Wolfe Stacey Quintero, Farhat Hamad, Elhammady Mohamed Samy, Moftakhar Roham, Aziz-Sultan Mohammad Ali
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
J Neurosurg Pediatr. 2009 Nov;4(5):453-7. doi: 10.3171/2009.6.PEDS08363.
A 2-month-old infant presented with an enlarging scalp hemangioma and consumptive coagulopathy. The patient became severely thrombocytopenic despite medical treatment. Transarterial embolization with Onyx was performed with significant reduction in the size of the tumor and complete resolution of the thrombocytopenia within 12 hours. Onyx embolization appears to be an excellent treatment option for hemangiomas presenting with Kasabach-Merritt syndrome that are unresponsive to standard medical therapy.
一名2个月大的婴儿出现头皮血管瘤增大和消耗性凝血病。尽管进行了药物治疗，患者仍出现严重血小板减少。采用Onyx进行经动脉栓塞，肿瘤大小显著减小，血小板减少在12小时内完全缓解。对于对标准药物治疗无反应的伴有卡萨巴赫-梅里特综合征的血管瘤，Onyx栓塞似乎是一种极佳的治疗选择。
