Mild trauma causing cervical fracture through transverse foramen leading to a vertebral arteriovenous fistula
| Autor: | Mikkel Schou Andersen, Sune Munthe, Willy Krone |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Vertebral artery Vertebral artery dissection Arteriovenous fistula Case Report Neck Injuries 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine medicine.artery medicine Foramen Humans 030212 general & internal medicine cardiovascular diseases neurosurgery Vertebral Artery neuroimaging Cervical fracture medicine.diagnostic_test Vascular disease business.industry General Medicine Digital subtraction angiography medicine.disease radiology Arteriovenous Fistula Cervical Vertebrae Spinal Fractures Radiology business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep Andersen, M S, Krone, W & Munthe, S 2021, ' Mild trauma causing cervical fracture through transverse foramen leading to a vertebral arteriovenous fistula ', BMJ Case Reports, vol. 14, no. 6, e241735 . https://doi.org/10.1136/bcr-2021-241735 |
| DOI: | 10.1136/bcr-2021-241735 |
| Popis: | Vertebral arteriovenous fistula (vAVF) is an uncommon vascular disease defined as abnormal connections between the vertebral artery or its branches extracranially with nearby venous structures. This case report outlines the case of a man in his late 70s presenting with C1–C3 fractures after a mild trauma falling down a small staircase. CT angiogram (CTA) gave suspicion of vertebral artery dissection and pseudoaneurysm; however, digital subtraction angiography revealed a fracture-induced vAVF successfully treated endovascularly with coils. In conclusion, cervical fractures involving the transverse foramen regardless of trauma mechanism should result in a CTA. Endovascular treatment with ipsilateral vertebral artery closure is preferred due to its feasibility and safety. |
| Databáze: | OpenAIRE |
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