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Ehlers-Danlos Syndrome with Vertebral Artery Aneurysm

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source: Proceedings of the Royal Society of Medicine

year: 1969

authors: Edwards A, Taylor GW


Mr P D S, aged 28. Engineer from Goa
History: Bruised easily and wounds healed poorly as long as he could remember. Although there was no similar family history all five of his father’s siblings died before middle age and his baby daughter, who was premature, exhibits hyperextensibility of the fingers. 1962: large spontaneous painful hematoma of his left thigh. March 1968: appendicectomy, complicated by pneumonitis, paralytic ileus and Gram-negative septicemia. Ten days post-operatively 1,500 ml of infected hkmatoma was removed from his peritoneal cavity at laparotomy. Subsequently he complained of pain in his neck, which on two occasions was infiltrated, in the region of the occipital attachment of the left trapezius muscle, with hydrocortisone and lignocaine. Two days later a pulsatile swelling appeared in his neck, associated with tinnitus and headache.

organization: St Bartholomew's Hospital London

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