Turner syndrome with spinal hemorrhage due to vascular malformation
Annals of Pediatric Endocrinology & Metabolism
; : 235-237, 2015.
Article
de En
| WPRIM
| ID: wpr-164345
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Rupture
/
Rachis
/
Syndrome de Turner
/
Artère vertébrale
/
Dexaméthasone
/
Hormone de croissance
/
Imagerie par résonance magnétique
/
Système cardiovasculaire
/
Comorbidité
/
Dissection vertébrale
Type d'étude:
Diagnostic_studies
Limites du sujet:
Child
/
Female
/
Humans
langue:
En
Texte intégral:
Annals of Pediatric Endocrinology & Metabolism
Année:
2015
Type:
Article