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일과성 완전기억상실로 발현된 경막동정맥루

Dural Arteriovenous Fistula Manifested as Transient Global Amnesia

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초록

Unruptured dural arteriovenous fistula (dAVF) manifests various symptoms including exophthalmos, headache, tinnitus, and retro-orbital pain. Transient global amnesia (TGA) is a clinical syndrome of reversible anterograde amnesia. Here, we report a 62-year-old woman with dAVF, manifested as TGA. This case emphasized that the clinicians should stay vigilance to the organic cause of TGA, especially in those complaining other symptoms besides amnesia such as pulsatile tinnitus and headache. Furthermore, our case supports a hypothetical patho-mechanism of venous congestion for TGA.

Abstract

Unruptured dural arteriovenous fistula (dAVF) manifests various symptoms including exophthalmos, headache, tinnitus, and retro-orbital pain. Transient global amnesia (TGA) is a clinical syndrome of reversible anterograde amnesia. Here, we report a 62-year-old woman with dAVF, manifested as TGA. This case emphasized that the clinicians should stay vigilance to the organic cause of TGA, especially in those complaining other symptoms besides amnesia such as pulsatile tinnitus and headache. Furthermore, our case supports a hypothetical patho-mechanism of venous congestion for TGA.

참고문헌 (10)

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  3. Kim MS, "Clinical characteristics of dural arteriovenous fistula", J Clin Neurosci, 9, pp.147~155 (2002)
  4. Takahashi Y, "Transient global amnesia and dural arteriovenous fistula of the anterior cranial fossa", Kurume Med J, 43, pp.223~229 (1996)
  5. Yang Y, "Ischemic evidence of transient global amnesia : location of the lesion in the hippocampus", J Clin Neurol, 4, pp.59~66 (2008)
  6. Makkat S, "Pathogenesis of venous stroke : evaluation with diffusion-and perfusion-weighted MRI", J stroke Cerebrovasc Dis, 12, pp.132~136 (2003)
  7. Tong X, "Seizure outcome in patients with seizure-associated dural arteriovenous fistulas", World Neurosurg, 155, pp.e738~e747 (2021)
  8. Bartsch T, "Transient amnesic syndromes", Nat Rev Neurol, 9, pp.86~97 (2013)
  9. Johnson P, "Dural arteriovenous fistula causing recurrent transient global amnesia", Neurohospitalist, 8, pp.200~ (2018)
  10. Sander D, "Guideline"transient global amnesia(TGA)"of the German Society of Neurology(Deutsche Gesellschaft für Neurologie) : S1-guideline", Neurol Res Pract, 5, pp.15~ (2023)

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