Reversible Freezing of Gait Caused by Dural Arteriovenous Fistula and Congestion of the Globus Pallidus
Identifieur interne : 000F99 ( Main/Exploration ); précédent : 000F98; suivant : 001000Reversible 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 :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Congélation.
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.
Affiliations:
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Le document en format XML
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<front><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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