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Journal of Child Neurology
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A Child With Neurofibromatosis-1 and a Lumbar Epidural Arteriovenous Malformation

Malini Nadig, MD

Pritzker School of Medicine

Ilyas Munshi, MD

Section of Neurosurgery

M. Priscilla Short, MD

Section of Neurosurgery

James H. Tonsgard, MD

Section of Neurology

Christopher Sullivan, MD

Section of Orthopedics

David M. Frim, MD, PhD

Section of Neurosurgery University of Chicago Children's Hospital Chicago, Illinois

A 10-year-old child with neurofibromatosis-1 was evaluated for progressive lumbar scoliosis, back pain, and foot numbness. Magnetic resonance imaging showed several lumbar intraspinal and extraspinal masses consistent with neurofibromas. The mass at L3-L5 compressed the thecal sac and was thought to be the source of the symptoms. On operative exploration, a lumbar epidural arteriovenous malformation was found, which was removed in its entirety. The child's back pain and foot numbness resolved. Epidural arteriovenous malformations in patients with neurofibromatosis-1 are rare and have been reported only in the cervical spine. Our finding of a lumbar epidural arteriovenous malformation in a child with neurofibromatosis-1 demonstrates that vascular anomalies can be present throughout the spine of patients with neurofibromatosis-1 and should be considered in the differential diagnosis of any neurofibromatosis-1-related epidural mass. (J Child Neurol 2000;15:273-275).

Journal of Child Neurology, Vol. 15, No. 4, 273-275 (2000)
DOI: 10.1177/088307380001500417
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