Kyriakides Demetra Elena, Michaelides Demos, Lambrianides Sakis
Department of Medicine, James Cook University Hospital, Middlesbrough, UK
Radiology, Evresis Diagnostic Center, Nicosia, Cyprus.
BMJ Case Rep. 2023 Oct 4;16(10):e254455. doi: 10.1136/bcr-2022-254455.
This case report describes a patient in her late 60s, previously diagnosed with Klippel-Trenaunay syndrome who presented with difficulty walking. A year prior to her presentation she had a fall which made her notice a painless foot drop on the right. Her right leg was profoundly hypertrophied compared with the left, and a port-wine stain was present on the lateral side, extending from the hip to the mid-shin. The patient's differential diagnosis based on clinical examination and investigations is discussed leading to a final diagnosis of sciatic neuropathy secondary to an arteriovenous malformation due to Parkes Weber syndrome.
本病例报告描述了一位60多岁的女性患者,此前被诊断为克-特综合征,现出现行走困难。在就诊前一年,她发生了一次跌倒,之后注意到右侧出现无痛性足下垂。与左侧相比,她的右腿明显肥大,外侧有葡萄酒色斑,从臀部延伸至小腿中部。本文讨论了基于临床检查和检查结果对该患者的鉴别诊断,最终诊断为帕克斯·韦伯综合征所致动静脉畸形继发坐骨神经病变。