• Sanvitti Bengeri, Lauren Safiya Mark, Oluwaseemo Ayomide Osomo, Wilhelm Kuker, and Gabriel Sc Yiin.
• University Hospital Southampton NHS Foundation Trust, Southampton, UK.
• Clin Med (Lond). 2023 Sep 1; 23 (5): 512514512-514.

AbstractA 57-year-old man presented to the emergency department following a road traffic accident, having experienced a sudden ascending 'wave of emotion'. After the event, he developed an intense right-sided temporal headache and was thought to have a complex grief reaction resulting from a recent bereavement. Given persistent symptoms, a computed tomography (CT) scan of head was conducted at an outpatient transient ischaemic attack (TIA) clinic, which showed a possible right occipital infarct. Further magnetic resonance imaging (MRI) scanning revealed instead a segmental area of microbleeds in the posterior right temporal lobe, with occipital extension. Upon discussion at the neuroradiology multidisciplinary team meeting and subsequent digital subtraction angiography (DSA), a cranial dural arteriovenous fistula (DAVF) was confirmed. He underwent a successful embolisation, with his symptoms fully resolving 16 months later.© Royal College of Physicians 2023. All rights reserved.

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