Myelopathy due to scoliosis with vertebral hypertrophy in Klippel-Trenaunay-Weber syndrome

Arch Orthop Trauma Surg. 2002 Mar;122(2):120-2. doi: 10.1007/s004020100334. Epub 2001 Sep 13.

Abstract

We describe a 37-year-old man complaining of right back pain and gait disturbance. He had a big soft tumor on his right back, hemihypertrophy of the right lower extremity, and right thoracic scoliosis. We diagnosed Klippel-Trenaunay-Weber syndrome based on the pathological findings of the soft tumor. Computed tomography (CT) scan revealed severe spinal stenosis due to a hypertrophic vertebral body and facet joint at T7. Treatment by decompression of hypertrophic bone led to complete neurological recovery. To our knowledge, no case has been reported of Klippel-Trenaunay-Weber syndrome with myelopathy which originated from thoracic scoliosis with a hypertrophic facet joint and vertebral body. We suggest that the cause of myelopathy in Klippel-Trenaunay-Weber syndrome originated not only from arteriovenous fistula, medullary angioma, and extradural hemangioma but also vertebral hypertrophy with scoliosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy, Needle
  • Follow-Up Studies
  • Humans
  • Hypertrophy / complications
  • Hypertrophy / diagnosis
  • Klippel-Trenaunay-Weber Syndrome / complications
  • Klippel-Trenaunay-Weber Syndrome / diagnosis*
  • Laminectomy / methods
  • Male
  • Scoliosis / complications
  • Scoliosis / diagnosis*
  • Scoliosis / surgery
  • Spinal Cord Diseases / complications
  • Spinal Cord Diseases / diagnosis*
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / pathology*
  • Thoracic Vertebrae / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome