Fujiwara Yuta, Kambara Mizuki, Hayashi Kentaro
Neurosurgery, Shimane University Hospital, Izumo, JPN.
Cureus. 2024 Nov 25;16(11):e74465. doi: 10.7759/cureus.74465. eCollection 2024 Nov.
Neurofibromatosis type 1 (NF-1) is associated with vascular complications, including stenosis or the occlusion of the abdominal aorta and renal arteries. However, reports on the occurrence of extracranial vertebral artery aneurysms are scarce. A man in his 40s had back pain and was feeling unwell. Contrast-enhanced computed tomography revealed a right hemothorax and aneurysms involving the right thyrocervical trunk and at the right vertebral arterial origin. The patient was successfully treated with endovascular embolization and achieved a full recovery. Notably, extracranial vertebral artery aneurysms tend to be detected at a later age compared to other complications such as optic gliomas of NF-1, and endovascular treatment has proven effective for managing these aneurysms.
1型神经纤维瘤病（NF-1）与血管并发症相关，包括腹主动脉和肾动脉狭窄或闭塞。然而，关于颅外椎动脉动脉瘤发生情况的报道很少。一名40多岁的男性出现背痛且感觉不适。增强计算机断层扫描显示右侧血胸以及累及右侧甲状腺颈干和右侧椎动脉起始处的动脉瘤。该患者通过血管内栓塞治疗成功治愈并完全康复。值得注意的是，与NF-1的其他并发症如视神经胶质瘤相比，颅外椎动脉动脉瘤往往在较晚的年龄被发现，并且血管内治疗已被证明对处理这些动脉瘤有效。
