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Schimmelpenning 综合征合并星形细胞瘤(WHO 分级 3):病例报告。

Association of Schimmelpenning Syndrome with Astrocytoma (WHO Grade 3): Case Report.

机构信息

Department of Neurology and Neurosurgery, Riga Stradins University, 1007 Riga, Latvia.

Department of Neurosurgery, Riga East Clinical University Hospital, 1038 Riga, Latvia.

出版信息

Medicina (Kaunas). 2024 Oct 14;60(10):1688. doi: 10.3390/medicina60101688.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb3a/11509802/74494a25bed8/medicina-60-01688-g001.jpg

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