Danstrup Christian Sander, Madsen Mette Hjørringgaard, Bille Jesper
Ear, Nose and Throat Department, Aarhus University Hospital, Aarhus, Denmark.
Department of Neuroradiology, Aarhus University Hospital, Aarhus C, Denmark.
BMJ Case Rep. 2015 Mar 20;2015:bcr2014204883. doi: 10.1136/bcr-2014-204883.
A 5-year-old boy was admitted with stridor, which was initially interpreted as subglottic laryngitis. He had a history of prolonged hoarseness and his voice was deep for his age. The stridor persisted despite treatment with epinephrine inhalations and intravenous glucocorticoids. A direct laryngoscopy and blood work up did not support the suspected diagnosis. A MRI was then carried out, followed by angiography. The latter revealed an arteriovenous malformation (AVM) involving the lingual and superior thyroid arteries bilaterally. Owing to the rareness and extent of such an AVM, the patient was referred to Paris for further treatment. This case presents the difficulties in diagnostics and emphasises the importance of diagnostics and multidisciplinary approaches with regard to treatment of AVMs.
一名5岁男孩因喘鸣入院，最初被诊断为声门下喉炎。他有长期声音嘶哑的病史，且就其年龄而言，声音低沉。尽管使用肾上腺素吸入剂和静脉注射糖皮质激素进行了治疗，喘鸣仍持续存在。直接喉镜检查和血液检查结果不支持疑似诊断。随后进行了磁共振成像（MRI）检查，接着是血管造影。血管造影显示双侧舌动脉和甲状腺上动脉存在动静脉畸形（AVM）。由于这种动静脉畸形的罕见性和范围，该患者被转诊至巴黎接受进一步治疗。本病例展示了诊断方面的困难，并强调了动静脉畸形诊断及多学科治疗方法的重要性。
