Surgical Treatment of Cervical Arteriovenous Fistula in a Patient with Neurofibromatosis Type 1

2007 ◽  
Vol 20 (5) ◽  
pp. 566-569 ◽  
Author(s):  
A. Guzel ◽  
M. Tatli ◽  
U. Er ◽  
A. Kazanci ◽  
H.M. Ozturk ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Treatment Option ◽  
Neurofibromatosis Type 1 ◽  
Surgical Excision ◽  
Neurofibromatosis Type ◽  
First Line ◽  
Endovascular Occlusion ◽  
First Line Treatment ◽  
Selection Of

Vasculopathies are frequently associated with neurofibromatosis type-1, and they are generally occlusive or stenotic type lesions. Vertebral arteriovenous fistula (AVF) is quite rare in neurofibromatosis type 1 patients. They can be treated with surgical excision or endovascular occlusion. We describe a surgically treated cervical AVF in a neurofibromatosis type 1 (NF-1) patient and discuss the selection of the patient for the surgery. Although endovascular occlusion is the first line treatment option for cervical AVFs, some selected cases can be successfully treated by surgery. Surgery should be considered as a treatment option in spite of its risks, especially for cervical AVF which is associated with fibromuscular system diseases like NF-1.

Management of a Large Arteriovenous Fistula in the Face: A Case of Neurofibromatosis Type 1

1997 ◽  
Vol 39 (3) ◽  
pp. 308-313 ◽  
Author(s):  
Mustafa Yilmaz ◽  
Emel Ada ◽  
Haluk Vayvada ◽  
Ali Barutçu
Keyword(s):  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Neurofibromatosis Type ◽  
The Face

Neurofibromatosis type 1 with subarachnoid haemorrhage from the left vertebral arteriovenous fistula: case presentation and literature review

2021 ◽  
Vol 14 (2) ◽  
pp. e239880
Author(s):  
Toshinori Nishizawa ◽  
Takahiro Tsuchiya ◽  
Yoshihiro Terasawa ◽  
Yasuhiro Osugi
Keyword(s):  
Neck Pain ◽  
Subarachnoid Haemorrhage ◽  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Epidural Haematoma ◽  
Neurofibromatosis Type ◽  
Sudden Onset ◽  
Vertebral Arteriovenous Fistula ◽  
First Case

We present the case of a 47-year-old woman with neurofibromatosis type 1 (NF1) with subarachnoid haemorrhage (SAH) from the left vertebral arteriovenous fistula, along with a review of previous cases. Our patient had a family history of NF1 and presented to the emergency department with a sudden-onset severe headache and neck pain. CT scan showed SAH. CT angiography revealed a left vertebral arteriovenous fistula and an epidural haematoma. She underwent direct surgery and was discharged without neurologic deficits. To our knowledge, this is the first case of SAH caused by perimedullary drainage of a vertebral arteriovenous fistula associated with NF1. In a literature search, we identified 40 cases of vertebral arteriovenous fistula associated with NF1. The majority of vertebral arteriovenous fistulas occurred on the left side and in women. Patients with vertebral arteriovenous fistula typically experience neck pain, radiculopathy, radiculomyelopathy and bruits.

scholarly journals Rare giant traumatic cervical arteriovenous fistula in neurofibromatosis type 1 patient

2012 ◽  
Vol 2012 (jun28 1) ◽  
pp. bcr1220115354-bcr1220115354 ◽  
Author(s):  
D. G. Hughes ◽  
C. H. Alleyne
Keyword(s):  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Neurofibromatosis Type

scholarly journals Galenic dural arteriovenous fistula in neurofibromatosis type 1 treated with Onyx

2019 ◽  
Vol 25 (6) ◽  
pp. 692-696 ◽  
Author(s):  
Zongli Han ◽  
Yanli Du ◽  
Hui Qi
Keyword(s):  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Dural Arteriovenous Fistula ◽  
Venous Drainage ◽  
Neurofibromatosis Type ◽  
Haemorrhagic Stroke ◽  
Treatment Session ◽  
Ethylene Vinyl Alcohol ◽  
Arterial Embolisation

Galenic dural arteriovenous fistula (GDAVF) represents a unique, hard-to-treat subgroup of tentorial dural arteriovenous fistulae. Neurofibromatosis type 1 (NF1) has been infrequently associated with different cerebrovascular conditions that may lead to either ischemic or haemorrhagic stroke. Intracranial GDAVF has not been described in NF1 patients. We present an unusual case of GDAVF in a 37-year-old man with NF1. The fistula drained directly to the vein of Galen through multiple feeders. Complete occlusion of the fistula was achieved through trans-arterial embolisation with Onyx (ethylene vinyl alcohol copolymer) in a single treatment session. Deep venous drainage remained intact, and the patient recovered well. To our knowledge, this is the first report on complete closure of GDAVF with NF1 using trans-arterial embolisation. The preservation of functioning of the straight sinus may have contributed to the success of treatment.

A case of intracranial arteriovenous fistula in an infant with neurofibromatosis type 1

2002 ◽  
Vol 18 (3-4) ◽  
pp. 166-170 ◽  
Author(s):  
Takamichi Kubota ◽  
Hirofumi Nakai ◽  
Tatsuya Tanaka ◽  
Takahiro Maeda ◽  
Katsunobu Takano ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Neurofibromatosis Type

scholarly journals Case Report: Multi-Orifices Vertebral Arteriovenous Fistula With Severe Scoliosis in Neurofibromatosis Type 1: Might Be a Congenital Disease With Mesodermal Dysplasia

2021 ◽  
Vol 12 ◽  
Author(s):  
Yingjin Wang ◽  
Changwei Yuan ◽  
Shengli Shen ◽  
Yang Zhang ◽  
Jiayong Zhang ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Neurofibromatosis Type 1 ◽  
Rare Condition ◽  
Neurofibromatosis Type ◽  
Congenital Disease ◽  
Severe Scoliosis ◽  
Vertebral Arteriovenous Fistula ◽  
Preoperative Ct

Background: Vertebral arteriovenous fistula (AVF) associated with neurofibromatosis type 1 (NF-1) is a rare condition in the previous reports. However, whether vertebral AVF in NF-1 is congenital or NF-1 disease progression hasn't been clarified.Case Description: We reported a 48-year-old male case of vertebral AVF simultaneously combined with thoracic scoliosis and NF-1. Preoperative CT angiography showed the AVF with multiple orifices located on the vessel wall of the vertebral artery, which was proved during the procedure of endovascular treatment. By occluding the parent vertebral artery, the AVF was finally cured. Further whole-exome sequencing identified a novel germline heterozygous point nonsense mutation, c.G397T(p.E133X), in the NF1(NM_000267) gene exon4.Conclusions: From this patient, we speculate that vertebral AVF associated with NF-1 might be a congenital disease as a manifestation of mesodermal dysplasia.

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