Vertebrojugular arteriovenous fistula and pseudoaneurysm formation due to penetrating vertebral artery injury: Case report and review of the literature

Yilmaz M. B., DÖNMEZ H., Tonge M., Senol S., Tekiner A.

Turkish Neurosurgery, cilt.25, sa.1, ss.141-145, 2015 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.5137/1019-5149.jtn.8247-13.1
  • Dergi Adı: Turkish Neurosurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.141-145
  • Anahtar Kelimeler: Endovascular treatment, Penetrating injury, Pseudoaneurysm, Vertebral artery, Vertebrojugular arteriovenous fistula
  • İstanbul Medipol Üniversitesi Adresli: Hayır

Özet

Vertebral artery injury including thrombosis, arteriovenous fistula (AVF), pseudo-aneurysm and hemorrhage may be iatrogenic or due to penetrating or blunt trauma. Although mostly asymptomatic, vertebral artery injury may also present with vertebrobasilar insufficiency findings, cephalgia, radicular pain or myelopathy due to blockade of arterial flow, arterial steal phenomenon and venous hypertension. The gold standard for diagnosis is digital subtraction angiography (DSA). Doppler ultrasonography, magnetic resonance-angiography and computerized tomography-angiography are also helpful. Endovascular treatment is now used more commonly. We present a case with sharp bread knife injury of the vertebral artery that was also complicated with a vertebrojugular fistula and pseudo-aneurysm together with the diagnostic and management options and a review of the current literature.