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脑磁共振成像在努南综合征中的临床报告。

Clinical report of a brain magnetic resonance imaging finding in Noonan syndrome.

机构信息

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini, 5, 80131, Naples, Italy.

Medical, Surgical, and Dental Department, Università degli Studi di Salerno, Salerno, Italy.

出版信息

Childs Nerv Syst. 2021 Dec;37(12):3963-3966. doi: 10.1007/s00381-021-05149-0. Epub 2021 Apr 3.

DOI:10.1007/s00381-021-05149-0
PMID:33811550
Abstract

Noonan syndrome (NS) is an autosomal dominant disease caused by aberrant up-regulated signaling through RAS GTPase. It is characterized by facial dysmorphisms, short stature, congenital heart defects, malformations of rib cage bones, bleeding problems, learning difficulties, or mild intellectual disability. Additional intracranial findings in NS patients include tumors, midline anomalies, and malformations of cortical development. In this report, we present the case of a young female patient, with a known diagnosis of Noonan syndrome that in complete well being developed two brain lesions, in the right nucleus pallidus and in the left cerebellar hemisphere respectively, whose location and signal on MRI looked similar to neurofibromatosis type 1 unidentified bright objects (UBOs), and whose spectroscopic characteristics excluded neoplasms.

摘要

努南综合征(Noonan syndrome,NS)是一种常染色体显性疾病,由 RAS GTPase 信号通路异常上调引起。其特征为面部畸形、身材矮小、先天性心脏病、胸廓骨骼畸形、出血问题、学习困难或轻度智力障碍。NS 患者的颅内其他发现包括肿瘤、中线异常和皮质发育畸形。在本报告中,我们介绍了一位年轻女性患者的病例,该患者已知患有努南综合征,身体健康,但分别在右侧苍白球和左侧小脑半球形成了两个脑部病变,其在 MRI 上的位置和信号类似于神经纤维瘤病 1 型未识别的明亮物体(unidentified bright objects,UBOs),且其光谱特征排除了肿瘤。

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Clinical report of a brain magnetic resonance imaging finding in Noonan syndrome.脑磁共振成像在努南综合征中的临床报告。
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2
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引用本文的文献

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Signal Abnormalities in Noonan Syndrome are Probably Consistent with Focal Areas of Signal Intensity (FASI).努南综合征中的信号异常可能与信号强度局灶区(FASI)一致。
Clin Neuroradiol. 2024 Jun;34(2):495-497. doi: 10.1007/s00062-023-01356-1. Epub 2023 Oct 17.
2
Neurosurgical aspects of Noonan syndrome.努南综合征的神经外科方面。
Childs Nerv Syst. 2023 Apr;39(4):849-856. doi: 10.1007/s00381-023-05888-2. Epub 2023 Feb 27.
3
MRI and MR neurography features of a patient with Noonan syndrome associated with diffuse thickening of peripheral and cranial nerves.

本文引用的文献

1
Expanding the SHOC2 mutation associated phenotype of Noonan syndrome with loose anagen hair: structural brain anomalies and myelofibrosis.扩大与 Noonan 综合征相关的 SHOC2 突变表型:结构脑异常和骨髓纤维化。
Am J Med Genet A. 2013 Oct;161A(10):2420-30. doi: 10.1002/ajmg.a.36098. Epub 2013 Aug 5.
2
Neurofibromatosis bright objects in children with neurofibromatosis type 1: a proliferative potential?1型神经纤维瘤病患儿的神经纤维瘤病明亮物体:具有增殖潜力吗?
Pediatrics. 1999 Oct;104(4):e49. doi: 10.1542/peds.104.4.e49.
一名患有努南综合征且伴有周围神经和颅神经弥漫性增厚患者的MRI及磁共振神经成像特征
Childs Nerv Syst. 2022 Nov;38(11):2043-2045. doi: 10.1007/s00381-022-05691-5. Epub 2022 Sep 29.