Vertebral artery aneurysms and cervical arteriovenous fistulae in patients with neurofibromatosis 1

Vascular involvement in the setting of neurofibromatosis type 1(NF1) has been well described. However, the coexistence of NF1 with vertebral artery (VA) aneurysms and arteriovenous fistulae (AVFs) is a rare occurrence. A 60-year-old female with NF1 and other severe comorbidities presented with acute...

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Published inVascular Vol. 18; no. 3; p. 166
Main Authors Higa, Guillermo, Pacanowski, Jr, John P, Jeck, David T, Goshima, Kaoru R, León, Jr, Luis R
Format Journal Article
LanguageEnglish
Published England 01.06.2010
Subjects
Acute Disease
Adolescent
Adult
Aged
Aneurysm, Ruptured - complications
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - therapy
Angiography, Digital Subtraction
Arteriovenous Fistula - complications
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - therapy
Child
Embolization, Therapeutic
Female
Gastrostomy
Hematoma - etiology
Humans
Infant
Intubation, Intratracheal
Male
Middle Aged
Neurofibromatosis 1 - complications
Neurofibromatosis 1 - pathology
Respiratory Insufficiency - etiology
Tomography, X-Ray Computed
Tracheostomy
Treatment Outcome
Vertebral Artery - diagnostic imaging
Young Adult
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Summary:Vascular involvement in the setting of neurofibromatosis type 1(NF1) has been well described. However, the coexistence of NF1 with vertebral artery (VA) aneurysms and arteriovenous fistulae (AVFs) is a rare occurrence. A 60-year-old female with NF1 and other severe comorbidities presented with acute respiratory insufficiency caused by a ruptured large VA aneurysm and an associated AVF that required emergent intubation and eventual repair through endovascular techniques that resolved her symptoms. A detailed description of this case and a comprehensive review of the literature are also presented.
ISSN:1708-5381
DOI:10.2310/6670.2010.00032