Cerebral and spinal cavernomas associated with Klippel-Trenaunay syndrome: case report and literature review

Acta Neurochir (Wien). 2018 Feb;160(2):287-290. doi: 10.1007/s00701-017-3408-5. Epub 2017 Dec 1.

Abstract

Klippel-Trenaunay-Weber syndrome (KTWS) involves a triad of conditions, including cutaneous hemangiomas, venous varicosities, and osseous and soft-tissue hypertrophy of the affected limb. We describe a rare case of multiple cavernomas in the central nervous system in a patient with KTWS. A-64-year-old man with KTWS and a previous brain hemorrhage presented with sudden onset of gait and vesicorectal disturbance. The magnetic resonance imaging scan showed a cavernoma associated with hemorrhage in his lumbosacral spinal cord. Moreover, numerous cavernomas were identified in his brain. He was treated conservatively with no adverse events. Gait disturbance improved, but vesicorectal disturbance did not improve.

Keywords: Cavernoma; Hemorrhage; Klippel-Trenaunay syndrome; Vascular anomaly.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnostic imaging*
  • Fecal Incontinence / etiology
  • Gait Disorders, Neurologic / etiology
  • Hemangioma, Cavernous, Central Nervous System / complications
  • Hemangioma, Cavernous, Central Nervous System / diagnostic imaging*
  • Hemorrhage / complications
  • Hemorrhage / diagnostic imaging*
  • Humans
  • Klippel-Trenaunay-Weber Syndrome*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Spinal Cord Diseases
  • Spinal Cord Neoplasms / complications
  • Spinal Cord Neoplasms / diagnostic imaging*
  • Urinary Retention / etiology