Department of Neurology and Neurosurgery, Riga Stradins University, 1007 Riga, Latvia.
Department of Neurosurgery, Riga East Clinical University Hospital, 1038 Riga, Latvia.
Medicina (Kaunas). 2024 Oct 14;60(10):1688. doi: 10.3390/medicina60101688.
Schimmelpenning syndrome, or epidermal nevus syndrome, is a rare, neurocutaneous disorder characterized by skin abnormalities, such as epidermal nevi, and involvement of the central nervous system, including intracranial tumors. There are only a few reported cases of intracranial tumors associated with Schimmelpenning syndrome. In most cases, a single nucleotide mutation in the RAS family proto-oncogenes, like or genes, can result in the genetic mosaicism that is responsible for the clinical manifestations of this syndrome. The authors present a case report of a woman with Schimmelpenning syndrome who sought medical help with complaints of progressive headache and dizziness. The radiological and histopathological findings indicated an astrocytoma, IDH-mutant (WHO grade 3). The molecular analysis revealed pathogenic changes in the oncogenic gene with a prevalence of 31%. The patient underwent surgical treatment and had no neurological sequelae. By presenting such a clinical case, attention is paid to the interrelationship between genetic syndromes and intracranial tumors.
施密彭宁综合征,又称表皮痣综合征,是一种罕见的神经皮肤疾病,其特征为皮肤异常,如表皮痣,以及中枢神经系统受累,包括颅内肿瘤。与施密彭宁综合征相关的颅内肿瘤仅有少数报道病例。在大多数情况下,RAS 家族原癌基因(如 或 基因)的单个核苷酸突变可导致遗传嵌合体,从而导致该综合征的临床表现。作者报告了一例施密彭宁综合征女性患者,因进行性头痛和头晕寻求医疗帮助。影像学和组织病理学检查结果提示为星形细胞瘤,IDH 突变型(WHO 分级 3 级)。分子分析显示致癌基因 发生了致病性改变,患病率为 31%。患者接受了手术治疗,且无神经后遗症。通过呈现这样一个临床病例,引起了对遗传综合征和颅内肿瘤之间相互关系的关注。