Blue rubber bleb nevus syndrome with CNS involvement and thrombosis of a vein of galen malformation.

Abstract:

:A patient is described with the dermatological features of blue rubber bleb nevus syndrome (BRBNS), focal seizures, and lateralized neurological signs. CAT scan demonstrated a nonenhanced density in the region of the vein of Galen. Neuropathological examination showed that this density was a clot within a vein of Galen malformation. Hemangiomas that grossly resembled the skin lesions of BRBNS were seen on the cerebral surface. Many of these hemangiomas were thrombosed and overlay patchy zones of infarction. Numerous vascular malformations of varying histological types were also found within the brain and systemic organs. Bluish, compressible, often raised hemangiomas of the skin should alert physicians to the BRBNS and the potential for vascular malformations ot occur within the brain as well as systemic organs. Diagnosis of BRBNS involving the brain may assist in interpretation of radiographic findings. The tendency of these malformations to thrombose may account for focal neurological deficits.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Waybright EA,Selhorst JB,Rosenblum WI,Suter CG

doi

10.1002/ana.410030522

subject

Has Abstract

pub_date

1978-05-01 00:00:00

pages

464-7

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

3

pub_type

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