Large laryngeal vascular malformation in a 5-year-old child

BMJ Case Reports
Christian Sander DanstrupJesper Bille

Abstract

A 5-year-old boy was admitted with stridor, which was initially interpreted as subglottic laryngitis. He had a history of prolonged hoarseness and his voice was deep for his age. The stridor persisted despite treatment with epinephrine inhalations and intravenous glucocorticoids. A direct laryngoscopy and blood work up did not support the suspected diagnosis. A MRI was then carried out, followed by angiography. The latter revealed an arteriovenous malformation (AVM) involving the lingual and superior thyroid arteries bilaterally. Owing to the rareness and extent of such an AVM, the patient was referred to Paris for further treatment. This case presents the difficulties in diagnostics and emphasises the importance of diagnostics and multidisciplinary approaches with regard to treatment of AVMs.

References

May 17, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Theognosia S ChimonaGeorge A Velegrakis
Dec 20, 2005·Journal of Voice : Official Journal of the Voice Foundation·Paul N CardingUNKNOWN ALSPAC Study Team
Sep 19, 2009·European Journal of Pediatrics·An BoudewynsPaul Van de Heyning
Jul 29, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Anniek VisserSwee T Tan
Apr 27, 2012·Auris, Nasus, Larynx·Kenya KobayashiAtsushi Kihara
May 23, 2012·International Journal of Pediatrics·Gresham T Richter, Adva B Friedman
Aug 3, 2013·Pediatric Clinics of North America·Victoria Possamai, Benjamin Hartley

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