医学
放射科
动静脉瘘
神经组阅片室
磁共振成像
急诊科
动静脉畸形
磁共振血管造影
瘘管
数字减影血管造影
血管造影
神经学
精神科
作者
Sanvitti Bengeri,Leighton P. Mark,Oluwaseemo Ayomide Osomo,Wilhelm Küker,Gabriel Yiin
出处
期刊:Clinical Medicine
[Royal College of Physicians]
日期:2023-09-01
卷期号:23 (5): 512-514
被引量:1
标识
DOI:10.7861/clinmed.2023-0313
摘要
A 57-year-old man presented to the emergency department following a road traffic accident, having experienced a sudden ascending 'wave of emotion'. After the event, he developed an intense right-sided temporal headache and was thought to have a complex grief reaction resulting from a recent bereavement. Given persistent symptoms, a computed tomography (CT) scan of head was conducted at an outpatient transient ischaemic attack (TIA) clinic, which showed a possible right occipital infarct. Further magnetic resonance imaging (MRI) scanning revealed instead a segmental area of microbleeds in the posterior right temporal lobe, with occipital extension. Upon discussion at the neuroradiology multidisciplinary team meeting and subsequent digital subtraction angiography (DSA), a cranial dural arteriovenous fistula (DAVF) was confirmed. He underwent a successful embolisation, with his symptoms fully resolving 16 months later.
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