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Cervical vertebral arteriovenous fistula balloon embolization in a patient with neurofibromatosis type 1
R A Koenigsberg1, V Aletich, G Debrun
1Department of Radiological Sciences, Allegheny University-MCP Division, Philadelphia, PA 19129, USA.
Surgical Neurology
|March 1, 1997
Insights
Neurofibromatosis type 1 can present with cervical kyphosis and vertebral artery issues. A cervical vertebral arterial fistula was successfully treated using detachable balloons in this case.
Area of Science:
- Neurology
- Vascular Surgery
- Genetics
Background:
- Neurofibromatosis type 1 (NF1) is a genetic disorder.
- NF1 can manifest with various skeletal and vascular abnormalities.
- Cervical spine involvement in NF1 is less common but can be complex.
Observation:
- A patient with NF1 presented with cervical kyphosis.
- The patient also had a cervical vertebral arterial fistula.
- Contralateral vertebral artery occlusion was noted concurrently.
Findings:
- The cervical vertebral arterial fistula was identified as a significant vascular complication.
- Successful treatment of the fistula was achieved using detachable balloons.
- This intervention aimed to prevent potential cerebrovascular events.
Implications:
- Highlights the importance of vigilant vascular surveillance in NF1 patients with skeletal anomalies.
- Demonstrates the efficacy of endovascular treatment for complex cervical arterial fistulas.
- Suggests a multidisciplinary approach for managing intricate NF1-associated vascular pathologies.
Abstract:
The authors present a patient with neurofibromatosis type 1 associated with cervical kyphosis, a cervical vertebral arterial fistula, and contralateral vertebral arterial occlusion. The fistula was successfully treated with detachable balloons.