Evidence map›Paper›PMID 40821139›Full record

ArticleCureus2025

Cognitive Impairment Without Dementia: A Treatable Case of Dural Arteriovenous Fistula.

Kamand Khalaj, Rima El Atrache, Anit K Behera, Irma Duncan, Thien Thanh Nguyen, Kasra Rahbar

Abstract readCase Reports
In one paragraph

Article in Cureus, 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
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Corrections and comments

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

6 authors.

Kamand KhalajRadiology, University of Texas Health Science Center at Houston, Houston, USA.
Rima El AtracheNeurology, Baylor College of Medicine, Houston, USA.
Anit K BeheraVascular Neurology, Advocate Lutheran General Hospital, Park Ridge, USA.
Irma DuncanNeurology, Baylor College of Medicine, Houston, USA.
Thien Thanh NguyenNeurology, Baylor College of Medicine, Houston, USA.
Kasra RahbarInterventional Radiology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dural arteriovenous fistula (DAVF) can present with a wide range of symptoms depending on its location and the degree of arteriovenous shunting. Rarely, they may manifest as cognitive impairment due to chronic venous dysfunction. This is the case of an elderly man evaluated for subacute onset of memory loss without dementia. Magnetic resonance imaging (MRI) of the brain revealed a subtle subarachnoid vascularity in the right occipital lobe, without cerebral edema or parenchymal abnormality. Digital subtraction angiography (DSA) confirmed a low-flow Borden type III DAVF, draining via an occipital cortical vein into the basal vein of Rosenthal and the vein of Galen. Subjective cognitive symptoms resolved following successful treatment with transarterial Onyx embolization. The role of DAVFs in mild cognitive impairment without dementia is likely underrecognized due to their rarity and inherent difficulties in diagnosis. This suggests a potential role for detailed cognitive evaluation in guiding the management of DAVFs.

Indexed as

cognitive declinedementiadural arteriovenous fistulaembolizationmild cognitive impairmentonyx

Identifiers

PMID40821139
PMCPMC12351508

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.