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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Bibliographic Details
Published in:Vascular 2010-06, Vol.18 (3), p.166-177
Main Authors: Higa, Guillermo, Pacanowski, John P., Jeck, David T., Goshima, Kaoru R., León, Luis R.
Format: Article
Language:English
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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Description
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
1708-539X
DOI:10.2310/6670.2010.00032