Neurofibromatosis type 1 and multiple traumatic cervical arterial injuries: a case report.

Cases Journal
Bertrand SauneufBenoit Plaud

Abstract

Blunt injury to the carotid and vertebral arteries is uncommon and potentially devastating. Neurofibromatosis type 1, or von Recklinghausen's disease is an autosomal dominant disorder affecting one in 3000 individuals. This genetic disease may affect many organs, including vessels. This report describes a very unusual case of multiple traumatic arterial injuries in a 44-year-old Caucasian neurofibromatosis type 1 patient, with delayed diagnosis. The vascular abnormalities observed in neurofibromatosis type 1, probably enhanced the arterial lesions. Medical treatment with antiplatelet therapy combined with endovascular stent-assisted angioplasty allowed a good evolution for the patient. Patients with medical history of neurofibromatosis type I are at risk to develop blunt cervical vascular injury. This association has to be known by emergency and intensivist physicians to optimize screening of cerebrovascular injuries and treat early such devastating lesions.

References

Jun 1, 1988·Neurology·B MokriD G Piepgras
Feb 10, 1994·The New England Journal of Medicine·W I SchievinkW M O'Fallon
Jul 2, 1997·JAMA : the Journal of the American Medical Association·D H GutmannD Viskochil
Nov 15, 2000·American Journal of Medical Genetics·A E LinJ M Friedman
May 16, 2006·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Akihiro IshizuTakashi Yoshiki

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Citations

Oct 23, 2010·The Cerebellum·Gulcin BenbirCengiz Yalcinkaya

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Methods Mentioned

BETA
dissection
X-ray

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