Open AccessSpontaneous Occlusion of Several Cerebral Venous Sinuses Mimicking Parkinson Disease
Author(s) -
Amin Jahanbakhshi,
Mehdi Moghaddasi,
Alireza Tabibkhoei,
M. Hassan Najafi
Publication year - 2020
Publication title -
acta medica iranica.
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.218
H-Index - 27
eISSN - 1735-9694
pISSN - 0044-6025
DOI - 10.18502/acta.v57i11.3270
Subject(s) - medicine , occlusion , magnetic resonance imaging , radiology , magnetic resonance angiography , venous thrombosis , intracerebral hemorrhage , cerebral veins , thrombosis , angiography , cerebral angiography , disease , surgery , subarachnoid hemorrhage
Idiopathic occlusion of nearly all cerebral venous sinuses in association with the widespread formation of dural arteriovenous fistulas (AVF) is an extremely rare condition. The cause-and-effect relationship between thrombosis and AVF is not known, but a disturbance in venous flow and distant stagnation has been mentioned as probable pathomechanisms. We introduce a patient that was misdiagnosed as Parkinson's disease and treated accordingly for weeks. Then, rapidly-progressive dementia and shortly after that, an intracerebral hemorrhage occurred, and the diagnosis was established after Magnetic Resonance Imaging and Angiography. There were a whole venous sinus system thrombosis and the formation of numerous dural arteriovenous fistulas. The mechanism and diagnostic nuances are described in this paper, and the treatment options and prognosis are discussed.