Morshed Ramin A, Lee Anthony T, Lee Young M, Chin Cynthia T, Jacques Line
Department of Neurological Surgery, University of California, San Francisco, California, United States.
Department of Neuroradiology, University of California, San Francisco, California, United States.
J Brachial Plex Peripher Nerve Inj. 2019 Apr 26;14(1):e9-e13. doi: 10.1055/s-0039-1685457. eCollection 2019 Jan.
Schwannomatosis is a distinct syndrome characterized by multiple peripheral nerve schwannomas that can be sporadic or familial in nature. Cases affecting the lower cranial nerves are infrequent. Here, the authors present a rare case of schwannomatosis affecting the left spinal accessory nerve. Upon genetic screening, an in-frame insertion at codon p.R177 of the Sox 10 gene was observed. There were no identifiable alterations in NF1, NF2, LZTR1, and SMARCB1. This case demonstrates a rare clinical presentation of schwannomatosis in addition to a genetic aberration that has not been previously reported in this disease context.
神经鞘瘤病是一种独特的综合征,其特征为多发性周围神经鞘瘤,可为散发性或家族性。累及下颅神经的病例较为罕见。在此,作者报告一例罕见的神经鞘瘤病,累及左侧副神经。基因筛查发现,Sox 10基因第p.R177密码子处存在框内插入。在NF1、NF2、LZTR1和SMARCB1基因中未发现可识别的改变。该病例展示了神经鞘瘤病罕见的临床表现以及此前在该疾病背景下未报道过的基因畸变。