A case of spontaneous haematoma from vertebral artery arterio-venous fistula in a patient with neurofibromatosis type 1.
Neurofibromatosis type 1 (NF1) is an autosomal dominant condition caused by a mutation on chromosome 17. Vascular abnormalities are recognised complications of NF1. These include aneurysms, stenoses, arteriovenous malformations, fistulae, etc. We report the case of a young gentleman with NF1 with a spontaneous cervical bleed from an arteriovenous fistula arising from the left vertebral artery, and illustrate the various management options and difficulties arising from rapid fistula formation.
a Department of Neurosurgery , South West Neurosurgical Centre, Derriford Hospital , Plymouth , UK.
Harsha
H
Narayanamurthy
a Department of Neurosurgery , South West Neurosurgical Centre, Derriford Hospital , Plymouth , UK.
Sarah
S
El-Badawy
b Department of Neurosurgery , Derriford Hospital , Plymouth , UK.
William
W
Mukonoweshuro
a Department of Neurosurgery , South West Neurosurgical Centre, Derriford Hospital , Plymouth , UK.
Peter
P
Whitfield
D000328:Adult; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D017809:Fatal Outcome; D006406:Hematoma / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000601:surgery*; D019635:Neurosurgical Procedures; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000601:surgery*
AVF; NF1; haematoma; vertebral artery