Spontaneous hemorrhage within the neck of a neurofibromatosis type 1 patient |
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Authors: | Hung Min Chen Yang Eric Huang Ying C Chang Ruey-Sheng |
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Affiliation: | Department of Emergency Medicine, Chiayi Christian Hospital, Chiayi City, Taiwan. |
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Abstract: | BackgroundSpontaneous arterial bleeding in patients with type 1 neurofibromatosis is uncommon. It can be fatal if not recognized and treated in a timely manner.ObjectivesDiagnose and treat an uncommon complication in type 1 neurofibromatosis.Case ReportWe 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.ConclusionDue 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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Keywords: | neurofibromatosis type 1 pseudoaneurysm spontaneous rupture |
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