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A 31-year-old man presented with a ruptured right extracranial vertebral artery aneurysm associated with neurofibromatosis type 1, manifesting as acute onset of right neck and shoulder pain, and right supraclavicular mass. Three-dimensional computed tomography angiography showed a large aneurysm involving the right extracranial vertebral artery associated with a pseudoaneurysm. The aneurysm was successfully treated by transarterial endovascular trapping with detachable coils. Extracranial vertebral artery aneurysm is rare, but the mortality of ruptured cases is extremely high, so early diagnosis and early treatment are important. The present case shows that endovascular treatment was very effective.
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http://dx.doi.org/10.2176/nmc.52.446 | DOI Listing |
Neuropathology
October 2025
Pathology Department, Complejo Hospitalario Universitario de Toledo, Toledo, Spain.
Glioblastoma (GB), IDH-wildtype (IDH-wt), is the most prevalent primary malignant brain neoplasm in adults. Despite adjuvant therapy, the prognosis for these tumors remains dismal, with a median survival of around 15-18 months. Although rare, extracranial metastases from GB are reported with increasing frequency, likely due to advancements in follow-up, treatments, and improved patient survival.
View Article and Find Full Text PDFForensic Sci Int
August 2025
Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada.
We report the forensic and clinicopathological spectrum of 14 postmortem cases involving the vertebral artery. In all cases, there was either pontocerebellar infarction (n = 8) or subarachnoid hemorrhage (n = 6). The underlying pathology of the vertebral artery was segmental mediolytic arteriopathy (n = 5), traumatic rupture of the arterial wall (n = 3), arterial dissection (n = 2), or atherosclerosis (n = 4).
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
August 2025
Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, Netherlands.
Objective: To identify clinical characteristics, anatomical distribution and risk factors of arteriovenous fistula in the head and neck area (hAVF).
Methods: A systematic review and meta-analysis on individual participant data of available literature from inception to September 2024 on extracranial and extradural hAVF was performed.
Results: The systematic search resulted in an inclusion of 869 cases with a median age of 35 years and 58.
Discov Oncol
August 2025
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Spinal metastasis of high grade glioma (HGG) is a rare but serious clinical occurrence that can significantly impact patient prognosis and quality of life. Although the majority of HGG metastases are confined intracranially, extracranial spread, including spinal metastasis, has been increasingly recognized in recent years. Spinal involvement may occur through hematogenous spread, direct extension, or cerebrospinal fluid dissemination, with the most common sites being the vertebral bodies and epidural space.
View Article and Find Full Text PDFJ Stroke Cerebrovasc Dis
October 2025
Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey.
Background And Purpose: To evaluate the patency and clinical outcomes of drug-eluting stents (DES) in patients with symptomatic and significant vertebral artery ostial stenosis (VAOS).
Methods: This single-center, retrospective observational study included 31 patients (21 males, 10 females; mean age: 64 ± 10.56 years) who underwent DES placement for severe (>70 %) symptomatic VAOS in our institution between 2013 and 2023.