Epidural spinal cord compression in a patient with blue rubber bleb nevus syndrome

被引：7

作者：

Rajah, Gary ^{[1
]}

To, Chiu Yuen ^{[2
]}

Sood, Sandeep ^{[3
]}

Ham, Steven ^{[3
]}

Altinok, Deniz ^{[4
]}

Poulik, Janet ^{[5
]}

Haridas, Abilash ^{[3
]}

机构：

[1] Wayne State Univ, Sch Med, Dept Neurosurg, Detroit, MI USA

[2] Providence Med Ctr, Dept Neurosurg, Southfield, MI USA

[3] Childrens Hosp Michigan, Dept Neurosurg, Detroit, MI 48201 USA

[4] Childrens Hosp Michigan, Dept Radiol, Detroit, MI 48201 USA

[5] Childrens Hosp Michigan, Dept Pathol, Detroit, MI 48201 USA

来源：

JOURNAL OF NEUROSURGERY-PEDIATRICS | 2014年 / 14卷 / 05期

关键词：

blue rubber bleb nevus syndrome; spinal cord compression; vascular malformation; spine; oncology; vascular disorders; INVOLVEMENT; MALFORMATION;

D O I：

10.3171/2014.8.PEDS13627

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Blue rubber bleb nevus syndrome (BRBNS) can present with vascular malformations throughout the body, especially in the gastrointestinal tract. Spinal cord compression from these lesions is rare, particularly in the pediatric population. The authors report a case of BRBNS involving an 18-year-old female patient who presented with back pain and an epidural thoracic mass with cord compression. She underwent an uncomplicated thoracic laminectomy and decompression, with removal of what appeared to be a venous malformation. Postoperatively her pain improved, and imaging revealed resolution of cord compression. Pathological analysis highlighted dilated venous channels with myxoid degeneration in the wall with clot, characteristic of BRBNS. The early age of presentation and location are unique based on the literature search of BRBNS. The present report highlights the multiplicity of venous malformations in BRBNS, and the management of this case.

引用

页码：486 / 489

页数：4

共 18 条

[1] Blue rubber bleb nevus syndrome associated with consumption coagulopathy:: treatment with interferon [J].

Apak, H ;

Celkan, T ;

Özkan, A ;

Yildiz, I ;

Aydemir, EH ;

Ozdil, S ;

Kuruoglu, S .

DERMATOLOGY, 2004, 208 (04) :345-348

[2] Blue rubber bleb nevus (Bean syndrome): Evolution of four cases and clinical response to pharmacologic agents [J].

Boente, MD ;

Cordisco, MR ;

Frontini, MD ;

Asial, RA .

PEDIATRIC DERMATOLOGY, 1999, 16 (03) :222-227

[3]

Carvalho S, 2003, AM J NEURORADIOL, V24, P1916

[4] Vascular malformation and Hemangiomatosis syndromes: Spectrum of imaging manifestations [J].

Elsayes, Khaled M. ;

Menias, Christine O. ;

Dillman, Jonathan R. ;

Platt, Joel F. ;

Willatt, Jonathon M. ;

Heiken, Jay P. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 190 (05) :1291-1299

[5] Developmental venous anomalies and sinus pericranii in the blue rubber-bleb nevus syndrome - Case report [J].

Gabikian, P ;

Clatterbuck, RE ;

Gailloud, P ;

Rigamonti, D .

JOURNAL OF NEUROSURGERY, 2003, 99 (02) :409-411

[6] SPINAL-CORD COMPRESSION IN BLUE RUBBER BLEB NEVUS SYNDROME [J].

GAREN, PD ;

SAHN, EE .

ARCHIVES OF DERMATOLOGY, 1994, 130 (07) :934-935

[7] Chronic subcutaneous octreotide decreases gastrointestinal blood loss in blue rubber-bleb nevus syndrome [J].

Gonzalez, D ;

Elizondo, BJ ;

Haslag, S ;

Buchanan, G ;

Burdick, JS ;

Guzzetta, PC ;

Hicks, BA ;

Andersen, JM .

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2001, 33 (02) :183-188

[8] Spinal cord compression in a patient with blue rubber bleb nevus syndrome [J].

Kamat, A. S. ;

Aliashkevich, A. F. .

JOURNAL OF CLINICAL NEUROSCIENCE, 2013, 20 (03) :467-469

[9] Imaging characteristics of blue rubber bleb nevus syndrome [J].

Kassarjian, A ;

Fishman, SJ ;

Fox, VL ;

Burrows, PE .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 181 (04) :1041-1048

[10] ORTHOPEDIC DYSFUNCTION IN THE BLUE RUBBER-BLEB NEVUS SYNDROME [J].

MCCARTHY, JC ;

GOLDBERG, MJ ;

ZIMBLER, S .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1982, 64 (02) :280-283

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