Spontaneous hemorrhage simulating rapid growth of a benign subperiosteal plexiform neurofibroma

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4 Citations (Scopus)

Abstract

Spontaneous subperiosteal hemorrhage is a rare complication of von Recklinghausen's disease. There are few reports describing the MR imaging characteristics of this entity. Our case is unique among these as an underlying plexiform neurofibroma was visualized by MR imaging. We present a 12-year-old child with neurofibromatosis 1 who presented with a rapidly enlarging mass of the fibula. Surgery and pathology revealed subperiosteal hemorrhage into a benign, plexiform neurofibroma. The MR imaging features, pathogenesis and clinical implications of this entity are discussed. Recognition of this disease process and differentiating it from malignant transformation can prevent unnecessary surgery.

Original languageEnglish (US)
Pages (from-to)925-928
Number of pages4
JournalPediatric Radiology
Volume37
Issue number9
DOIs
StatePublished - Sep 2007

Fingerprint

Plexiform Neurofibroma
Neurofibromatosis 1
Hemorrhage
Unnecessary Procedures
Fibula
Growth
Pathology

Keywords

  • Child
  • MRI
  • Neurofibromatosis
  • Plexiform neurofibroma
  • Subperiosteal hemorrhage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health
  • Radiological and Ultrasound Technology

Cite this

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title = "Spontaneous hemorrhage simulating rapid growth of a benign subperiosteal plexiform neurofibroma",
abstract = "Spontaneous subperiosteal hemorrhage is a rare complication of von Recklinghausen's disease. There are few reports describing the MR imaging characteristics of this entity. Our case is unique among these as an underlying plexiform neurofibroma was visualized by MR imaging. We present a 12-year-old child with neurofibromatosis 1 who presented with a rapidly enlarging mass of the fibula. Surgery and pathology revealed subperiosteal hemorrhage into a benign, plexiform neurofibroma. The MR imaging features, pathogenesis and clinical implications of this entity are discussed. Recognition of this disease process and differentiating it from malignant transformation can prevent unnecessary surgery.",
keywords = "Child, MRI, Neurofibromatosis, Plexiform neurofibroma, Subperiosteal hemorrhage",
author = "Blitman, {Netta M.} and Levsky, {Jeffrey M.} and Esperanza Villanueva-Siles and Thornhill, {Beverly Ann}",
year = "2007",
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T1 - Spontaneous hemorrhage simulating rapid growth of a benign subperiosteal plexiform neurofibroma

AU - Blitman, Netta M.

AU - Levsky, Jeffrey M.

AU - Villanueva-Siles, Esperanza

AU - Thornhill, Beverly Ann

PY - 2007/9

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N2 - Spontaneous subperiosteal hemorrhage is a rare complication of von Recklinghausen's disease. There are few reports describing the MR imaging characteristics of this entity. Our case is unique among these as an underlying plexiform neurofibroma was visualized by MR imaging. We present a 12-year-old child with neurofibromatosis 1 who presented with a rapidly enlarging mass of the fibula. Surgery and pathology revealed subperiosteal hemorrhage into a benign, plexiform neurofibroma. The MR imaging features, pathogenesis and clinical implications of this entity are discussed. Recognition of this disease process and differentiating it from malignant transformation can prevent unnecessary surgery.

AB - Spontaneous subperiosteal hemorrhage is a rare complication of von Recklinghausen's disease. There are few reports describing the MR imaging characteristics of this entity. Our case is unique among these as an underlying plexiform neurofibroma was visualized by MR imaging. We present a 12-year-old child with neurofibromatosis 1 who presented with a rapidly enlarging mass of the fibula. Surgery and pathology revealed subperiosteal hemorrhage into a benign, plexiform neurofibroma. The MR imaging features, pathogenesis and clinical implications of this entity are discussed. Recognition of this disease process and differentiating it from malignant transformation can prevent unnecessary surgery.

KW - Child

KW - MRI

KW - Neurofibromatosis

KW - Plexiform neurofibroma

KW - Subperiosteal hemorrhage

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