Skip to main content

Spontaneous regression of an idiopathic arteriovenous fistula of the right vertebral artery

Neuroradiology volume 60, pages 221–223 (2018)Cite this article

Abstract

A previously healthy 53-year-old male presented with a 2-month history of pulsatile tinnitus, worsening headaches, and neck pain. Given the clinical symptoms, a workup was initiated to assess for a vascular etiology such as a dural arteriovenous fistula.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

Fig. 1
Fig. 2

References

  1. Wang Q, Song D, Chen G (2011) Endovascular treatment of high-flow cervical direct vertebro-vertebral arteriovenous fistula with detachable coils and Onyx liquid embolic agent. Acta Neurochir 153(2):347–352. https://doi.org/10.1007/s00701-010-0850-z

    Article  PubMed  Google Scholar 

  2. Vergouwen MD, Majoie CB, van Rooij WJ, Poll-The BT (2006) A vertebro-vertebral fistula as a complication of a jugular line. J Pediatr 149(4):576–576.e2. https://doi.org/10.1016/j.jpeds.2006.06.049

    Article  PubMed  Google Scholar 

  3. Bahar S, Chiras J, Carpena JP, Meder JF, Bories J (1984) Spontaneous vertebro-vertebral arterio-venous fistula associated with fibro-muscular dysplasia. Report of two cases. Neuroradiology 26(1):45–49. https://doi.org/10.1007/BF00328203

    CAS  Article  PubMed  Google Scholar 

  4. Siddhartha W, Chavhan GB, Shrivastava M, Limaye US (2003) Endovascular treatment for bilateral vertebral arteriovenous fistulas in neurofibromatosis 1. Australas Radiol 47(4):457–461. https://doi.org/10.1046/j.1440-1673.2003.01221.x

    CAS  Article  PubMed  Google Scholar 

  5. Le TT, Fischbein NJ, Andre JB, Wijman C, Rosenberg J, Zaharchuk G (2012) Identification of venous signal on arterial spin labeling improves diagnosis of dural arteriovenous fistulas and small arteriovenous malformations. AJNR Am J Neuroradiol 33(1):61–68. https://doi.org/10.3174/ajnr.A2761

    CAS  Article  PubMed  Google Scholar 

  6. Madoz A, Desal H, Auffray-Calvier E, Isnard J, Liberge R, Taverneau C, De Kersaint-Gilly A (2006) Vertebrovertebral arteriovenous fistula diagnosis and treatment: report of 8 cases and review of the literature. J Neuroradiol 33(5):319–327. https://doi.org/10.1016/S0150-9861(06)77289-3

    CAS  Article  PubMed  Google Scholar 

  7. Nakstad PH, Haakonsen M, Magnaes B, Hetland S (1997) Combined endovascular and surgical treatment in vertebral arteriovenous fistula. A case report. Acta Radiol 38(1):25–29

    CAS  PubMed  Google Scholar 

  8. Vinchon M, Laurian C, George B, D'Arrigo G, Reizine D, Aymard A, Riche MC, Merland JJ, Cormier JM (1994) Vertebral arteriovenous fistulas: a study of 49 cases and review of the literature. Cardiovasc Surg 2(3):359–369

    CAS  PubMed  Google Scholar 

  9. Garcia-Cervigon E, Bien S, Laurent A, Weitzner I Jr, Biondi A, Merland JJ (1988) Treatment of a recurrent traumatic carotid-cavernous fistula: vertebro-basilar approach after surgical occlusion of the internal carotid artery. Neuroradiology 30(4):355–357. https://doi.org/10.1007/BF00328189

    CAS  Article  PubMed  Google Scholar 

  10. Higashida RT, Hieshima GB, Halbach VV, Bentson JR, Goto K (1986) Closure of carotid cavernous sinus fistulae by external compression of the carotid artery and jugular vein. Acta Radiol Suppl 369:580–583

    CAS  PubMed  Google Scholar 

Download references

Author information

Affiliations

  1. Department of Neurological Surgery, University of Pennsylvania, 3400 Spruce Street, Silverstein Pavilion 3rd Floor, Philadelphia, PA, 19104, USA

    Omar Choudhri & Nikhil Sharma

  2. Department of Radiology, Division of Neuroradiology, Stanford University Medical Centre, 300 Pasteur Drive, Stanford, CA, 94305, USA

    Mircea C. Dobre & Huy M. Do

  3. Department of Neurosurgery, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, USA

    Abdullah Feroze

Authors
  1. Omar Choudhri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mircea C. Dobre
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abdullah Feroze
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nikhil Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Huy M. Do
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Omar Choudhri.

Ethics declarations

Funding

No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Choudhri, O., Dobre, M.C., Feroze, A. et al. Spontaneous regression of an idiopathic arteriovenous fistula of the right vertebral artery. Neuroradiology 60, 221–223 (2018). https://doi.org/10.1007/s00234-017-1963-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-017-1963-3

Keywords

  • Arteriovenous fistula
  • Endovascular embolization techniques
  • Cerebral angiography
  • Spontaneous regression