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Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor
Currently, there is little in the medical literature on subperiosteal hematomas in neurofibromatosis patients, particularly in those who have subperiosteal neurofibromas. Initial imaging and clinical presentation can be very worrisome and to the unaware may lead to early surgical intervention and/or...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823757/ https://www.ncbi.nlm.nih.gov/pubmed/31695827 http://dx.doi.org/10.1016/j.radcr.2019.08.018 |
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author | Thacker, Paul G. Hull, Nathan C. |
author_facet | Thacker, Paul G. Hull, Nathan C. |
author_sort | Thacker, Paul G. |
collection | PubMed |
description | Currently, there is little in the medical literature on subperiosteal hematomas in neurofibromatosis patients, particularly in those who have subperiosteal neurofibromas. Initial imaging and clinical presentation can be very worrisome and to the unaware may lead to early surgical intervention and/or anxiety in the patient and parents. This report presents the case of a 9-year-old child with neurofibromatosis type-1 and progressively increasing calf pain and swelling about a known plexiform neurofibroma. Imaging at initial presentation and at 1 month demonstrated evolving subperiosteal hemorrhage. This report adds to the small body of literature on subperiosteal hemorrhage as a complication of neurofibromatosis. Additionally, this report demonstrates an approach to noninvasive management of these lesions with the utility of initial and 1 month follow-up radiographs helpful in demonstrating hemorrhage evolution and possibly negating the need for biopsy. |
format | Online Article Text |
id | pubmed-6823757 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68237572019-11-06 Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor Thacker, Paul G. Hull, Nathan C. Radiol Case Rep Pediatric Currently, there is little in the medical literature on subperiosteal hematomas in neurofibromatosis patients, particularly in those who have subperiosteal neurofibromas. Initial imaging and clinical presentation can be very worrisome and to the unaware may lead to early surgical intervention and/or anxiety in the patient and parents. This report presents the case of a 9-year-old child with neurofibromatosis type-1 and progressively increasing calf pain and swelling about a known plexiform neurofibroma. Imaging at initial presentation and at 1 month demonstrated evolving subperiosteal hemorrhage. This report adds to the small body of literature on subperiosteal hemorrhage as a complication of neurofibromatosis. Additionally, this report demonstrates an approach to noninvasive management of these lesions with the utility of initial and 1 month follow-up radiographs helpful in demonstrating hemorrhage evolution and possibly negating the need for biopsy. Elsevier 2019-09-17 /pmc/articles/PMC6823757/ /pubmed/31695827 http://dx.doi.org/10.1016/j.radcr.2019.08.018 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Pediatric Thacker, Paul G. Hull, Nathan C. Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title | Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title_full | Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title_fullStr | Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title_full_unstemmed | Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title_short | Subperiosteal hemorrhage: A rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
title_sort | subperiosteal hemorrhage: a rare complication in neurofibromatosis which may mimic malignant peripheral nerve sheath tumor |
topic | Pediatric |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823757/ https://www.ncbi.nlm.nih.gov/pubmed/31695827 http://dx.doi.org/10.1016/j.radcr.2019.08.018 |
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