[Spinal abscess in a patient with hereditary hemorrhagic telangiectasia].
Rendu-Osler-Weber syndrome is an autosomal dominant disorder characterized by multiple skin and mucosal telangiectasis and multiorgan arteriovenous malformations. Neurological manifestations may occur because of cerebral arteriovenous malformations, intracranial hemorrhage, and most commonly by ischemic stroke and brain abscess secondary to paradoxical embolization in patients with pulmonary arteriovenous malformations. Intramedullary abscess is a rare, unusual condition, in Rendu-Osler-Weber syndrome. We report the case of a 56 years old woman, with a familial history of Rendu-Osler-Weber syndrome, admitted to intensive care with acute quadriplegia and hypoxemia. Our diagnosis was pulmonary arteriovenous malformations and intramedullary abscess.
Maldonado
Lorena V
LV
Servicio de Cuidados Intensivos, Hospital Británico, Buenos Aires, Argentina.
Soloaga
Elías D
ED
Veltri
Miguel A
MA
Chertcoff
Felipe J
FJ
Ubaldini
Jorge E
JE
D000038:Abscess / Q000150:complications* / Q000175:diagnosis; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities; D011667:Pulmonary Veins / Q000002:abnormalities; D013122:Spinal Diseases / Q000150:complications*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D014057:Tomography, X-Ray Computed