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Case Reports in Emergency Medicine
Volume 2017 (2017), Article ID 8386459, 3 pages
https://doi.org/10.1155/2017/8386459
Case Report

Vertebral Arteriovenous Fistula: An Unwelcome Thrill

1Department of Emergency Medicine, University of Florida Health, Gainesville, FL, USA
2Department of Neurosurgery, University of Florida Health, Gainesville, FL, USA

Correspondence should be addressed to Brandon R. Allen

Received 2 December 2016; Accepted 30 March 2017; Published 5 April 2017

Academic Editor: Vasileios Papadopoulos

Copyright © 2017 Matthew K. Edwards et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cervical vertebral AV fistulae are uncommon vascular lesions involving abnormal communication between the extradural vertebral artery and surrounding venous structures. We examine the case of a female evaluated in the emergency department with a vertebral AV fistula presenting classically as pulsatile tinnitus and later successfully treated with standard endovascular techniques. A discussion on the etiology, pathophysiology, and management of vertebral AV fistulae follows.