Intracerebral large artery disease in Aicardi-Goutières syndrome with TREX1 mutation: a case report

Autor: Steven Shinn-Forng Peng, Wang-Tso Lee, Chang-Chun Wu
Rok vydání: 2020
Předmět:
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 41(11)
ISSN: 1590-3478
Popis: We report a patient diagnosed with Aicardi-Goutieres syndrome (AGS) with homozygous TREX1 gene mutation. Her magnetic resonance angiography (MRA) showed intracerebral large artery disease, which was rarely reported in the past in TREX1 AGS patients. Her younger sister also had homozygous TREX1 gene mutation and died of necrotizing enterocolitis. Intracerebral large artery involvement has been seen as a particular feature of SAMHD1-related disease. Our patient also had arthropathy, which is a finding more commonly mentioned in SAMHD1-related diseases. The observations in our case may contribute to our understanding of the pathogenetic mechanism of TREX1 AGS, involving the intracerebral large arteries, arthropathy, and possibly the gastrointestinal tract.
Databáze: OpenAIRE