Moussa R F, Wong J H, Awad I A
Service de Neurochirurgie, Hôpital Hôtel-Dieu, Achrafieh Beyrouth, Liban.
Neurochirurgie. 2001 May;47(2-3 Pt 2):154-7.
Genetic studies are interesting not only in the diagnosis and screening of new cases within a family harboring a particular disease, but also in understanding the underlying genetic and molecular factors related to that disease. Such studies revealed 3 categories of cerebral arteriovenous malformations in relationship to possible genetic factors. The first one concerns cerebral arteriovenous malformations in relationship to inherited diseases where a genetic support is clearly identified. Hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease) represents the most classical picture. The second category corresponds to familial cases of cerebral arteriovenous malformations were several members and relatives of the same family harboring the pathology without clear demonstration of any genetic basis. The third category includes cerebral arteriovenous malformations described in association with neurocutaneous disorders issued from maldevelopment events. Sturge-Weber disease and Wyburn-Mason syndrome best illustrate this category. A review of these categories will help in a better understanding of some genetic issues related to cerebral arteriovenous malformations.
基因研究不仅在对患有特定疾病的家族中的新病例进行诊断和筛查方面具有重要意义,而且在理解与该疾病相关的潜在遗传和分子因素方面也具有重要意义。此类研究揭示了与可能的遗传因素相关的3类脑动静脉畸形。第一类涉及与遗传性疾病相关的脑动静脉畸形,其中遗传支持已得到明确确认。遗传性出血性毛细血管扩张症(伦杜-奥斯勒-韦伯病)是最典型的病例。第二类对应于脑动静脉畸形的家族性病例,即同一家庭的几名成员和亲属患有该疾病,但未明确证明有任何遗传基础。第三类包括与发育异常事件引起的神经皮肤疾病相关的脑动静脉畸形。斯特奇-韦伯病和怀伯恩-梅森综合征是这一类别的最佳例证。对这些类别进行综述将有助于更好地理解与脑动静脉畸形相关的一些遗传问题。