Arauz Antonio, Hernández-Curiel Bernardo, Colin-Luna Jonathan, Dávila-Ortiz de Montellano David J, Barboza Miguel A
Stroke Clinic, Instituto Nacional de Neurología y Neurocirugía. México City, México.
Genetics Department, Instituto Nacional de Neurología y Neurocirugía. México City, México.
J Vasc Interv Neurol. 2015 Feb;8(1):46-8.
Vascular complications related to multiple hereditary exostoses are uncommon. We present a 39-year-old male patient with multiple exostoses in the upper and lower limbs with an associated positive familial history of such lesions. He experienced a sudden onset of left-side ataxia and hypoesthesia secondary to a left lateral medullary infarction, which was due to a stenotic-pattern vertebral artery dissection (V1-V4). This complication is very rare as a differential diagnosis in the vertebro-basilar dissection spectrum, and a nonspecific relation has been found.
MHEMultiple hereditary exostosesATangiotomographyVADvertebral artery dissectionCADcervical artery dissectionOIosteogenesis imperfecta.
与多发性遗传性骨软骨瘤相关的血管并发症并不常见。我们报告一名39岁男性患者,其上下肢有多发性骨软骨瘤,且有此类病变的家族史阳性。他因左侧延髓外侧梗死突然出现左侧共济失调和感觉减退,该梗死是由狭窄型椎动脉夹层(V1-V4)引起的。在椎基底动脉夹层谱系中,这种并发症作为鉴别诊断非常罕见,且已发现一种非特异性关系。
MHE 多发性遗传性骨软骨瘤;AT 血管造影术;VAD 椎动脉夹层;CAD 颈内动脉夹层;OI 成骨不全。