Spontaneous hemorrhage within the neck of a neurofibromatosis type 1 patient

Min Chen Hung; Eric Yang; Ying C. Huang; Ruey-Sheng Chang

doi:10.1016/j.jemermed.2011.05.024

Spontaneous hemorrhage within the neck of a neurofibromatosis type 1 patient

Min Chen Hung, Eric Yang, Ying C. Huang, Ruey-Sheng Chang

Department of Medical Imaging(NCKUH)

Research output: Contribution to journal › Article

5 Citations (Scopus)

Abstract

Background: Spontaneous arterial bleeding in patients with type 1 neurofibromatosis is uncommon. It can be fatal if not recognized and treated in a timely manner. Objectives: Diagnose and treat an uncommon complication in type 1 neurofibromatosis. Case Report: We report a patient with type 1 neurofibromatosis who bled spontaneously from a pseudoaneurysm arising from a branch of the left thyrocervical artery. The patient was successfully treated with endovascular therapy. Conclusion: Due to the high fragility of involved vessels in patients with type 1 neurofibromatosis, emergent angiography and endovascular therapy should be undertaken without delay, regardless of the presence or absence of contrast extravasation on computed tomography scan.

Original language	English
Pages (from-to)	448-450
Number of pages	3
Journal	Journal of Emergency Medicine
Volume	43
Issue number	3
DOIs	https://doi.org/10.1016/j.jemermed.2011.05.024
Publication status	Published - 2012 Sep 1

All Science Journal Classification (ASJC) codes

Emergency Medicine

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10.1016/j.jemermed.2011.05.024

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Hung, M. C., Yang, E., Huang, Y. C., & Chang, R-S. (2012). Spontaneous hemorrhage within the neck of a neurofibromatosis type 1 patient. Journal of Emergency Medicine, 43(3), 448-450. https://doi.org/10.1016/j.jemermed.2011.05.024

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AB - Background: Spontaneous arterial bleeding in patients with type 1 neurofibromatosis is uncommon. It can be fatal if not recognized and treated in a timely manner. Objectives: Diagnose and treat an uncommon complication in type 1 neurofibromatosis. Case Report: We report a patient with type 1 neurofibromatosis who bled spontaneously from a pseudoaneurysm arising from a branch of the left thyrocervical artery. The patient was successfully treated with endovascular therapy. Conclusion: Due to the high fragility of involved vessels in patients with type 1 neurofibromatosis, emergent angiography and endovascular therapy should be undertaken without delay, regardless of the presence or absence of contrast extravasation on computed tomography scan.

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