title: Delayed presentation of a vertebral arterio-venous fistula secondary to penetrating cervical trauma: endovascular management using coil embolisation - a case report.
abstract: Vertebro-vertebral arteriovenous fistulae occur infrequently. We report on such a case with delayed presentation following penetrating neck injury. This was successfully treated via coil embolisation. A 40-year-old woman presented with a subjective tinnitus that was abolished by turning her head to the right. She had sustained penetrating neck trauma 6 months earlier. Doppler Ultrasound and magnetic resonance angiogram confirmed the presence of a vertebral arterio-venous fistula. Using a trans-femoral arterial approach, the left vertebral artery was embolised by deployment of multiple coils. The patient had no return of symptoms at 3 months follow up. Radiological diagnosis and endovascular management of this condition is discussed.
authors.affiliation: Severn School of Radiology, Bristol Royal Infirmary, Bristol, UK.
authors.forename: Alex
authors.initials: A
authors.lastname: Mortimer
authors.forename: Euan
authors.initials: E
authors.lastname: Stubbs
authors.forename: Daniel
authors.initials: D
authors.lastname: Cookson
authors.forename: Raymond
authors.initials: R
authors.lastname: Dawson
authors.forename: Mustafa
authors.initials: M
authors.lastname: Fleet