Nocturnal Headaches and Pulsatile Cranial Mass: The Tip of an Iceberg
Pediatric Neurology
Abstract: Background: Capillary malformation-arteriovenous malformation (CM-AVM) disorder is a newly defined hereditary disorder of the vasculature with typical defining features that include cutaneous capillary malformations associated with high-flow lesions in various other organ systems. Mutations on the RASA1 gene are reported to be associated with a variety of vascular malformations and present with a widely varying phenotype.Patient: A healthy 3 year old presented with acute onset of severe nocturnal headaches, nausea, and vomiting associated with a 2-cm pulsatile mass and prominent superficial veins on her forehead. Neuroimaging demonstrated a complex vascular malformation with multiple arteriovenous fistulae and cavernous angiomas present in multiple locations in the brain, but not in any other organ system.Results: The patient was found to have a mutation of the RASA1 gene, which has not been previously described in the literature.Conclusions: This case describes a new RASA1 mutation with a phenotype that has not been previously described with a combination of pial fistulae and intracranial AV fistula in the absence of arteriovenous malformations.
Original Article: http://www.pedneur.com/article/S0887-8994(13)00333-0/abstract?rss=yes
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