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Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report

Cavernous hemangioma consists mainly of congenital vascular malformations present before birth and gradually increasing in size with skeletal growth. A small number of patients with cavernous hemangioma develop scoliosis, and surgical treatment for the scoliosis in such cases has not been reported t...

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Autores principales: Ogura, Yoji, Watanabe, Kota, Hosogane, Naobumi, Tsuji, Takashi, Ishii, Ken, Nakamura, Masaya, Toyama, Yoshiaki, Chiba, Kazuhiro, Matsumoto, Morio
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065437/
https://www.ncbi.nlm.nih.gov/pubmed/21414205
http://dx.doi.org/10.1186/1748-7161-6-3
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author Ogura, Yoji
Watanabe, Kota
Hosogane, Naobumi
Tsuji, Takashi
Ishii, Ken
Nakamura, Masaya
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
author_facet Ogura, Yoji
Watanabe, Kota
Hosogane, Naobumi
Tsuji, Takashi
Ishii, Ken
Nakamura, Masaya
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
author_sort Ogura, Yoji
collection PubMed
description Cavernous hemangioma consists mainly of congenital vascular malformations present before birth and gradually increasing in size with skeletal growth. A small number of patients with cavernous hemangioma develop scoliosis, and surgical treatment for the scoliosis in such cases has not been reported to date. Here we report a 12-year-old male patient with severe progressive scoliosis due to a huge subcutaneous cavernous hemangioma, who underwent posterior correction and fusion surgery. Upon referral to our department, radiographs revealed a scoliosis of 85° at T6-L1 and a kyphosis of 58° at T4-T10. CT and MR images revealed a huge hemangioma extending from the subcutaneous region to the paraspinal muscles and the retroperitoneal space and invading the spinal canal. Posterior correction and fusion surgery using pedicle screws between T2 and L3 were performed. Massive hemorrhage from the hemangioma occurred during the surgery, with intraoperative blood loss reaching 2800 ml. The scoliosis was corrected to 59°, and the kyphosis to 45° after surgery. Seven hours after surgery, the patient suffered from hypovolemic shock and disseminated intravascular coagulation due to postoperative hemorrhage from the hemangioma. The patient developed sensory and conduction aphasia caused by cerebral hypoxia during the shock on the day of the surgery. At present, two years after the surgery, although the patient has completely recovered from the aphasia. This case illustrates that, in correction surgery for scoliosis due to huge subcutaneous cavernous hemangioma, intraoperative and postoperative intensive care for hemodynamics should be performed, since massive hemorrhage can occur during the postoperative period as well as the intraoperative period.
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spelling pubmed-30654372011-03-29 Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report Ogura, Yoji Watanabe, Kota Hosogane, Naobumi Tsuji, Takashi Ishii, Ken Nakamura, Masaya Toyama, Yoshiaki Chiba, Kazuhiro Matsumoto, Morio Scoliosis Case Report Cavernous hemangioma consists mainly of congenital vascular malformations present before birth and gradually increasing in size with skeletal growth. A small number of patients with cavernous hemangioma develop scoliosis, and surgical treatment for the scoliosis in such cases has not been reported to date. Here we report a 12-year-old male patient with severe progressive scoliosis due to a huge subcutaneous cavernous hemangioma, who underwent posterior correction and fusion surgery. Upon referral to our department, radiographs revealed a scoliosis of 85° at T6-L1 and a kyphosis of 58° at T4-T10. CT and MR images revealed a huge hemangioma extending from the subcutaneous region to the paraspinal muscles and the retroperitoneal space and invading the spinal canal. Posterior correction and fusion surgery using pedicle screws between T2 and L3 were performed. Massive hemorrhage from the hemangioma occurred during the surgery, with intraoperative blood loss reaching 2800 ml. The scoliosis was corrected to 59°, and the kyphosis to 45° after surgery. Seven hours after surgery, the patient suffered from hypovolemic shock and disseminated intravascular coagulation due to postoperative hemorrhage from the hemangioma. The patient developed sensory and conduction aphasia caused by cerebral hypoxia during the shock on the day of the surgery. At present, two years after the surgery, although the patient has completely recovered from the aphasia. This case illustrates that, in correction surgery for scoliosis due to huge subcutaneous cavernous hemangioma, intraoperative and postoperative intensive care for hemodynamics should be performed, since massive hemorrhage can occur during the postoperative period as well as the intraoperative period. BioMed Central 2011-03-17 /pmc/articles/PMC3065437/ /pubmed/21414205 http://dx.doi.org/10.1186/1748-7161-6-3 Text en Copyright ©2011 Ogura et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ogura, Yoji
Watanabe, Kota
Hosogane, Naobumi
Tsuji, Takashi
Ishii, Ken
Nakamura, Masaya
Toyama, Yoshiaki
Chiba, Kazuhiro
Matsumoto, Morio
Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title_full Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title_fullStr Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title_full_unstemmed Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title_short Severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: A case report
title_sort severe progressive scoliosis due to huge subcutaneous cavernous hemangioma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3065437/
https://www.ncbi.nlm.nih.gov/pubmed/21414205
http://dx.doi.org/10.1186/1748-7161-6-3
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