دورية أكاديمية
Cerebrospinal Venous Fistula Presenting with Cognitive Decline: Systematic Literature Review and Report of Two Cases.
العنوان: | Cerebrospinal Venous Fistula Presenting with Cognitive Decline: Systematic Literature Review and Report of Two Cases. |
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المؤلفون: | Stuebe C; Texas A&M College of Medicine, Bryan, Texas, USA., Jones BA; Division of Neurosurgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA; Precision Neuro-Therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA., Syal A; New York Medical College, Valhalla, New York, USA., Rahme RJ; Department of Neurosurgery, Global Neuroscience Institute, Philadelphia, Pennsylvania, USA., Turcotte EL; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA; Precision Neuro-Therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA; Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, USA., Toussaint LG 3rd; Texas A&M College of Medicine, Bryan, Texas, USA; Texas Brain and Spine Institute, Bryan, Texas, USA., Ross JS; Department of Radiology, Mayo Clinic, Phoenix, Arizona, USA., Bendok BR; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA; Precision Neuro-Therapeutics Innovation Lab, Mayo Clinic, Phoenix, Arizona, USA; Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, USA; Department of Radiology, Mayo Clinic, Phoenix, Arizona, USA; Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Phoenix, Arizona, USA. Electronic address: Bendok.bernard@mayo.edu. |
المصدر: | World neurosurgery [World Neurosurg] 2023 Aug; Vol. 176, pp. 74-80. Date of Electronic Publication: 2023 Mar 17. |
نوع المنشور: | Systematic Review; Case Reports; Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: New York : Elsevier |
مواضيع طبية MeSH: | Frontotemporal Dementia* , Intracranial Hypotension*/therapy , Cognitive Dysfunction*/etiology , Fistula*, Humans ; Middle Aged ; Cerebrospinal Fluid Leak ; Magnetic Resonance Imaging |
مستخلص: | Objective: A cerebrospinal fluid (CSF) venous fistula (CVF) is an aberrant connection between the subarachnoid space and a vein resulting in CSF loss. The presentation and management of CVF with cognitive decline is incompletely understood. Methods: A systematic review was completed following the PRISMA guidelines. Articles that included at least 1 case of imaging-confirmed CVF with details on patient treatment were included. A separate review of cases of patients with spontaneous intracranial hypotension (SIH) with frontotemporal dementia (FTD) or dementia symptoms was also completed. Results: Ten CVF articles (69 patients; average age, 51.5 years) and 5 SIH with FTD or dementia articles (n = 41; average age, 55.9 years) were identified. Only 1 patients with CVF with cognitive abnormalities was identified. The most common symptom was headache in both reviews. Brain sag was identified in all patients, whereas CSF leak was identified in only 2 patients with SIH with FTD or dementia (4.9%). An epidural blood or fibrin glue patch was used in all patients with CVF and in 33 patients with SIH with FTD or dementia. Fifty-five patients with CVF (79.7%) and 27 patients with SIH with FTD or dementia (65.9%) had surgery. Conclusions: The 2 cases and literature reviews show the difficulty in diagnosis and treatment of CVF with cognitive decline. Novel imaging techniques should be used in patients with cognitive decline in whom a CSF leak is suspected. Transvenous embolization or surgery should be considered before patching for treatment of CVF-induced brain sag and resulting dementia. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
فهرسة مساهمة: | Keywords: CSF venous fistula; CVF; Cerebrospinal fluid venous fistula; SIH; Spontaneous intracranial hypotension |
تواريخ الأحداث: | Date Created: 20230319 Date Completed: 20230809 Latest Revision: 20240613 |
رمز التحديث: | 20240613 |
DOI: | 10.1016/j.wneu.2023.03.056 |
PMID: | 36934870 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1878-8769 |
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DOI: | 10.1016/j.wneu.2023.03.056 |