Unusual cause of treatable Parkinsonism. Issue 6 (18th September 2019)

• Record Type: Journal Article
• Authors: Wiblin, Lou; Mitra, Dipayan; Warren, Naomi
• Is Part Of: Practical neurology. Volume 19:Issue 6(2019)
• Page Start: 518
• Page End: 520
• Publication Date: 2019-09-18
• Subjects: Parkinson's disease -- neuroradiology -- clinical neurology -- anatomy; Neurology -- Periodicals; 616.8005
• DOI: 10.1136/practneurol-2019-002225
• Languages: English
• ISSNs: 1474-7758

Abstract

Abstract : 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.