Staged endovascular and surgical management of vertebral arteriovenous fistula with ruptured aneurysm and pseudoaneurysm in neurofibromatosis type 1 complicated by fatal reperfusion injury: illustrative case

Dapeng Wu, Hui Zhou, Xiaodong Yang, Wei Zhang · 2026

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Description

Dapeng Wu, Hui Zhou, Xiaodong Yang, and Wei Zhang report a hard case from 2026. A woman with neurofibromatosis type 1 had her neck artery lesions fixed in stages, yet died from the cure's side effect. Her genetic disorder had produced a fistula, a ruptured aneurysm, and a pseudoaneurysm in the vertebral artery, a rare and dangerous trio.

The 41-year-old had a growing neck mass and a weakening left arm. Teams first blocked the lesions from inside the vessel, then removed them surgically. Imaging showed full closure and relief of pressure. But years of stolen blood flow had left her brainstem fragile; restored flow injured it, and she died on day ten. The authors urge routine vessel screening in this disorder.

Catalog record

CREATORDapeng Wu, Hui Zhou, Xiaodong Yang, Wei Zhang
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE22 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13576439

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