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Arch Surg. 1999;134:322.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN 1967, as a second-year medical student at University of California, San Francisco, I had the fortune or misfortune of diagnosing an arteriovenous malformation in my wife's neck near the base of her skull. After acquiring a bit of knowledge in physical examination and cardiovascular physiology, I came to the conclusion that the "machinery-like" murmur I had heard in her neck might be pathological. I referred my wife to my preceptor in internal medicine, Joe Kaufman, MD, a cardiologist, who told us that my wife had a cirsoid aneurysm off the vertebral artery and that it was serious.

My wife and I were quite distraught and we were referred to Jack Wylie, MD, for possible repair of the aneurysm. An angiogram confirmed that my wife did indeed have an arteriovenous malformation feeding off the right vertebral artery and thyrocervical trunk with connections at the base of the skull. In 1967 . . . [Full Text of this Article]