Surgical management of Gorham‑Stout syndrome involving the cervical spine with bilateral pleural effusion: A case report and literature review

Chang,Ke‑Jie; Yang,Meng‑Hang; Li,Bing; Huang,Hai

doi:10.3892/etm.2020.8627

Surgical management of Gorham‑Stout syndrome involving the cervical spine with bilateral pleural effusion: A case report and literature review

Authors:
- Ke‑Jie Chang
- Meng‑Hang Yang
- Bing Li
- Hai Huang
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Affiliations: Department of Respiratory and Critical Care Medicine, Changzheng Hospital, Second Military Medical University, Shanghai 200003, P.R. China
Published online on: March 30, 2020 https://doi.org/10.3892/etm.2020.8627
Pages: 3851-3855

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Abstract

Gorham-Stout syndrome (GSS) is a rare disease characterized by spontaneous and progressive osteolysis caused by benign proliferation of lymphatic vessels or capillaries. It most commonly occurs in children or young individuals without any inherited predisposition. GSS most commonly affects the shoulder girdle, pelvis, ribs and skull. Its diagnosis is mainly based on radiological and pathological findings. The present study reports on the case of a 22‑year‑old male patient diagnosed with GSS involving the C1‑T1 vertebrae accompanied by bilateral pleural effusion. Resection of the occipital and cervical vertebral lesions and spinal reconstruction using an internal fixator were successfully performed via the posterior approach. After the surgery, the patient received bisphosphonate treatment and vitamin D supplementation. The pleural effusion gradually decreased. At the 18‑month follow‑up visit, no evidence of new bone obstruction was present and the patient had no neurological sequelae.

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