These authors contributed equally to this report.
Article first published online: 18 OCT 2012
Copyright © 2012 Movement Disorder Society
Volume 27, Issue 13, pages 1690–1693, November 2012
How to Cite
Shahar, T., Gadoth, A., Nossek, E., Giladi, N., Ram, Z. and Maimon, S. (2012), Reversible freezing of gait caused by dural arteriovenous fistula and congestion of the globus pallidus. Mov. Disord., 27: 1690–1693. doi: 10.1002/mds.25184
Relevant conflicts of interest/financial disclosures: Nothing to report.
Full financial disclosures and conflicts of interest may be found in the online version of this article.
- Issue published online: 27 NOV 2012
- Article first published online: 18 OCT 2012
- Manuscript Accepted: 8 AUG 2012
- Manuscript Revised: 30 JUL 2012
- Manuscript Received: 28 NOV 2011
- dural arteriovenous fistula;
- freezing of gait;
- globus pallidus
Freezing of gait (FOG) is defined as an episodic inability to generate effective stepping in the absence of any known cause other than parkinsonism or high-level gait disorders.
We present a 59-year-old male with acute, progressive episodes of FOG. Imaging studies revealed a dural arteriovenous fistula (DAVF) associated with edema of the globus pallidus interna (GPi). Cerebral angiography confirmed the diagnosis of DAVF and demonstrated an occluded straight sinus and a retrograde blood flow of deep cerebral veins.
After endovascular closure of the DAVF, a major improvement of FOG was observed concomitant with striking near resolution of GPi congestion.
This reversal of the clinical course, correlated with changes in imaging studies, suggests a major role of the GPi in the pathology of FOG. © 2012 Movement Disorder Society