun
G M
GM
Hurko
O
O
D001037:Aphasia / Q000175:diagnosis* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001921:Brain / Q000098:blood supply* / Q000473:pathology; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002533:Cerebral Angiography; D003704:Dementia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004388:Dura Mater / Q000098:blood supply* / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000175:diagnosis; D014690:Venous Pressure / Q000502:physiology