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  • Title: Coil embolization of vertebro-vertebral arteriovenous fistula: a case report.
    Author: Tenjin H, Kimura S, Sugawa N.
    Journal: Surg Neurol; 2005 Jan; 63(1):80-3; discussion 83. PubMed ID: 15639536.
    Abstract:
    BACKGROUND: Vertebro-vertebral arteriovenous fistulas (VVFs) are not uncommon, but they usually present with benign symptoms such as neck murmur. We report a case of VVF presenting with myelopathy which was successfully treated by embolization with detachable coils. CASE PRESENTATION: A 72-year-old woman was admitted with complaint of bilateral leg weakness. Cervical magnetic resonance image showed compression of the spinal cord by a large vascular lesion. Right vertebral angiogram showed a vertebro-vertebral fistula draining into ectatic epidural veins. From a transfemoral arterial approach, the fistula site was selected with a microcatheter, and embolization was performed by placement of several Guglielmi detachable coils until flow arrest was obtained. The patient made a full recovery, and long-term angiographic follow-up demonstrated complete cure. CONCLUSION: We present a case of VVF treated using detachable coils with good long-term results.
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