Turner syndrome with spinal hemorrhage due to vascular malformation
Identifieur interne : 001657 ( Main/Exploration ); précédent : 001656; suivant : 001658Turner syndrome with spinal hemorrhage due to vascular malformation
Auteurs : Min Kyung Yu [Corée du Sud] ; Mo Kyung Jung [Corée du Sud] ; Ki Eun Kim [Corée du Sud] ; Ah Reum Kwon [Corée du Sud] ; Hyun Wook Chae [Corée du Sud] ; Duk Hee Kim [Corée du Sud] ; Ho-Seong Kim [Corée du Sud]Source :
- Annals of Pediatric Endocrinology & Metabolism [ 2287-1012 ] ; 2015.
Abstract
Turner syndrome (TS) is a relatively common chromosomal disorder and is associated with a range of comorbidities involving the cardiovascular system. Vascular abnormalities, in particular, are a common finding in cases of TS. However, dissection involving the vertebral arteries is rare. Here, we report the case of a 9-year-old girl with TS who had been treated with growth hormone replacement therapy for the past 3 years. She presented with weakness of both lower legs, and was ultimately diagnosed with spinal hemorrhage due to vascular malformation. We treated her with intravenous high dose dexamethasone (0.6 mg/kg) and she could walk without assistance after 6 days of treatment. In conclusion, when a patient with TS shows sudden weakness of the lower limbs, we should consider the possibility of spinal vessel rupture and try to take spine magnetic resonance imaging as soon as possible. We suggest a direction how to make a proper diagnosis and management of sudden vertebral artery hemorrhage in patients with TS.
Url:
DOI: 10.6065/apem.2015.20.4.235
PubMed: 26817012
PubMed Central: 4722165
Affiliations:
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Kyung" last="Jung">Mo Kyung Jung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Ki Eun" sort="Kim, Ki Eun" uniqKey="Kim K" first="Ki Eun" last="Kim">Ki Eun Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du 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Séoul</region></placeName></affiliation></author><author><name sortKey="Chae, Hyun Wook" sort="Chae, Hyun Wook" uniqKey="Chae H" first="Hyun Wook" last="Chae">Hyun Wook Chae</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Duk Hee" sort="Kim, Duk Hee" uniqKey="Kim D" first="Duk Hee" last="Kim">Duk Hee Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Pediatrics, Sohwa Children's Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Sohwa Children's Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Ho Seong" sort="Kim, Ho Seong" uniqKey="Kim H" first="Ho-Seong" last="Kim">Ho-Seong Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Pediatric Endocrinology & Metabolism</title><idno type="ISSN">2287-1012</idno><idno type="eISSN">2287-1292</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Turner syndrome (TS) is a relatively common chromosomal disorder and is associated with a range of comorbidities involving the cardiovascular system. Vascular abnormalities, in particular, are a common finding in cases of TS. However, dissection involving the vertebral arteries is rare. Here, we report the case of a 9-year-old girl with TS who had been treated with growth hormone replacement therapy for the past 3 years. She presented with weakness of both lower legs, and was ultimately diagnosed with spinal hemorrhage due to vascular malformation. We treated her with intravenous high dose dexamethasone (0.6 mg/kg) and she could walk without assistance after 6 days of treatment. In conclusion, when a patient with TS shows sudden weakness of the lower limbs, we should consider the possibility of spinal vessel rupture and try to take spine magnetic resonance imaging as soon as possible. We suggest a direction how to make a proper diagnosis and management of sudden vertebral artery hemorrhage in patients with TS.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stochholm, K" uniqKey="Stochholm K">K Stochholm</name></author><author><name sortKey="Juul, S" uniqKey="Juul S">S Juul</name></author><author><name sortKey="Juel, K" uniqKey="Juel K">K Juel</name></author><author><name sortKey="Naeraa, Rw" uniqKey="Naeraa R">RW Naeraa</name></author><author><name sortKey="Gravholt, Ch" uniqKey="Gravholt C">CH Gravholt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosen, Km" uniqKey="Rosen K">KM Rosen</name></author><author><name sortKey="Sirota, Dk" uniqKey="Sirota D">DK Sirota</name></author><author><name sortKey="Marinoff, Sc" uniqKey="Marinoff S">SC Marinoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gravholt, Ch" uniqKey="Gravholt C">CH Gravholt</name></author><author><name sortKey="Juul, S" uniqKey="Juul S">S Juul</name></author><author><name sortKey="Naeraa, Rw" uniqKey="Naeraa R">RW Naeraa</name></author><author><name sortKey="Hansen, J" uniqKey="Hansen J">J Hansen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buheitel, G" uniqKey="Buheitel G">G Buheitel</name></author><author><name sortKey="Singer, H" uniqKey="Singer H">H Singer</name></author><author><name sortKey="Hofbeck, M" uniqKey="Hofbeck M">M Hofbeck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sybert, Vp" uniqKey="Sybert V">VP Sybert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Muscat, P" uniqKey="Muscat P">P Muscat</name></author><author><name sortKey="Lidov, M" uniqKey="Lidov M">M Lidov</name></author><author><name sortKey="Nahar, T" uniqKey="Nahar T">T Nahar</name></author><author><name sortKey="Tuhrim, S" uniqKey="Tuhrim S">S Tuhrim</name></author><author><name sortKey="Weinberger, J" uniqKey="Weinberger J">J Weinberger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chung, J" uniqKey="Chung J">J Chung</name></author><author><name sortKey="Park, Is" uniqKey="Park I">IS Park</name></author><author><name sortKey="Hwang, Sh" uniqKey="Hwang S">SH Hwang</name></author><author><name sortKey="Han, Jw" uniqKey="Han J">JW Han</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bondy, Ca" uniqKey="Bondy C">CA Bondy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bolar, K" uniqKey="Bolar K">K Bolar</name></author><author><name sortKey="Hoffman, Ar" uniqKey="Hoffman A">AR Hoffman</name></author><author><name sortKey="Maneatis, T" uniqKey="Maneatis T">T Maneatis</name></author><author><name sortKey="Lippe, B" uniqKey="Lippe B">B Lippe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Hk" uniqKey="Park H">HK Park</name></author><author><name sortKey="Lee, Hs" uniqKey="Lee H">HS Lee</name></author><author><name sortKey="Ko, Jh" uniqKey="Ko J">JH Ko</name></author><author><name sortKey="Hwang, It" uniqKey="Hwang I">IT Hwang</name></author><author><name sortKey="Hwang, Js" uniqKey="Hwang J">JS Hwang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Yu, Min Kyung" sort="Yu, Min Kyung" uniqKey="Yu M" first="Min Kyung" last="Yu">Min Kyung Yu</name></region><name sortKey="Chae, Hyun Wook" sort="Chae, Hyun Wook" uniqKey="Chae H" first="Hyun Wook" last="Chae">Hyun Wook Chae</name><name sortKey="Jung, Mo Kyung" sort="Jung, Mo Kyung" uniqKey="Jung M" first="Mo Kyung" last="Jung">Mo Kyung Jung</name><name sortKey="Kim, Duk Hee" sort="Kim, Duk Hee" uniqKey="Kim D" first="Duk Hee" last="Kim">Duk Hee Kim</name><name sortKey="Kim, Ho Seong" sort="Kim, Ho Seong" uniqKey="Kim H" first="Ho-Seong" last="Kim">Ho-Seong Kim</name><name sortKey="Kim, Ki Eun" sort="Kim, Ki Eun" uniqKey="Kim K" first="Ki Eun" last="Kim">Ki Eun Kim</name><name sortKey="Kwon, Ah Reum" sort="Kwon, Ah Reum" uniqKey="Kwon A" first="Ah Reum" last="Kwon">Ah Reum Kwon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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