Bidad Roz, Hall Caroline, Blohm Eike
University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont.
Clin Pract Cases Emerg Med. 2019 Sep 18;3(4):364-368. doi: 10.5811/cpcem.2019.7.43432. eCollection 2019 Nov.
Neurofibromatosis (NF) is a common autosomal dominant disorder that can be subdivided into type 1, type 2, and schwannomatosis. Patients with NF1 typically develop café-au-lait spots, scoliosis, and benign neurofibromas. In addition, NF1 predisposes to vascular complications including stenosis, arterial ectasia, and aneurysms. Here, we report the case of an otherwise healthy 32-year-old man who developed a fatal tension hemothorax due to vertebral artery aneurysm rupture. Based on the available literature, we discuss the presentation, workup, and available therapeutic approaches to this complication of neurofibromatosis.
神经纤维瘤病（NF）是一种常见的常染色体显性疾病，可分为1型、2型和施万细胞瘤病。NF1患者通常会出现咖啡斑、脊柱侧弯和良性神经纤维瘤。此外，NF1易引发血管并发症，包括狭窄、动脉扩张和动脉瘤。在此，我们报告一例32岁健康男性因椎动脉动脉瘤破裂导致致命性张力性血胸的病例。基于现有文献，我们讨论了神经纤维瘤病这一并发症的表现、检查方法和可用的治疗方法。
