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Vertebral arteriovenous fistula due to blunt neck trauma: A case report

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dc.contributor.author Karakoyun, Durmus Oguz
dc.contributor.author Yilmaz, Ali
dc.contributor.author Uzlu, Oguzhan
dc.contributor.author Daglioglu, Ergun
dc.contributor.author Isik, Hasan Serdar
dc.date.accessioned 2024-03-15T12:06:16Z
dc.date.available 2024-03-15T12:06:16Z
dc.date.issued 2022
dc.identifier.citation Karakoyun, DO., Yilmaz, A., Uzlu, O., Daglioglu, E., Isik, HS. (2022). Vertebral arteriovenous fistula due to blunt neck trauma: A case report. Ulus. Travma Acil Cerrahi Derg., 28(6), 871-875. https://doi.org/10.14744/tjtes.2020.72506 en_US
dc.identifier.issn 1306-696X
dc.identifier.issn 1307-7945
dc.identifier.uri http://dx.doi.org/10.14744/tjtes.2020.72506
dc.identifier.uri https://www.webofscience.com/wos/woscc/full-record/WOS:000809604900024
dc.identifier.uri http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/4633
dc.description WoS Categories: Emergency Medicine en_US
dc.description Web of Science Index: Science Citation Index Expanded (SCI-EXPANDED) en_US
dc.description Research Areas: Emergency Medicine en_US
dc.description.abstract The arteriovenous fistulas (AVFs) of the vertebral artery are usually caused by iatrogenic and penetrating traumas. Vertebral AVF is rarely seen after blunt cervical trauma. A 65-year-old male patient applied to the emergency clinic due to falling from a height of about 3 m. In his neurological examination, he had weakness in the left upper limb and tinnitus in the left ear.The cervical computed tomography examination showed a Hangman's fracture, a C3 vertebra corpus compression fracture, and a C1 anterior arch fracture.There was a separation on the C1-2 transverse foramen due to the fracture, and there was a fracture in the left C3-4 transverse foramen. In cervical magnetic resonance imaging (MRI), the presence of a contusion in the spinal cord at the C2 corpus level was observed. Through an MRI angiography examination of the vertebral artery, it was determined that the left vertebral artery had developed an AVF at the V2-3 segment level. Stabilization surgery was performed with a posterior approach for unstable vertebrae.Then, vertebral AVF was then closed endovascularly using a stent coil. Improvement in neurological deficit was seen after surgery and endovascular treatment.There were no complications related to the procedure.Transverse foramen should be carefully evaluated, especially in the upper cervical trauma.Vertebral artery imaging should be performed before instability surgery in the presence of a separation in the fracture line to determine whether the damage to the vertebral artery is iatrogenic. en_US
dc.language.iso eng en_US
dc.publisher TURKISH ASSOC TRAUMA EMERGENCY SURGERY-ISTANBUL en_US
dc.relation.isversionof 10.14744/tjtes.2020.72506 en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Blunt neck trauma, endovascular treatment, vertebral arteriovenous fistulas en_US
dc.subject CERVICAL-SPINE, ARTERY INJURY, SCREW FIXATION, COMPLICATIONS, EMBOLIZATION, ANGIOGRAPHY, SURGERY en_US
dc.title Vertebral arteriovenous fistula due to blunt neck trauma: A case report en_US
dc.type article en_US
dc.relation.journal ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY en_US
dc.contributor.department Ordu Üniversitesi en_US
dc.contributor.authorID 0000-0002-1306-7584 en_US
dc.identifier.volume 28 en_US
dc.identifier.issue 6 en_US
dc.identifier.startpage 871 en_US
dc.identifier.endpage 875 en_US


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