Spontaneous Occlusion of Several Cerebral Venous Sinuses Mimicking Parkinson Disease

  • Amin Jahanbakhshi Skull Base Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Mehdi Moghaddasi Skull Base Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Alireza Tabibkhoei Skull Base Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Masoumeh Najafi Skull Base Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Keywords:
Several venous sinus thromboses, Multiple dural arteriovenous fistulas, Parkinson disease

Abstract

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.

Published
2020-05-13
How to Cite
1.
Jahanbakhshi A, Moghaddasi M, Tabibkhoei A, Najafi M. Spontaneous Occlusion of Several Cerebral Venous Sinuses Mimicking Parkinson Disease. Acta Med Iran. 57(11):682-685.
Section
Case Report(s)