Lookup NU author(s): Dr Lou Wiblin,
Dr Dipayan Mitra,
Dr Naomi Warren
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© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.A 78-year-old woman presented with features of bilateral, asymmetric Parkinsonism for 1 year, with prominent difficulties with continence, swallowing and apathy. Brain imaging showed evidence of chronic venous sinus thrombosis with dilated serpiginous vessels over the brain surface in keeping with a dural arteriovenous fistula, together with high T2 signal on MRI in the basal ganglia. Having responded only modestly to levodopa, she received 6 months of anticoagulation followed by embolisation of the dural arteriovenous fistula, with good response. Cerebral dural arteriovenous fistula is a rare, structural cause of atypical Parkinsonism.
Author(s): Wiblin L, Mitra D, Warren N
Publication type: Article
Publication status: Published
Journal: Practical Neurology
Print publication date: 15/11/2019
Online publication date: 18/09/2019
Acceptance date: 30/07/2019
ISSN (print): 1474-7758
ISSN (electronic): 1474-7766
Publisher: BMJ Publishing Group
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