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Neurology 2003;61:557-558
© 2003 American Academy of Neurology
Brief Communications

Transient aphasia and reversible major depression due to a giant sagittal sinus dural AV fistula

Jeffrey M. Katz, MD, Teena Shetty, MD, Y. Pierre Gobin, MD and Alan Z. Segal, MD

From the Departments of Neurology and Neuroscience (Drs. Katz, Shetty, and Segal) and Radiology (Dr. Gobin), New York Presbyterian Hospital–Weill Medical Center of Cornell University, New York.

Address correspondence and reprint requests to Dr. Jeffrey M. Katz, Department of Neurology and Neuroscience, New York Presbyterian Hospital–Weill Medical Center of Cornell University, 520 East 68th Street, F-610, New York, NY 10021; e-mail: drjmk{at}yahoo.com

A 61-year-old man presenting with transient global aphasia and chronic major depression was found to have a giant high flow dural arteriovenous fistula of the superior sagittal sinus. EEG and SPECT scan showed left frontoparietal dysfunction. This resolved after fistula embolization, as did the patient’s neuropsychiatric complaints.






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