Skeletal Changes Associated with Vascular Malformations

Jb, Boyd; Mulliken, JB; Lb, Kaban; Upton, Joseph; Je, Murray

doi:10.1097/00006534-198412000-00010

Cited by 203 publications

(60 citation statements)

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“…Kennedy et al [54] recommended awaiting spontaneous resolution in order to avoid potential hazards of surgery. Spontaneous regression is rarely seen and only 1.6–16.0% has been reported [47, 55, 56]. Surgery used to be the mainstay of treatment and remains the treatment of choice for LMs.…”

Section: Discussionmentioning

confidence: 99%

Sudden Onset, Rapidly Expansile, Cervical Cystic Hygroma in an Adult: A Rare Case with Unusual Presentation and Extensive Review of the Literature

Dokania

Rajguru

Kaur

et al. 2017

Case Reports in Otolaryngology

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Cystic hygroma (CH) is a benign infiltrative malformation of the lymphatic channels. We report a case of a 28-year-old Indian female who presented with rapidly enlarging right sided neck swelling over the posterior triangle since 5 days. Complete resection of CH is sometimes not amenable because of its infiltrative nature and involvement of surrounding vital structures. However, in our patient successful complete surgical resection was undertaken. The MRI findings of our patient were consistent with brachial cleft cyst; this posed a challenge in the diagnosis of CH. The histopathological analysis of the resected mass confirmed CH. CH is rare in adults and such an acute presentation is exceptionally atypical. History of prior trauma and infection are known etiological factors for adult CH; these were conspicuously absent in our patient. CH should be considered in the differentials of rapidly enlarging cystic swelling of posterior region of neck in adults. Optimal and timely management is necessary to achieve a favorable prognosis. Therefore, we report a case of rapidly enlarging cervical CH in an adult along with extensive literature review to have a better understanding regarding epidemiology, etiopathogenesis, clinical presentation, optimal management, and prognosis of such a rare entity in adults.

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Section: Discussionmentioning

confidence: 99%

Sudden Onset, Rapidly Expansile, Cervical Cystic Hygroma in an Adult: A Rare Case with Unusual Presentation and Extensive Review of the Literature

Dokania

Rajguru

Kaur

et al. 2017

Case Reports in Otolaryngology

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“…1,3 Their size can increase rapidly secondary to infection, trauma, ligation, attempted excision, or via hormonal influences such as during pregnancy and puberty. 4 AVMs can be divided into 2 categories: fast-flowing and slow-flowing lesions. Fast-flowing lesions are predominantly arteriovenous fistulas, whereas venous, capillary, and lymphatic lesions produce slow blood flow malformations.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous malformation in the pretragal region: Case report

Kim

2011

Head & Neck

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“…This confirms that venous malformations involve bones which are usually normal or hypoplastic. [3][4][5]10 The mild leg-length dis-crepancy seen in 70% of patients with KTS does not seem to progress after the age of ten years. 11 Boyd et al 4 indicated that skeletal changes are commonly associated with vascular malformations while they are seen in less than 1% of patients with haemangiomas.…”

Section: Discussionmentioning

confidence: 99%

“…In many patients without hypertrophy the distal femur or proximal tibia were affected indicating that the theory that increased vascularity in this growthplate area results in hypertrophy seems to be unlikely. 4 While a full discussion of treatment of these malformations falls outside the scope of this study, it should be emphasised that each case should be treated on its own merits. The management of all types of vascular malformation requires a multidisciplinary approach and treatment should, if possible, be conservative.…”

Section: Discussionmentioning

confidence: 99%

“…3 Skeletal changes are commonly associated with vascular malformations while they are rarely seen in conjunction with haemangiomas. 4 There are only a few studies which have investigated the clinical symptoms and signs of vascular malformations with associated osseous involvement. [3][4][5][6][7][8] We have therefore reviewed the symptoms and the incidence of osseous involvement in patients with vascular malformations of the lower limb presenting at our clinic during the past ten years.…”

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confidence: 99%

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Vascular malformations of the lower limb with osseous involvement

Breugem

Maas

Breugem

et al. 2003

The Journal of Bone and Joint Surgery. British volume

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Vascular malformations are rare congenital lesions which often have associated skeletal changes. Over a period of ten years, 90 patients at our clinic had a vascular anomaly of the lower limb, examined by either CT or MRI. Of these, 18 (20%) had bony involvement. A questionnaire was sent to these patients (8 men, 10 women) to evaluate their age of presentation, initial symptoms and current complaints. Radiological imaging revealed 15 low- and three high-flow lesions. The mean age at presentation to a physician was six years of age. Pain was the most common complaint. Disparity in leg length of 2 cm or more was observed in ten patients. Of the 16 patients with muscle infiltration, 13 had four or more muscles involved. Treatment by resection alone would require radical surgery.

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Skeletal Changes Associated with Vascular Malformations

Cited by 203 publications

References 0 publications

Sudden Onset, Rapidly Expansile, Cervical Cystic Hygroma in an Adult: A Rare Case with Unusual Presentation and Extensive Review of the Literature

Sudden Onset, Rapidly Expansile, Cervical Cystic Hygroma in an Adult: A Rare Case with Unusual Presentation and Extensive Review of the Literature

Arteriovenous malformation in the pretragal region: Case report

Vascular malformations of the lower limb with osseous involvement

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