Transarterial Embolization for Cervical Hemangioma Associated With Kasabach-Merritt Syndrome : Case Report
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概要
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A 2-month-old girl presented with cervical hemangioma associated with Kasabach-Merritt syndrome. The patient had previously undergone systemic administration of corticosteroids (prednisolone 2 mg/kg/day) and radiotherapy (0.5 Gy × 5 times), which temporarily increased the platelet count, but the effects were short-lived and thrombocytopenia gradually worsened again despite increased dosage of prednisolone to 5 mg/kg/day. Computed tomography and magnetic resonance imaging revealed a hemangioma in the left retroauricular-cervical region with a well-enhanced, ill-defined margin and bony structure involvement. Diagnostic and therapeutic angiography were carried out through the femoral route under general anesthesia. Polyvinyl alcohol particles (250-350 μm) suspended in contrast medium were slowly injected and a fibered coil was finally placed in the proximal portion of the arterial feeder. Angiography after embolization revealed a marked reduction in the tumor stain. Platelet count rapidly increased and reached the normal range on postembolization day 7. Tumor tension decreased on the day after the procedure and tumor size gradually decreased. The patient was discharged with oral corticosteroid therapy at 6 months postembolization. Corticosteroid dose was gradually decreased and coagulation parameters were normal at 1 year postembolization.
- 2011-05-15
著者
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Enomoto Yukiko
Department Of Neurosurgery Graduate School Of Medicine Gifu University
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Enomoto Yukiko
Department Of Chemistry Graduate School Of Science Osaka University
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Yoshimura Shinichi
Department Of Neurosurgery Graduate School Of Medicine Gifu University
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Iwama Toru
Department Of Cardiology Tokyo Metropolitan Bokutoh General Hospital
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Iwama Toru
Department Of Neurosurgery Graduate School Of Medicine Gifu University
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Yoshimura Shinichi
Department Of Molecular Life Science Tokai University School Of Medicine
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Egashira Yusuke
Department Of Neurosurgery Graduate School Of Medicine Gifu University
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Egashira Yusuke
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Yoshimura Shinichi
Department Of Molecular Life Science (cell Biology) Tokai University School Of Medicine
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Yoshimura Shinichi
Department of Molecular Life science (Cell Biology Division), Tokai University School of Medicine
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