Transient aphasia and reversible major depression due to a giant sagittal sinus dural AV fistula.
A 61-year-old man presenting with transient global aphasia and chronic major depression was found to have a giant high flow dural arteriovenous fistula of the superior sagittal sinus. EEG and SPECT scan showed left frontoparietal dysfunction. This resolved after fistula embolization, as did the patient's neuropsychiatric complaints.
Katz
Jeffrey M
JM
Department of Neurology and Neuroscience, New York Presbyterian Hospital-Weill Medical Center of Cornell University, New York, NY 10021, USA. drjmk@yahoo.com
Shetty
Teena
T
Gobin
Y Pierre
YP
Segal
Alan Z
AZ
D001037:Aphasia / Q000209:etiology*; D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003392:Cranial Sinuses / Q000000981:diagnostic imaging / Q000473:pathology*; D003865:Major Depressive Disorder / Q000209:etiology*; D004388:Dura Mater / Q000098:blood supply* / Q000000981:diagnostic imaging; D004569:Electroencephalography; D005625:Frontal Lobe / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010296:Parietal Lobe / Q000000981:diagnostic imaging; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed