Angiographic evidence of spontaneous closure of nontraumatic arteriovenous fistula of the vertebral artery

1973 ◽  
Vol 38 (5) ◽  
pp. 658-661 ◽  
Author(s):  
Young H. Kim ◽  
Philip L. Gildenberg ◽  
Paul M. Duchesneau
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Spontaneous Closure ◽  
Left Vertebral Artery ◽  
Content Type ◽  
Congenital Arteriovenous Fistula ◽  
Angiographic Evidence ◽  
Fine Print

✓ A case is reported in which a congenital arteriovenous fistula of the left vertebral artery closed spontaneously 4 years after becoming symptomatic. The course was followed and confirmed by retrograde left brachial angiography.

Traumatic arteriovenous fistula of the vertebral artery with spinal cord symptoms

1977 ◽  
Vol 46 (5) ◽  
pp. 681-687 ◽  
Author(s):  
Chikao Nagashima ◽  
Takashi Iwasaki ◽  
Seiichi Kawanuma ◽  
Arata Sakaguchi ◽  
Akira Kamisasa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Rapid Improvement ◽  
Direct Closure ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Fine Print

✓ The authors report a case of a traumatic vertebral arteriovenous fistula with spinal cord symptoms. Direct closure of the fistula was followed by rapid improvement.

Excision of a congenital suboccipital vertebral arteriovenous fistula

1972 ◽  
Vol 37 (4) ◽  
pp. 452-456 ◽  
Author(s):  
Albert D. Bartal ◽  
Morris J. Levy
Keyword(s):  
Arteriovenous Malformation ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Surgical Approach ◽  
Left Ventricular ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Cardiac Enlargement ◽  
Major Consideration ◽  
Fine Print

✓ This report describes the successful excision of a congenital vertebral arteriovenous malformation in an 8-year-old child. There was mild effort dyspnea and left ventricular cardiac enlargement; a left-to-right vertebral artery steal across the basilar trifurcation was a major consideration in planning the surgical approach.

Hemodynamic analysis of associated extracranial atraumatic vertebral artery aneurysm and arteriovenous fistula

1987 ◽  
Vol 67 (6) ◽  
pp. 940-943 ◽  
Author(s):  
Bruce Rosenblum ◽  
Stephanie Rifkinson-Mann ◽  
Michael Sacher ◽  
Rosemaria Gennuso ◽  
Allen Rothman
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Artery Aneurysm ◽  
Content Type ◽  
Av Fistula ◽  
Extracranial Vertebral Artery ◽  
Fine Print

✓ A case of atraumatic arteriovenous (AV) fistula of the extracranial vertebral artery associated with an atraumatic aneurysm of the contralateral extracranial vertebral artery is reported. The fistulous lesion was excised after distal and proximal ligation of the vessel. Subsequently, the contralateral aneurysm underwent spontaneous dissolution. Seven cases of extracranial vertebral AV fistulae associated with ipsilateral vertebral artery aneurysms (four traumatic and three as part of vascular dysplastic syndromes) have been reported previously.

Arteriovenous fistula with associated aneurysms coexisting with dural arteriovenous malformation of the anterior inferior falx

1999 ◽  
Vol 91 (2) ◽  
pp. 303-307 ◽  
Author(s):  
John Ratliff ◽  
Rand M. Voorhies
Keyword(s):  
Arteriovenous Malformation ◽  
Arteriovenous Fistula ◽  
Left Vertebral Artery ◽  
External Carotid ◽  
Vein Of Galen ◽  
Dural Arteriovenous Malformation ◽  
Content Type ◽  
Sagittal Sinus ◽  
Dural Avm ◽  
Fine Print

✓ This 24-year-old man presented with an unusual case of a high-flow arteriovenous fistula (AVF). This lesion was similar to giant AVFs in children that have been previously described in the literature. In patients in whom abnormalities of the vein of Galen have been excluded and in whom presentation occurs after 20 years of age, a diagnosis of congenital AVF is quite unusual.The fistula in this case originated in an enlarged callosomarginal artery and drained into the superior sagittal sinus via a saccular vascular abnormality. Two giant aneurysmal dilations of the fistula were present. In an associated finding, a small falcine dural arteriovenous malformation (AVM) was also present. Arterial supply to the AVM arose from both external carotid arteries and the left vertebral artery, with drainage through an aberrant vein in the region of the inferior sagittal sinus into the vein of Galen.Craniotomy with exposure and trapping of the AVF was performed, with subsequent radiosurgical (linear accelerator) treatment of the dural AVM. Through this combination of microsurgical trapping of the AVF and radiotherapy of the dural AVM, an excellent clinical outcome was achieved.

Microvascular anatomy of foramen caecum medullae oblongatae

1991 ◽  
Vol 75 (2) ◽  
pp. 299-304 ◽  
Author(s):  
Asim Mahmood ◽  
Manuel Dujovny ◽  
Maximo Torche ◽  
Ljubisa Dragovic ◽  
James I. Ausman
Keyword(s):  
Vertebral Artery ◽  
Basilar Artery ◽  
Foramen Magnum ◽  
Left Vertebral Artery ◽  
Anterior Inferior Cerebellar Artery ◽  
Outer Diameter ◽  
Vertebrobasilar Insufficiency ◽  
High Concentration ◽  
Content Type ◽  
Fine Print

✓ The foramen caecum (FC) is a triangular-shaped fossa situated in the midline on the base of the brain stem, at the pontomedullary junction. Although this area is known to have a very high concentration of brainstem perforating vessels, its microvascular anatomy has not been studied in detail. The purpose of this study was to detail the microvasculature of this territory. Twenty unfixed brains were injected with silicone rubber solution and dissected under a microscope equipped with a camera. The origin, course, outer diameter, and branching pattern of the perforators were examined. The total number of perforators found in the 20 brains was 287, with an average (± standard deviation) of 14.35 ± 1.24 perforators per brain (range seven to 28). Their origin was as follows: right vertebral artery in 52 perforators (18.11%); left vertebral artery in 35 (12.19%); basilar artery below the anterior inferior cerebellar artery (AICA) in 139 (48.43%); basilar artery above the AICA in 46 (16.02%); AICA in 10 (3.48%); and anterior spinal artery in five (1.74%). Most of the perforators arose as sub-branches of larger trunks; their average outer diameter was 0.16 ± 0.006 mm while that of trunks was 0.35 ± 0.02 mm. These anatomical data are important for those wishing 1) to study the pathophysiology of vascular insults to this area caused by atheromas, thrombi, and emboli; 2) to plan vertebrobasilar aneurysm surgery; 3) to plan surgery for vertebrobasilar insufficiency; and 4) to study foramen magnum neoplasms.

Intracranial vertebral arteriovenous fistula

1993 ◽  
Vol 79 (4) ◽  
pp. 589-591 ◽  
Author(s):  
Andrea L. Halliday ◽  
Christopher S. Ogilvy ◽  
Robert M. Crowell
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Surgical Management ◽  
Surgical Approach ◽  
Venous System ◽  
Content Type ◽  
Arteriovenous Fistulas ◽  
Open Surgical Approach ◽  
Fine Print

✓ True intracranial arteriovenous fistulas are rare. The authors report a case of a direct fistula between the intracranial portion of the vertebral artery and the lateral medullary venous system. The patient initially presented with a subarachnoid hemorrhage. An open surgical approach with clip obliteration of the lesion was used. The anatomy of this lesion and its surgical management are described.

Vertebral artery rupture associated with closed head injury

1985 ◽  
Vol 62 (1) ◽  
pp. 135-138 ◽  
Author(s):  
John M. McLean ◽  
Robert M. Wright ◽  
John P. Henderson ◽  
J. Richard Lister
Keyword(s):  
Head Injury ◽  
Vertebral Artery ◽  
Closed Head Injury ◽  
Mechanism Of Injury ◽  
Content Type ◽  
The Third ◽  
Closed Head ◽  
Angiographic Evidence ◽  
Head And Neck Injury ◽  
Fine Print

✓ The authors report two patients with closed head injury who suffered laceration with rupture of the third portion of the vertebral artery. One patient died suddenly, with angiographic evidence of bilateral vertebral artery rupture. The mechanism of injury to the C1–2 segment of the vertebral artery relating to head and neck injury is discussed.

Combined endovascular and surgical treatment in vertebral arteriovenous fistula

1997 ◽  
Vol 38 (1) ◽  
pp. 25-29 ◽  
Author(s):  
P. H. Nakstad ◽  
M. Haakonsen ◽  
B. Magnæs ◽  
S. Hetland
Keyword(s):  
Blood Pressure ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Left Vertebral Artery ◽  
Feeding Artery ◽  
Congenital Arteriovenous Fistula ◽  
Heart Size ◽  
Intracranial Arteries ◽  
The Right ◽  
Surgical Extirpation

A 7-year-old girl with a right-sided congenital arteriovenous fistula in the neck was admitted with signs of cardial incompensation. Her fistula was fed from the right vertebral artery in antegrade as well as retrograde directions. A steal from the intracranial arteries was established. In addition, smaller feeding arteries from the neck were found. She was operated on with ligation of the right vertebral artery proximal to the fistula but the attempted ligation of the artery cranially to the fistula was unsuccessful. She was therefore embolized by the formation of a plug of platinum fiber coils in the upper right vertebral artery. Catheterization was performed from the left vertebral artery via the basilar artery. Persisting minor feeders to the fistula from cervical arteries were embolized in a second session. Finally, surgical extirpation of the fistula was performed together with the operative ligation of a crossover feeding artery from the left vertebral artery. Her heart size, heart rate and blood pressure were successively normalized.

Hemiparesis caused by vertebral artery compression of the medulla oblongata

1985 ◽  
Vol 62 (3) ◽  
pp. 425-429 ◽  
Author(s):  
Phyo Kim ◽  
Buichi Ishijima ◽  
Hiroshi Takahashi ◽  
Hiroyuki Shimizu ◽  
Masayuki Yokochi
Keyword(s):  
Vertebral Artery ◽  
Medulla Oblongata ◽  
Corticospinal Tract ◽  
Left Vertebral Artery ◽  
Vascular Compression ◽  
Left Hemiparesis ◽  
Content Type ◽  
Topographical Anatomy ◽  
Vertebral Artery Compression ◽  
Fine Print

✓ The case is reported of a patient with progressive left hemiparesis due to vascular compression of the medulla oblongata. Metrizamide computerized tomography cisternography revealed that the left vertebral artery was compressing and distorting the left lateral surface of the medulla. Compression was surgically relieved and symptoms improved postoperatively. Neurological and symptomatic considerations are discussed in relation to the topographical anatomy of the lateral corticospinal tract.

Occipital artery to extradural vertebral artery bypass procedure

1985 ◽  
Vol 63 (4) ◽  
pp. 622-625 ◽  
Author(s):  
Mark N. Hadley ◽  
Robert F. Spetzler ◽  
Roberto Masferrer ◽  
Neil A. Martin ◽  
L. Philip Carter
Keyword(s):  
Vertebral Artery ◽  
Artery Bypass ◽  
Left Vertebral Artery ◽  
Occipital Artery ◽  
Transient Ischemic Attacks ◽  
Content Type ◽  
Bypass Procedure ◽  
Midline Approach ◽  
Fine Print ◽  
Posterior Midline

✓ A 17-year-old boy suffered blunt trauma to the posterior cervical spine and later developed vertebrobasilar transient ischemic attacks refractory to medical management. At angiography, a pseudoaneurysm of the distal left vertebral artery was found. By means of a posterior midline approach, an extradural occipital artery to vertebral artery anastomosis was performed and the affected vertebral artery was clipped distal to the pseudoaneurysm. The indications for this procedure, the operative approach, and the clinical outcome are described.

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