title: Vascular Ehlers-Danlos syndrome: a rare disorder presenting with focal convulsions.
abstract: Vascular Ehlers-Danlos Syndrome (VEDS), previously called Ehlers-Danlos syndrome type-IV, is a heterogeneous group of heritable connective tissue disorders characterized by thin, translucent skin, easy bruising, arterial, intestinal, and/or uterine fragility. There is large vessel involvement that leads to arterial rupture often preceded by aneurysm, arteriovenous fistulae, or dissection. Noninvasive imaging studies such as CT angiography and MR angiography are preferred as diagnostic studies for this condition. We are reporting a 4 years old girl who was presented with right sided unilateral convulsions and hypertension. CT angiogram showed stenosis with post-stenotic dilatation of coeliac and superior mesenteric arteries. There were extensive calcified plaques with atherosclerotic changes in the segment of right common iliac artery with aneurysmal dilatation of celiac, superior mesenteric and common iliac artery. Radiological findings were consistent with vascular Ehlers-Danlos syndrome. She was successfully managed with anti-hypertensive and anticonvulsants.
authors.affiliation: Department of Paediatrics, Bahria University Medical and Dental College, Karachi.
authors.forename: Shakeel
authors.initials: S
authors.lastname: Ahmed
authors.affiliation: Department of Paediatrics, The Aga Khan University Hospital, Karachi.
authors.forename: Syed Rehan
authors.initials: SR
authors.lastname: Ali
authors.affiliation: Department of Radiology, The Aga Khan University Hospital, Karachi.
authors.forename: Naila
authors.initials: N
authors.lastname: Nadeem
authors.affiliation: Division of Paediatric Medicine, The Hospital for Sick Children, Toronto.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Hamid
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000927:Anticonvulsants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004535:Ehlers-Danlos Syndrome / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006470:Hemorrhage; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology*; D007083:Iliac Artery; D035583:Rare Diseases; D012422:Rupture, Spontaneous; D012640:Seizures / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D000959:Antihypertensive Agents