Spontaneous hemorrhage simulating rapid growth of a benign subperiosteal plexiform neurofibroma

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-...

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Veröffentlicht in:Pediatric radiology 2007-09, Vol.37 (9), p.925-928
Hauptverfasser: Blitman, Netta M, Levsky, Jeffrey M, Villanueva-Siles, Esperanza, Thornhill, Beverly A
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container_end_page 928
container_issue 9
container_start_page 925
container_title Pediatric radiology
container_volume 37
creator Blitman, Netta M
Levsky, Jeffrey M
Villanueva-Siles, Esperanza
Thornhill, Beverly A
description 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.
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subjects Bone Neoplasms - diagnosis
Child
Diagnosis, Differential
Female
Hemorrhage - diagnosis
Humans
Magnetic Resonance Imaging
Neurofibroma, Plexiform - diagnosis
Periosteum - blood supply
Periosteum - pathology
title Spontaneous hemorrhage simulating rapid growth of a benign subperiosteal plexiform neurofibroma
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