Endovascular treatment of huge cervicofacial hemangioma complicated by Kasabach-Merritt syndrome.
A 2-month-old girl with a huge cervicofacial hemangioma complicated by Kasabach-Merritt syndrome was presented. Two weeks corticosteroid treatment was ineffective, and deterioration of coagulation parameters and compromise of the airway and left vision due to huge hemangioma prompted use of endovascular treatment. Transfemoral arterial embolization using polyvinyl alcohol particles resulted in rapid clinical improvement. Endovascular treatment should be considered as an important therapeutic option for hemangioma complicated by Kasabach-Merritt syndrome.
Komiyama
M
M
Department of Neurosurgery, Osaka City General Hospital, Osaka, Japan. komiyama@japan-mail.com
Nakajima
H
H
Kitano
S
S
Sakamoto
H
H
Kurimasa
H
H
Ozaki
H
H
D000743:Anemia, Hemolytic / Q000150:complications*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005153:Facial Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D018324:Hemangioma, Capillary / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D013125:Spinal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D013577:Syndrome; D013921:Thrombocytopenia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome