Spotaneousaneus Disappearance Of Arterioveous Fistula Between The Vertebral Artery And Deep Cervical Vein
Kubota, M., Watanabe, O., Takase, M., & Hashimoto, T. (1992). spontaneous disappearance of arterio-venous fistula between the vertebral artery and deep cervical vein--case report. Neurologia medico-chirurgica, 32(2), 84–87. https://doi.org/10.2176/nmc.32.84
View Original Source →Abstract
A 58-year-old female was readmitted with pulsatile tinnitus in the right ear 8 months after subtemporo-occipital transtentorial clipping of a peripheral superior cerebellar artery aneurysm. On examination, she was normal except for pulsatile bruit over the right mastoid region. Angiography showed a fistulous communication between the muscular branches of the right vertebral artery and the deep cervical vein. The incision of the aneurysm surgery was supratentorial, so the only possible cause of the upper cervical arteriovenous (AV) fistula was fine gold acupuncture needles implanted for bronchial asthma 18 years before. The AV fistula disappeared spontaneously after 1 month, possibly because of thrombosis of the affected veins.
Case Details
Disease Location
Cervical vertebra
Personal Characteristics
58 years old female, history of subtemporooccipital transtentorial clipping of a peripheral superior cerebellar artery aneurysm 8 months before. History of acupuncture with fine gold needles implanted 18 years before for asthma.
Clinical Characteristics
Pulsatile tinnitus in the right ear, developed after aneurysm surgery. Fistulous communication between the muscular branches of the right vertebral artery and the deep cervical vein. Arterio-venous fistula between the vertebral artery and deep cervical vein detected.
Remission Characteristics
5 weeks after diagnosis, the tinnitus faded spontaneously. Fistula dissapeared
Treatment & Mechanisms
Proposed Remission Mechanisms
Sr possibly because of thrombosis of the affected veins.
Clinical Treatment
Transtentorial clipping of a peripheral superior cerebellar artery aneurysm 8 months before. History of acupuncture with fine gold needles implanted 18 years before for asthma.
Non-Clinical Treatment
History of acupuncture with fine gold needles implanted 18 years before for asthma.