Cervical vertebral-venous fistula with neurofibromatosis presenting as myelopathy: A case report and literature review

Vertebral-venous fistula (VVF) is a rare vascular disorder characterized by an atypical, direct, high-flow shunt between an extracranial vertebral artery and its adjoining vein. While it can originate spontaneously in association with conditions affecting the vascular wall, trauma is also a recognized etiological factor. We report a case of a 64-year-old gentleman with multiple neurofibromas who presented with a cervical VVF leading to cervical myelopathy, successfully managed with endovascular coiling. The condition's rarity and the complex vascular anatomy involved have hindered the development of standardized management guidelines. Our experience aligns with literature indicating that endovascular treatment can be a safe and effective approach for VVF.