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CASE REPORT
Vertebral–venous fistula: an unusual cause for ocular symptoms mimicking a carotid cavernous fistula
  1. Daniel Felbaum1,
  2. Swathi Chidambaram1,
  3. Robert Bryan Mason2,
  4. Rocco A Armonda2,
  5. Ai Hsi Liu3
  1. 1Department of Neurosurgery, Medstar Georgetown University Hospital, Washington DC, USA
  2. 2Department of Neurosurgery, Medstar Washington Hospital Center, Washington DC, USA
  3. 3Department of Radiology, Medstar Washington Hospital Center, Washington DC, USA
  1. Correspondence to Dr D Felbaum, Department of Neurosurgery, Medstar Georgetown University Hospital, Washington DC 20007, USA; rocky.felbaum{at}gmail.com

Abstract

Vertebral–venous fistulas (VVF), or vertebral–vertebral arteriovenous fistulas, are an uncommon clinical entity. Typically, they present as a result of a direct vascular connection between an extracranial branch of the vertebral artery or its radicular components and the epidural venous plexus. These may manifest with signs and symptoms referable to cervical myelopathy secondary to compression or steal phenomenon. To our knowledge, this is the first case to identify a patient who presented with classic ocular symptoms attributable to a carotid cavernous fistula but secondary to a VVF. We present its treatment and clinical outcome. In addition, we present a brief literature review surrounding this uncommon disease.

  • Angiography
  • Artery
  • Coil
  • Fistula

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