scholarly journals Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Davide Strambo ◽  
Luca Peruzzotti-Jametti ◽  
Aurora Semerano ◽  
Giovanna Fanelli ◽  
Franco Simionato ◽  
...  
Keyword(s):  
Blood Flow ◽  
Vertebral Artery ◽  
Color Doppler ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Distal Portion ◽  
Embolic Stroke ◽  
Left Vertebral Artery ◽  
Stroke Recurrence ◽  
Extracranial Vertebral Artery

Background. Extracranial vertebral artery aneurysms are a rare cause of embolic stroke; surgical and endovascular therapy options are debated and long-term complication may occur. Case Report. A 53-year-old man affected by neurofibromatosis type 1 (NF1) came to our attention for recurrent vertebrobasilar embolic strokes, caused by a primary giant, partially thrombosed, fusiform aneurysm of the left extracranial vertebral artery. The aneurysm was treated by endovascular approach through deposition of Guglielmi Detachable Coils in the proximal segment of the left vertebral artery. Six years later the patient presented stroke recurrence. Cerebral angiography and Color Doppler Ultrasound well characterized the unique hemodynamic condition developed over the years responsible for the new embolic event: the aneurysm had been revascularized from its distal portion by reverse blood flow coming from the patent vertebrobasilar axis. A biphasic Doppler signal in the left vertebral artery revealed a peculiar behavior of the blood flow, alternately directed to the aneurysm and backwards to the basilar artery. Surgical ligation of the distal left vertebral artery and excision of the aneurysm were thus performed. Conclusion. This is the first described case of NF1-associated extracranial vertebral artery aneurysm presenting with recurrent embolic stroke. Complete exclusion of the aneurysm from the blood circulation is advisable to achieve full resolution of the embolic source.

scholarly journals Ruptured Extracranial Vertebral Artery Aneurysm Associated With Neurofibromatosis Type 1

2012 ◽  
Vol 52 (6) ◽  
pp. 446-449 ◽  
Author(s):  
Hisaya HIRAMATSU ◽  
Shusuke MATSUI ◽  
Shuhei YAMASHITA ◽  
Mika KAMIYA ◽  
Tae YAMASHITA ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Neurofibromatosis Type 1 ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Extracranial Vertebral Artery

Cervical Vertebral Artery Aneurysms and Arteriovenous Fistulae in Neurofibromatosis Type 1: Case Reports

Neurosurgery ◽  
1991 ◽  
Vol 29 (5) ◽  
pp. 760-765 ◽  
Author(s):  
Wouter I. Schievink ◽  
David G. Piepgras
Keyword(s):  
Vertebral Artery ◽  
Neurofibromatosis Type 1 ◽  
Case Reports ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Neck Mass ◽  
Vascular Lesions ◽  
Subclavian Artery Aneurysm ◽  
Extracranial Vertebral Artery

Abstract Neurofibromatosis is of particular interest to neurosurgeons because of the various central and peripheral nervous system tumors and, more rarely, cervicocerebral arterial lesions associated with the disease. In the present paper, we report two patients with neurofibromatosis Type 1 (von Recklinghausen's disease) who had anomalies of the extracranial vertebral arteries. A large extracranial vertebral artery' aneurysm was incidentally discovered in the first patient, a 43-year-old woman, after rupture of a subclavian artery aneurysm. The second patient, a 28-year-old woman, had an enlarging neck mass and was found to have an extensive extracranial vertebral artery arteriovenous fistula. The vascular lesions associated with neurofibromatosis Type 1 in general and those arising from the extracranial vertebral artery in particular are reviewed.

PSEUDOTUMORAL PRESENTATION OF A CERVICAL EXTRACRANIAL VERTEBRAL ARTERY ANEURYSM IN NEUROFIBROMATOSIS TYPE 1

Neurosurgery ◽  
2007 ◽  
Vol 61 (3) ◽  
pp. E658-E658 ◽  
Author(s):  
Matthieu Peyre ◽  
Augustin Ozanne ◽  
Ranjeev Bhangoo ◽  
Vitor Pereira ◽  
Marc Tadié ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Vertebral Artery ◽  
Neurofibromatosis Type 1 ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Vascular Lesions ◽  
Cervical Lesions ◽  
Computed Tomographic ◽  
Extracranial Vertebral Artery

Abstract OBJECTIVE Neurofibromatosis Type 1 (NF1) is known to be associated with vascular lesions. Association with an extracranial vertebral artery aneurysm is very rare. We report the case of such an aneurysm mimicking a cervical neurofibroma in NF1. CLINICAL PRESENTATION An 18-year-old woman with previously diagnosed NF1 presented with a C6 radiculopathy. There were no clinical features suggesting a vascular origin for the lesion. The computed tomographic and standard magnetic resonance imaging scans showed a C5–C6 contrast-enhancing lesion responsible for bony erosion. Subsequent, magnetic resonance angiography and digital subtraction angiography diagnosed the lesion as a C5–C6 vertebral artery aneurysm. INTERVENTION The lesion was treated by endovascular occlusion of both the aneurysm and the parent vertebral artery with an initial immediate disappearance of the pain. CONCLUSION This case serves as a reminder of the importance of ruling out a vertebral artery aneurysm with angiography when managing cervical lesions in patients with NF1.

scholarly journals Extracranial Vertebral Artery Aneurysm Associated with Neurofibromatosis Type 1

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 90-93 ◽  
Author(s):  
H. Hiramatsu ◽  
M. Negoro ◽  
M. Hayakawa ◽  
A. Sadatou ◽  
K. Irie ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Neurofibromatosis Type 1 ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Extracranial Vertebral Artery

Extracranial vertebral artery aneurysm associated with neurofibromatosis (NF1) is very rare. The aneurysm was successfully treated by endovascular trapping of the aneurysm and proximal vertebral artery with coils.

Color Doppler ultrasonography is a reliable diagnostic tool in the diagnosis of extracranial vertebral artery dissections

2018 ◽  
Vol 46 (1) ◽  
pp. 153-158 ◽  
Author(s):  
Cengiz Yılmaz ◽  
Feride Fatma Gorgulu ◽  
Fatma Yasemin Oksuzler ◽  
Muhammet Arslan ◽  
Mahmut Oksuzler ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Diagnostic Tool ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
Extracranial Vertebral Artery

scholarly journals Supraclavicular area swelling in neurofibromatosis patient

2018 ◽  
Vol 25 (5) ◽  
pp. 298-300
Author(s):  
Duk Hee Lee ◽  
Jae Hee Lee ◽  
Keon Kim ◽  
Ji Yeon Lim ◽  
Yoon Hee Choi
Keyword(s):  
Vertebral Artery ◽  
Vascular Complications ◽  
Artery Aneurysm ◽  
Neurofibromatosis 1 ◽  
Vascular Lesions ◽  
Left Vertebral Artery ◽  
Left Shoulder ◽  
Vascular Abnormality ◽  
Threatening Condition ◽  
Life Threatening

Neurofibromatosis 1 is an autosomal dominant disorder characterized by cafe-au-lait spots, cutaneous neurofibroma, and bony deformities. Vascular abnormality such as stenosis, aneurysm, or rupture associated with neurofibromatosis 1 is rare. Rupture of vertebral artery aneurysm into the thoracic cavity is extremely rare. The outcomes of patients with aneurysmal ruptures are very poor when spontaneous hemothorax occur. A 31-year-old woman presented to the emergency department with left shoulder pain and with both lower chest wall pain and left supraclavicular area swelling. The chest computed tomography scan revealed about 4-cm pseudo-aneurysm probable arising from the left vertebral artery with large hematoma at left supraclavicular area. Neurofibromatosis 1 is generally being regarded as a benign disease but has the potential for serious vascular complications. When aneurysms were ruptured, cervical hematoma, hemothorax, or hypotension was developed. It is potentially a life-threatening condition, so it must require emergent management. Emergency physicians must remember the relation of neurofibromatosis 1 and serious vascular complications and ensure rapid access to rule out vascular lesions, so as to prevent the life-threatening condition.

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