Hemophilic pseudotumor of the first lumbar vertebra
| Autor: | Gabriel David Sundararaj, Justin Arockiaraj, Venkatesh Krishnan, Gurusamy Nachimuthu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
tumor medicine.medical_specialty Case Report Lumbar vertebrae Hemophilia A spine Lumbar lcsh:Orthopedic surgery medicine.artery pseudotumor medicine Orthopedics and Sports Medicine Intraoperative Neurological Injury First lumbar vertebra medicine.diagnostic_test business.industry lumbar spine Perioperative lumbar vertebrae Surgery lcsh:RD701-811 stomatognathic diseases medicine.anatomical_structure lumbar spine MeSH terms: Hemophilia A Orthopedic surgery Angiography Artery of Adamkiewicz business |
| Zdroj: | Indian Journal of Orthopaedics Indian Journal of Orthopaedics, Vol 48, Iss 6, Pp 617-620 (2014) |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Hemophilic pseudotumor involving the spine is extremely uncommon and presents a challenging problem. Preoperative planning, angiography, intra and perioperative monitoring with factor VIII cover and postoperative care for hemophilic pseudotumor is vital. Recognition of the artery of Adamkiewicz in the thoracolumbar junction helps to avoid intraoperative neurological injury. We report the case of a 26-year-old male patient with hemophilia A, who presented with a massive pseudotumor involving the first lumbar vertebra and the left iliopsoas. Preoperative angiography revealed the artery of Adamkiewicz arising from the left first lumbar segmental artery. Excision of pseudotumor was successfully carried out with additional spinal stabilization. At 2 years followup, there was no recurrence and the patient was well stabilized with a satisfactory functional status. Surgical excision gives satisfactory outcome in such cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink