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Japanese

Vertebral Arteriovenous Fistula as a Complication of Atlantoaxial Transarticular Screw Fixation―Case Report Hisashi Takagaki 1 , Sigeru Nishimura 1 , Jun Onda 1 , Kunyu Harada 1 , Takeshi Takayasu 1 , Kiyoshi Kazekawa 2 1Department of Neurosurgery, Kitakyusyu General Hospital 2Department of Neurosurgery, Fukuoka University, Chikushi Hospital Keyword: vertebral arteriovenous fistula , atlantoaxial transarticular screw fixation , endovascular treatment , coil embolization pp.291-294
Published Date 2008/3/1
DOI https://doi.org/10.11477/mf.1416100247
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Abstract

 We report a rare case of a vertebral arteriovenous fistula that developed as a complication of atlantoaxial transarticular screw fixation. The patient was a 44-year-old male with a history of juvenile rheumatoid arthritis. He had undergone an atlantoaxial transarticular screw fixation for an atlantoaxial dislocation. At 2 months after the surgery, he complained of right-side tinnitus. A selective left vertebral angiography showed a high-flow arteriovenous fistula of the right V2 segment and occulusion of the right vertebral artery at the level of the C3 vertebral body. Endovascular embolization of the arteriovenous fistula was successfully performed using detachable coils. No deficits were observed after the treatment, and the tinnitus disappeared completely. Endovascular coil embolization is currently an effective and safe treatment for the vertebral arteriovenous fistula.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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