Spastic quadriplegia following intradermal use of hydrogen peroxide in the tardive curettage procedure for the treatment of a giant congenital nevus

G Ital Dermatol Venereol. 2020 Dec;155(6):780-782. doi: 10.23736/S0392-0488.16.05231-7.

Abstract

The possible transformation of a giant congenital melanocytic nevi (GCMN) in malignant melanoma estimated from 0.05% to 40% depend on the size of the lesions. Many are the surgical procedures proposed, including: full or partial-thickness excisions, dermabrasion, curettage in the first weeks of life and laser treatment. The curettage technique has been proposed in the literature for the treatment of GCMN in the first few weeks of life and defined as a relatively atraumatic surgery procedure without general complications. The authors report the first case in the literature of embolization due to use of subcutaneous peroxide infiltration before a tardive curettage procedure in a newborn case of GCMN resulting in spastic quadriplegia with dystonic reaction. Consequently, a lawsuit, due to this medical malpractice, has been opened.

Publication types

  • Case Reports

MeSH terms

  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / etiology
  • Curettage / methods*
  • Dystonia / chemically induced*
  • Humans
  • Hydrogen Peroxide / administration & dosage
  • Hydrogen Peroxide / adverse effects*
  • Infant
  • Injections, Subcutaneous / adverse effects*
  • Injections, Subcutaneous / methods
  • Lung / diagnostic imaging
  • Male
  • Malpractice
  • Nevus, Pigmented / surgery*
  • Occipital Lobe / diagnostic imaging
  • Parietal Lobe / diagnostic imaging
  • Preoperative Care / adverse effects*
  • Pressure
  • Quadriplegia / chemically induced*
  • Seizures / chemically induced
  • Skin Neoplasms / surgery*

Substances

  • Hydrogen Peroxide

Supplementary concepts

  • Melanocytic nevus syndrome, congenital