Abstract:
:A 57-year-old male presented with a rare case of spontaneous vertebral arteriovenous fistula manifesting as radiculopathy of the right arm, subsequently associated with pulsating tinnitus and vascular bruit in the nape. He had a past history of chiropractic-induced vertebrobasilar infarction. Angiography showed a simple and direct fistula between the third segment of the right vertebral artery and the epidural veins at the C-1 level, where the artery runs backward above the arch of the C-1 just proximal to the penetration of the dura. The fistula was successfully obliterated by coil embolization, resulting in rapid improvement of the signs and symptoms. Mechanical compression to the nerve roots by the engorged epidural veins with arterial pressure was considered to be the major cause of radiculopathy. Vertebral artery dissection induced by chiropractic manipulation is most likely responsible for the development of the fistula.
journal_name
Neurol Med Chir (Tokyo)journal_title
Neurologia medico-chirurgicaauthors
Yoshida S,Nakazawa K,Oda Ydoi
10.2176/nmc.40.211keywords:
subject
Has Abstractpub_date
2000-04-01 00:00:00pages
211-5issue
4eissn
0470-8105issn
1349-8029pii
JST.JSTAGE/nmc/40.211journal_volume
40pub_type
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journal_title:Neurologia medico-chirurgica
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