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Unusual cause of treatable Parkinsonism

Lookup NU author(s): Dr Lou Wiblin, Dr Dipayan Mitra, Dr Naomi Warren

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Abstract

© 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.

Publication metadata

Author(s): Wiblin L, Mitra D, Warren N

Publication type: Article

Publication status: Published

Journal: Practical Neurology

Year: 2019

Volume: 19

Issue: 6

Pages: 518-520

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

URL: http://dx.doi.org/10.1136/practneurol-2019-002225

DOI: 10.1136/practneurol-2019-002225

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