Movement Disorders (revue)

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Reversible Freezing of Gait Caused by Dural Arteriovenous Fistula and Congestion of the Globus Pallidus

Identifieur interne : 000F99 ( Main/Exploration ); précédent : 000F98; suivant : 001000

Reversible Freezing of Gait Caused by Dural Arteriovenous Fistula and Congestion of the Globus Pallidus

Auteurs : Tal Shahar [Israël] ; Avi Gadoth [Israël] ; Erez Nossek [Israël] ; Nir Giladi [Israël] ; Zvi Ram [Israël] ; Shimon Maimon [Israël]

Source :

RBID : Pascal:13-0017969

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English descriptors

Abstract

Background: Freezing of gait (FOG) is defined as an episodic inability to generate effective stepping in the absence of any known cause other than parkinsonism or high-level gait disorders. Methods: We present a 59-year-old male with acute, progressive episodes of FOG. Imaging studies revealed a dural arteriovenous fistula (DAVF) associated with edema of the globus pallidus interna (GPi). Cerebral angiography confirmed the diagnosis of DAVF and demonstrated an occluded straight sinus and a retrograde blood flow of deep cerebral veins. Results: After endovascular closure of the DAVF, a major improvement of FOG was observed concomitant with striking near resolution of GPi congestion. Conclusions: This reversal of the clinical course, correlated with changes in imaging studies, suggests a major role of the GPi in the pathology of FOG.


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<div type="abstract" xml:lang="en">Background: Freezing of gait (FOG) is defined as an episodic inability to generate effective stepping in the absence of any known cause other than parkinsonism or high-level gait disorders. Methods: We present a 59-year-old male with acute, progressive episodes of FOG. Imaging studies revealed a dural arteriovenous fistula (DAVF) associated with edema of the globus pallidus interna (GPi). Cerebral angiography confirmed the diagnosis of DAVF and demonstrated an occluded straight sinus and a retrograde blood flow of deep cerebral veins. Results: After endovascular closure of the DAVF, a major improvement of FOG was observed concomitant with striking near resolution of GPi congestion. Conclusions: This reversal of the clinical course, correlated with changes in imaging studies, suggests a major role of the GPi in the pathology of FOG.</div>
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