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. 2023 May 31;63(3):451–455. doi: 10.2169/internalmedicine.1819-23

Table.

Cases of DAVF That Were Confused with Encephalitis.

Reference Age/
sex
From onset to hospitalization Fever Neurological symptoms FLAIR high signal Initial therapy Final diagnosis Treatment Outcome
(9) 51/M 5 weeks (acute exacerbation 2 days) Normal Somnolence, memory impairment, and gait instability Bilateral thalamus No mention Tentorial dAVF TAE Improvement
(7) 25/F 1 month No mention Limb weakness, dysphagia, and dyspnea Pontomedullary junction Various immunomodulating therapies Tentorial dAVF TAE Mild improvements
(8) 46/M 2 days Afebrile Spatial disorientation and apathy Bilateral thalamus Acyclovir,steroid pulse, IVIg Tentorial dAVF No mention Improvement
(6) 80/F 2 days No mention Mild confusion, dysarthria, and left hemiparesis Pons High dose steroid Cavernous sinus dAVF Attempted TAE/TVE but failed Severe left paralysis remains
(10) 68/M 0 day 37.0°C Status epilepticus Left medial temporal lobe Steroid Anterior cranial fossa dAVF Craniotomy Improvement
Our case 84/F 2 days 38.5°C Freezing, and immobility, and aphasia Left temporal to parietal lobes Acyclovir Transverse-sigmoid sinus dAVF TAE Improvement

dAVF: dural arteriovenous fistula, FLAIR: fluid-attenuated inversion recovery, IVIg: intravenous immunoglobulin, TAE: transarterial embolization, TVE: transvenous embolization