title: Vertebrojugular arteriovenous fistula and pseudoaneurysm formation due to penetrating vertebral artery injury: case report and review of the literature.
abstract: Vertebral artery injury including thrombosis, arteriovenous fistula (AVF), pseudo-aneurysm and hemorrhage may be iatrogenic or due to penetrating or blunt trauma. Although mostly asymptomatic, vertebral artery injury may also present with vertebrobasilar insufficiency findings, cephalgia, radicular pain or myelopathy due to blockade of arterial flow, arterial steal phenomenon and venous hypertension. The gold standard for diagnosis is digital subtraction angiography (DSA). Doppler ultrasonography, magnetic resonance-angiography and computerized tomography-angiography are also helpful. Endovascular treatment is now used more commonly. We present a case with sharp bread knife injury of the vertebral artery that was also complicated with a vertebrojugular fistula and pseudo-aneurysm together with the diagnostic and management options and a review of the current literature.
authors: Kayseri Education and Research Hospital, Department of Neurosurgery, Kayseri, Turkey.
authors: Muhammet Bahadır
authors: MB
authors: Yilmaz
authors: Halil
authors: H
authors: Donmez
authors: Mehmet
authors: M
authors: Tonge
authors: Serkan
authors: S
authors: Senol
authors: Ayhan
authors: A
authors: Tekiner
mesh_terms: D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D007601:Jugular Veins; D008297:Male; D019838:Neck Injuries / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014711:Vertebral Artery / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D055815:Young Adult