Neurofibromatosis with Arteriovenous Malformation of the Cervical Spine (fistura) A Case Report

We treated a case of the arteriovenous malformation associated with neurofibromatosis.The case was a 41-year-old female who was admitted to the hospital on july 19, 1986, complaining of dysphasia and monoplegia of the right upper extremity. X-ray findings of the cervical spine showed severe kyphoscoliosis. The AVM was suspected by the angiography of the right vertebral artery. A myelography showed no block. The AVM was treated by clipping of the right vertebral artery at the level of T1 and C2 and the cervical spine was treated with anterior fusion at the level of C2 to C6. The dysphasia disappeared after the clipping of the AVM. Four months later from anterior fusion the monoplegia was gradually reduced.