Child's Nervous System

, Volume 24, Issue 3, pp 393–396

Intramedullary spinal arteriovenous malformation in a boy of familial cerebral cavernous hemangioma

  • Mei-Hua Hu
  • Chieh-Tsai Wu
  • Kuang-Lin Lin
  • Alex Mun-Ching Wong
  • Shih-Ming Jung
  • Chang-Teng Wu
  • Shao-Hsuan Hsia
Case Report

DOI: 10.1007/s00381-007-0536-x

Cite this article as:
Hu, M., Wu, C., Lin, K. et al. Childs Nerv Syst (2008) 24: 393. doi:10.1007/s00381-007-0536-x

Abstract

Object

The coexistence of spinal arteriovenous malformation (AVM) and a familial cerebral cavernous hemangioma (CCH) is extremely rare.

Methods

A 9-year-old boy suddenly developed severe paraplegia and urinary dysfunction. Spinal magnetic resonance imaging (MRI) scan revealed a cervical and upper thoracic intramedullary lesion. Due to acute neurological dysfunction, the patient underwent emergency surgical exploration. An intramedullary vascular lesion was found and excised. Pathologically, AVM was noted. After the surgery, the boy was ambulatory with left lower limb stiffness. MRI scan of the brain revealed multiple cerebral cavernous hemangioma. Symptomatic multiple CCH in his mother and grandmother were also noted.

Conclusions

We concluded that the presence of spinal AVM should be suspected if the patient with familial CCH develops the signs of space-occupying lesion of the spinal cord, facilitating early diagnosis of the spinal AVM.

Keywords

Arteriovenous malformationCavernous hemangiomaSpineCerebralGeneticChild

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Mei-Hua Hu
    • 1
  • Chieh-Tsai Wu
    • 2
  • Kuang-Lin Lin
    • 3
  • Alex Mun-Ching Wong
    • 4
  • Shih-Ming Jung
    • 5
  • Chang-Teng Wu
    • 1
  • Shao-Hsuan Hsia
    • 1
  1. 1.Division of Pediatric Critical Care and Emergency Medicine, Chang Gung Children’s Hospital, TaipeiChang Gung University College of MedicineTaoyuanTaiwan
  2. 2.Division of Pediatric Neurosurgery, Chang Gung Children’s Hospital, TaipeiChang Gung University College of MedicineKwei-Shan, TaoyuanTaiwan
  3. 3.Division of Pediatric Neurology, Chang Gung Children’s Hospital, TaipeiChang Gung University College of MedicineTaoyuanTaiwan
  4. 4.Department of Neuroradiology, Chang Gung Memorial Hospital, TaipeiChang Gung University College of MedicineTaoyuanTaiwan
  5. 5.Department of Pathology, Chang Gung Memorial Hospital, TaipeiChang Gung University College of MedicineTaoyuanTaiwan