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与克-特综合征相关的脑和脊髓海绵状血管瘤:病例报告及文献复习

Cerebral and spinal cavernomas associated with Klippel-Trenaunay syndrome: case report and literature review.

作者信息

Yoshinaga Takaya, Yagi Kenji, Morishita Takashi, Abe Hiroshi, Nonaka Masani, Inoue Tooru

机构信息

Department of Neurosurgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

出版信息

Acta Neurochir (Wien). 2018 Feb;160(2):287-290. doi: 10.1007/s00701-017-3408-5. Epub 2017 Dec 1.

Abstract

Klippel-Trenaunay-Weber syndrome (KTWS) involves a triad of conditions, including cutaneous hemangiomas, venous varicosities, and osseous and soft-tissue hypertrophy of the affected limb. We describe a rare case of multiple cavernomas in the central nervous system in a patient with KTWS. A-64-year-old man with KTWS and a previous brain hemorrhage presented with sudden onset of gait and vesicorectal disturbance. The magnetic resonance imaging scan showed a cavernoma associated with hemorrhage in his lumbosacral spinal cord. Moreover, numerous cavernomas were identified in his brain. He was treated conservatively with no adverse events. Gait disturbance improved, but vesicorectal disturbance did not improve.

摘要

克-特-韦综合征(KTWS)包括一组三联征症状,即皮肤血管瘤、静脉静脉曲张以及患侧肢体的骨质和软组织肥大。我们描述了一例患有KTWS的患者中枢神经系统出现多发性海绵状血管瘤的罕见病例。一名64岁患有KTWS且曾有脑出血病史的男性,突然出现步态和膀胱直肠功能障碍。磁共振成像扫描显示其腰骶部脊髓有一个伴有出血的海绵状血管瘤。此外,在他的脑部还发现了许多海绵状血管瘤。对他进行了保守治疗,未出现不良事件。步态障碍有所改善,但膀胱直肠功能障碍没有改善。

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