42yr / male presented with sudden onset weakness of right superior extremity.Weakness progressed rapidly to both superior extremities. K/C/O Neurofibromatosis. MRI and Digital subtraction angiography (DSA) demonstrated a very rare condition: Vertebro-vertebral fistula (VVF). The VVF was completely embolized (cured) by endovascular coiling with excellent recovery in power.
Case by
Dr. Sibasankar Dalai, MD, FACP
Fellow, Australasian College of Phlebology,
Member, American College of Phlebology.
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