Vertebral-venous fistula: an unusual cause for ocular symptoms mimicking a carotid cavernous fistula.
Vertebral-venous fistula: an unusual cause for ocular symptoms mimicking a carotid cavernous fistula.
- 2016
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.
English
1759-8478
*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]
MedStar Washington Hospital Center
Neurosurgery
Surgery/Neurosurgery
Journal Article
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.
English
1759-8478
*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]
MedStar Washington Hospital Center
Neurosurgery
Surgery/Neurosurgery
Journal Article