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Click 40 year old women with vertebral arterio-venous fistula secondary to penetrating cervical trauma. Axial time-of-flight MRA demonstrating a ``blush`` (arrow) from the left vertebral artery at the origin of the fistulous connection.

Click 40 year old women with vertebral arterio-venous fistula secondary to penetrating cervical trauma. Coronal 2D time of flight MRA demonstrating early occlusion of the left vertebral artery with fistulous connection and arterial flow in a left vertebral vein.

Click 40 year old women with vertebral arterio-venous fistula secondary to penetrating cervical trauma. Axial Contrast-Enhanced Computed Tomography of the upper chest and neck demonstrating air in the superior mediastinum close to the left subclavian artery and a left anterior neck haematoma and enhancement of the left vertebral artery at the atlanto-occipital level.

Click 40 year old women with vertebral arterio-venous fistula secondary to penetrating cervical trauma. Left Subclavian Angiogram showing catheter in the left subclavian artery, an early occlusion of the left vertebral artery and retrograde flow in the left brachiocephalic vein.

Click 40 year old women with vertebral arterio-venous fistula secondary to penetrating cervical trauma. Left Subclavian Angiogram showing catheter in the left subclavian artery, an early occlusion of the left vertebral artery and retrograde flow in the left brachiocephalic vein.