Case Report
Spinal Cord (2008) 46, 456–458; doi:10.1038/sj.sc.3102133; published online 23 October 2007
Spinal cord arteriovenous malformation presenting as chest pain in a child
C-C Chen1, C-M Wang1, N-K Chu1, K P-H Wu1, S F-T Tang1 and A M-K Wong1
1Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan
Correspondence: Dr C-M Wang, Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chang Gung University, No. 199, Tunghwa Road, Taipei 10507, Taiwan. E-mail: cmw1314@adm.cgmh.org.tw
Received 7 August 2007; Revised 4 September 2007; Accepted 4 September 2007; Published online 23 October 2007.
Abstract
Study design:
A case report of spinal arteriovenous malformation presented as chest pain in a child.
Objectives:
To illustrate the atypical clinical presentation as right chest pain in a child with spinal cord arteriovenous malformation.
Setting:
Chang Gung Memorial Hospital and Chang Gung University, Taiwan.
Case report:
An 8-year-old boy was diagnosed with spinal cord arteriovenous malformation after paraplegia. However, early diagnosis was delayed for the atypical initial clinical presentation as chest pain. After surgery and rehabilitation for 6 months, the patient could walk without assistance.
Conclusions:
Correct diagnosis of spinal cord arteriovenous malformations is sometimes difficult in children with atypical presentations. Early diagnosis relies on detailed examination and high index of suspicion.
Keywords:
spinal cord arteriovenous malformation, chest pain, child, spinal cord injury
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