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Journal of Neurosurgical Sciences 2002 June;46(2):71-6

language: English

Vertebral arterio-venous fistula presenting with intracranial hemorrhage

Righi C. 1, Tartara F. 2, Prada F. 2, Mandelli C. 1, Versari P. 2

1 Department of Neuroradiology, S. Raffaele Hospital, Milan;
2 Department of Neurosurgery, S. Raffaele Hospital, Milan


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Vertebral arteriovenous fistulas are rare lesions consisting of an abnormal shunt between the extracranial vertebral artery and the neighboring veins. The authors present a case of post-surgical high-flow left vertebral arteriovenous fistula presenting with intracranial hemorrhage. The patient underwent endovascular balloon occlusion of the fistula: after endovascular treatment a reduction of the flow was evident but the patient presented neurological deterioration related the occurrence of intraventricular-subarachnoid hemorrhage. Intracranial hemorrhage is a potential manifestation of high-flow vertebral AVF and a possible complication of endovascular fistula balloon occlusion. Direct endovascular occlusion of the vertebral artery may be primarily considered in selected cases.

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