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Published in: Child's Nervous System 3/2008

01-03-2008 | Case Report

Intramedullary spinal arteriovenous malformation in a boy of familial cerebral cavernous hemangioma

Authors: Mei-Hua Hu, Chieh-Tsai Wu, Kuang-Lin Lin, Alex Mun-Ching Wong, Shih-Ming Jung, Chang-Teng Wu, Shao-Hsuan Hsia

Published in: Child's Nervous System | Issue 3/2008

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Abstract

Object

The coexistence of spinal arteriovenous malformation (AVM) and a familial cerebral cavernous hemangioma (CCH) is extremely rare.

Methods

A 9-year-old boy suddenly developed severe paraplegia and urinary dysfunction. Spinal magnetic resonance imaging (MRI) scan revealed a cervical and upper thoracic intramedullary lesion. Due to acute neurological dysfunction, the patient underwent emergency surgical exploration. An intramedullary vascular lesion was found and excised. Pathologically, AVM was noted. After the surgery, the boy was ambulatory with left lower limb stiffness. MRI scan of the brain revealed multiple cerebral cavernous hemangioma. Symptomatic multiple CCH in his mother and grandmother were also noted.

Conclusions

We concluded that the presence of spinal AVM should be suspected if the patient with familial CCH develops the signs of space-occupying lesion of the spinal cord, facilitating early diagnosis of the spinal AVM.
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Metadata
Title
Intramedullary spinal arteriovenous malformation in a boy of familial cerebral cavernous hemangioma
Authors
Mei-Hua Hu
Chieh-Tsai Wu
Kuang-Lin Lin
Alex Mun-Ching Wong
Shih-Ming Jung
Chang-Teng Wu
Shao-Hsuan Hsia
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 3/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-007-0536-x

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