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Vertebral arteriovenous fistula due to blunt neck trauma: A case report
The arteriovenous fistulas (AVFs) of the vertebral artery are usually caused by iatrogenic and penetrating traumas. Vertebral AVF is rarely seen after blunt cervical trauma. A 65-year-old male patient applied to the emergency clinic due to falling from a height of about 3 m. In his neurological exam...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kare Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443019/ https://www.ncbi.nlm.nih.gov/pubmed/35652878 http://dx.doi.org/10.14744/tjtes.2020.72506 |
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author | Karakoyun, Durmuş Oğuz Yılmaz, Ali Uzlu, Oğuzhan Daglioglu, Ergun Işık, Hasan Serdar |
author_facet | Karakoyun, Durmuş Oğuz Yılmaz, Ali Uzlu, Oğuzhan Daglioglu, Ergun Işık, Hasan Serdar |
author_sort | Karakoyun, Durmuş Oğuz |
collection | PubMed |
description | The arteriovenous fistulas (AVFs) of the vertebral artery are usually caused by iatrogenic and penetrating traumas. Vertebral AVF is rarely seen after blunt cervical trauma. A 65-year-old male patient applied to the emergency clinic due to falling from a height of about 3 m. In his neurological examination, he had weakness in the left upper limb and tinnitus in the left ear. The cervical computed tomography examination showed a Hangman’s fracture, a C3 vertebra corpus compression fracture, and a C1 anterior arch fracture. There was a separation on the C1-2 transverse foramen due to the fracture, and there was a fracture in the left C3-4 transverse foramen. In cervical magnetic resonance imaging (MRI), the presence of a contusion in the spinal cord at the C2 corpus level was observed. Through an MRI angiography examination of the vertebral artery, it was determined that the left vertebral artery had developed an AVF at the V2-3 segment level. Stabilization surgery was performed with a posterior approach for unstable vertebrae. Then, vertebral AVF was then closed endovascularly using a stent coil. Improvement in neurological deficit was seen after surgery and endovascular treatment. There were no complications related to the procedure. Transverse foramen should be carefully evaluated, especially in the upper cervical trauma. Vertebral artery imaging should be performed before instability surgery in the presence of a separation in the fracture line to determine whether the damage to the vertebral artery is iatrogenic. |
format | Online Article Text |
id | pubmed-10443019 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Kare Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-104430192023-08-23 Vertebral arteriovenous fistula due to blunt neck trauma: A case report Karakoyun, Durmuş Oğuz Yılmaz, Ali Uzlu, Oğuzhan Daglioglu, Ergun Işık, Hasan Serdar Ulus Travma Acil Cerrahi Derg Case Report The arteriovenous fistulas (AVFs) of the vertebral artery are usually caused by iatrogenic and penetrating traumas. Vertebral AVF is rarely seen after blunt cervical trauma. A 65-year-old male patient applied to the emergency clinic due to falling from a height of about 3 m. In his neurological examination, he had weakness in the left upper limb and tinnitus in the left ear. The cervical computed tomography examination showed a Hangman’s fracture, a C3 vertebra corpus compression fracture, and a C1 anterior arch fracture. There was a separation on the C1-2 transverse foramen due to the fracture, and there was a fracture in the left C3-4 transverse foramen. In cervical magnetic resonance imaging (MRI), the presence of a contusion in the spinal cord at the C2 corpus level was observed. Through an MRI angiography examination of the vertebral artery, it was determined that the left vertebral artery had developed an AVF at the V2-3 segment level. Stabilization surgery was performed with a posterior approach for unstable vertebrae. Then, vertebral AVF was then closed endovascularly using a stent coil. Improvement in neurological deficit was seen after surgery and endovascular treatment. There were no complications related to the procedure. Transverse foramen should be carefully evaluated, especially in the upper cervical trauma. Vertebral artery imaging should be performed before instability surgery in the presence of a separation in the fracture line to determine whether the damage to the vertebral artery is iatrogenic. Kare Publishing 2022-06-01 /pmc/articles/PMC10443019/ /pubmed/35652878 http://dx.doi.org/10.14744/tjtes.2020.72506 Text en Copyright © 2022 Turkish Journal of Trauma and Emergency Surgery https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License |
spellingShingle | Case Report Karakoyun, Durmuş Oğuz Yılmaz, Ali Uzlu, Oğuzhan Daglioglu, Ergun Işık, Hasan Serdar Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title | Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title_full | Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title_fullStr | Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title_full_unstemmed | Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title_short | Vertebral arteriovenous fistula due to blunt neck trauma: A case report |
title_sort | vertebral arteriovenous fistula due to blunt neck trauma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443019/ https://www.ncbi.nlm.nih.gov/pubmed/35652878 http://dx.doi.org/10.14744/tjtes.2020.72506 |
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