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KMID : 1201420100030010017
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Journal of Neurocritical Care
2010 Volume.3 No. 1 p.17 ~ p.19
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Fluctuating Cognitive Dysfunctions Induced by Possible Intracranial Steal Phenomenon with Pial Arteriovenous Malformation
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Lee Mi-Jeong
Jung San
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Abstract
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Background: Some cases of intracranial arteriovenous malformations (AVMs) show neurologic manifestations associated with hemodynamic change independent of hemorrhage or mass effect.
Case Report: A 62-year- old man presented with right sided hemiparesis. Neurologic examination revealed fluctuation of memory. The score of Korean version of mini- mental state examination varied from 24/30 to 12/30 points. MRI and MRA showed pial AVM of right PICA with multifocal infarctions.
Conclusion: We present a rare case of intracranial steal phenomenon with fluctuation of cognitive function in patient with pial AVM.
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KEYWORD
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Arteriovenous malformation, Steal, Cognition
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