Abstract
Two cases of ruptured aneurysms in the posterior cervical regions associated with type-1 neurofibromatosis treated by transcatheter embolization are reported. Patients presented with acute onset of swelling and pain in the affected areas. Emergently performed contrast-enhanced CT demonstrated aneurysms and large hematomas widespread in the posterior cervical regions. Angiography revealed aneurysms and extravasations of the occipital artery. Patients were successfully treated by percutaneous transcatheter arterial microcoil embolization. Transcatheter arterial embolization therapy was found to be an effective method for treating aneurysmal rupture in the posterior cervical regions occurring in association with type-1 neurofibromatosis. A literature review revealed that rupture of an occipital arterial aneurysm, in the setting of neurofibromatosis type 1, has not been reported previously.
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Brasfield RD (1972) Das Gupta TK (1972) Von Recklinghausen’s disease: a clinicopathological study. Ann Surg 175:86–104
Jeong WK, Park SW, Lee SH, Kim CW (2008) Brachial artery aneurysm rupture in a patient with neurofibromatosis: a case report. J Orthop Surg 16:247–250
Beall AC Jr, Crawford ES, Cooley DA, De Bakey ME (1962) Extracranial aneurysms of the carotid artery. Report of seven cases. Postgrad Med 32:93–102
Welling RE, Taha A, Goel T, Cranley J, Krause R, Hafner C, Tew J (1983) Extracranial carotid artery aneurysms. Surgery 93:319–323
Nadig S, Barnwell S, Wax MK (2009) Pseudoaneurysm of the external carotid artery—review of literature. Head Neck 31:136–139
Salyer WR, Salyer DC (1974) The vascular lesions of neurofibromatosis. Angiology 25:510–519
Arai K, Sanada J, Kurozumi A, Watanabe T, Matsui O (2007) Spontaneous hemothorax in neurofibromatosis treated with percutaneous embolization. Cardiovasc Intervent Radiol 30:477–479
Chew DK, Muto PM, Gordon JK, Straceski AJ, Donaldson MC (2001) Spontaneous aortic dissection and rupture in a patient with neurofibromatosis. J Vasc Surg 34:364–366
Reubi F (1945) Neurofibromatose et lesions vasculaires. Schweiz Med Wochenschr 75:643–647
Greene JF, Fitzwater JE, Burgess J (1974) Arterial lesions associated with neurofibromatosis. Am J Clin Pathol 62:481–487
Hieda M, Toyota N, Kakizawa H, Hirai N, Tachikake T, Yahiro Y, Iwasaki Y, Horiguchi J, Ito K (2007) Endovascular therapy for massive haemothorax caused by ruptured extracranial vertebral artery aneurysm with neurofibromatosis Type 1. Br J Radiol 80:81–84
Smith BL, Munschauer CE, Diamond N, Rivera F (2000) Ruptured internal carotid aneurysm resulting from neurofibromatosis: treatment with intraluminal stent graft. J Vasc Surg 32:824–828
Gutarra F, Rodriguez Asensio J, Miceli M, Mareso E (2007) Ruptured femoropopliteal artery aneurysms in von Recklinghausen neurofibromatosis. J Vasc Surg 46:808–811
Conlon NP, Redmond KC, Celi LA (2007) Spontaneous hemothorax in a patient with neurofibromatosis type 1 and undiagnosed pheochromocytoma. Ann Thorac Surg 84:1021–1023
Miura T, Kawano Y, Chujo M, Miyawaki M, Mori H, Kawahara K (2005) Spontaneous hemothorax in patients with von Recklinghausen’s disease. Jpn J Thorac Cardiovasc Surg 53:649–652
Yoshida K, Tobe S (2005) Dissection and rupture of the left subclavian artery presenting as hemothorax in a patient with von Recklinghausen’s disease. Jpn J Thorac Cardiovasc Surg 53:117–119
Singh S, Riaz M, Wilmshurst AD, Small JO (1998) Radial artery aneurysm in a case of neurofibromatosis. Br J Plast Surg 51:564–565
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Kanematsu, M., Kato, H., Kondo, H. et al. Neurofibromatosis Type 1: Transcatheter Arterial Embolization for Ruptured Occipital Arterial Aneurysms. Cardiovasc Intervent Radiol 34 (Suppl 2), 131–135 (2011). https://doi.org/10.1007/s00270-010-9850-x
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DOI: https://doi.org/10.1007/s00270-010-9850-x