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KRIT1突变所致中枢神经系统海绵状畸形合并皮肤血管病变:一例报告

Cavernous malformations of the central nervous system combined with cutaneous vascular lesions due to KRIT1 mutation: a case report.

作者信息

Lan Min-Yu, Liu Yu-Fan, Huang Chao-Chen, Peng Chen-Huei, Liu Jia-Shou, Chang Yung-Yee

机构信息

Department of Neurology, Chang Gung Memorial Hospital - Kaohsiung Medical Center, 123, Ta-Pei Road, Niao-Sung, Kaohsiung County 833, Taiwan.

出版信息

Clin Neurol Neurosurg. 2010 Oct;112(8):729-32. doi: 10.1016/j.clineuro.2010.05.010. Epub 2010 Jun 19.

Abstract

Cavernous malformations (CMs) of the central nervous system can occur in a sporadic condition or as a familial form with an autosomal-dominant inherited pattern. Apart from a family history, some clinical features may help to identify familial CMs. We demonstrate clinical, neuroradiological, pathological, and genetic data of a patient with cerebral and spinal CMs. The presence of multiple cerebral CMs and distinct cutaneous vascular lesions, including hyperkeratotic cutaneous capillary-venous malformations, in this patient suggested familial CMs. A genetic study confirmed a nonsense mutation (c.1708A>T) in the KRIT1 gene.

摘要

中枢神经系统海绵状血管畸形(CMs)可散发性出现,也可呈常染色体显性遗传模式的家族性形式。除家族史外,一些临床特征可能有助于识别家族性CMs。我们展示了一名患有脑和脊髓CMs患者的临床、神经放射学、病理学和遗传学数据。该患者存在多个脑CMs以及独特的皮肤血管病变,包括角化过度性皮肤毛细血管 - 静脉畸形,提示为家族性CMs。基因研究证实KRIT1基因存在无义突变(c.1708A>T)。

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