http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2000/06/Articles/Hereditary-hemorrhagic-telangiectasia-(HHT).aspxA previously healthy 9-year-old boy presented with acute paraparesis, paresthesia, and the inability to urinate. For 4 days prior to presentation, the patient described pain in the neck and upper back. His medical history is significant for recurrent unexplained epistaxis and a maternal history of recurrent epistaxis. On physical examination, no skin lesions were noted. Lower extremity testing revealed paraplegia, hyperreflexic patellar responses, and the plantar response was extensor. Cremasteric and superficial abdominal reflexes were absent, and there was a sensory level at T6. MR imaging of the cervicothoracic spine and contrast-enhanced MR imaging of the brain were performed, followed by conventional cerebral angiography.Thursday, 21 Sep 2000 11:43:11 GMT