Vertebral-venous fistula: an unusual cause for ocular symptoms mimicking a carotid cavernous fistula.

MedStar author(s):
Citation: Journal of Neurointerventional Surgery. 8(9):e35, 2016 SepPMID: 26156172Institution: MedStar Washington Hospital CenterDepartment: Neurosurgery | Surgery/NeurosurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Arteriovenous Fistula/dg [Diagnostic Imaging] | *Carotid-Cavernous Sinus Fistula/dg [Diagnostic Imaging] | *Vertebral Artery/dg [Diagnostic Imaging] | Arteriovenous Fistula/th [Therapy] | Carotid-Cavernous Sinus Fistula/th [Therapy] | Cavernous Sinus/dg [Diagnostic Imaging] | Cerebral Angiography | Cranial Sinuses/dg [Diagnostic Imaging] | Diagnosis, Differential | Embolization, Therapeutic | Eye/bs [Blood Supply] | Humans | Magnetic Resonance Angiography | Neck Injuries/co [Complications] | Veins/dg [Diagnostic Imaging] | Wounds, Penetrating/co [Complications]Year: 2016Local holdings: Available online through MWHC library: 2009 - presentISSN:
  • 1759-8478
Name of journal: Journal of neurointerventional surgeryAbstract: Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/Vertebral-venous fistulas (VVF), or vertebral-vertebral arteriovenous fistulas, are an uncommon clinical entity. Typically, they present as a result of a direct vascular connection between an extracranial branch of the vertebral artery or its radicular components and the epidural venous plexus. These may manifest with signs and symptoms referable to cervical myelopathy secondary to compression or steal phenomenon. To our knowledge, this is the first case to identify a patient who presented with classic ocular symptoms attributable to a carotid cavernous fistula but secondary to a VVF. We present its treatment and clinical outcome. In addition, we present a brief literature review surrounding this uncommon disease. Fiscal year: FY2017ORCID: Date added to catalog: 2017-04-11
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 26156172 Available 26156172

Available online through MWHC library: 2009 - present

Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Vertebral-venous fistulas (VVF), or vertebral-vertebral arteriovenous fistulas, are an uncommon clinical entity. Typically, they present as a result of a direct vascular connection between an extracranial branch of the vertebral artery or its radicular components and the epidural venous plexus. These may manifest with signs and symptoms referable to cervical myelopathy secondary to compression or steal phenomenon. To our knowledge, this is the first case to identify a patient who presented with classic ocular symptoms attributable to a carotid cavernous fistula but secondary to a VVF. We present its treatment and clinical outcome. In addition, we present a brief literature review surrounding this uncommon disease.

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