Evidence map›Paper›PMID 40115131›Full record

ArticleBJR case reports2025

Unexpected vasogenic oedema and alexia as complications after dural arteriovenous fistula embolization.

Yun-Hsien Ho, Hsin-Fan Chiang, Cheng-Chih Hsieh, Shih-Yang Wei, Chun-Chao Huang

Abstract readCase Reports
In one paragraph

Article in BJR case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yun-Hsien HoDepartment of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.
Hsin-Fan ChiangDepartment of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.
Cheng-Chih HsiehDepartment of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.
Shih-Yang WeiDepartment of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.
Chun-Chao HuangDepartment of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.ORCID https://orcid.org/0000-0003-0757-6486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 63-year-old male presented with acute onset of intermittent dizziness, visual disturbances, and left temporal headache. Investigations revealed a dural arteriovenous fistula (dAVF) at the left sigmoid sinus, classified as Cognard type IIb. Successful therapeutic transvenous embolization was performed using coils and Onyx, resulting in complete resolution of the dAVF without immediate complications. However, 3 days post-embolization, the patient developed headache, dizziness, visual discomfort, and alexia. MRI findings suggested vasogenic oedema in the left temporo-occipital area due to venous outflow obstruction. Despite treatment with enoxaparin and dexamethasone, the patient experienced progressive symptoms including difficulty in object naming, memory decline, and nonconvulsive seizures. Follow-up imaging indicated improvement of oedema and stable minimal focal gliosis. This rare case of a patient developing alexia following endovascular embolization of a dural AVF highlights the importance of post-procedural monitoring and suggests potential benefits of prophylactic anticoagulation to reduce the risk of probable complications.

Indexed as

alexiadural arteriovenous fistulaembolizationvenous infarction

Identifiers

PMID40115131
PMCPMC11925498

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