Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Epilessia e sindrome di Moyamoya in bambino
con neurofibromatosi di tipo 1

Epilepsy and Moyamoya syndrome in a child with neurofibromatosis type 1

Pia Bernardo1, Mario Cirillo2, Roberto Militerni1, Bruno Nobili3, Silverio Perrotta3, Claudia Santoro3
1Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Neuropsichiatria Infantile; 2Dipartimento di Scienze Mediche, Chirurgiche, Neurologiche, Metaboliche e dell’Invecchiamento; 3Centro di Riferimento Regionale Pediatrico della Neurofibromatosi di tipo 1, Seconda Università di Napoli

Giugno 2015

Abstract
Seizures are present in numerous genetic diseases involving the nervous system. Neurofibromatosis type 1 (NF1), a RASopathy characterized by peripheral and central nervous system involvement, has been associated with a higher risk of epilepsy. Recently, new insights on prevalence of epilepsy in NF1 have been produced, showing as epilepsy is primarily associated with tumors of the central nervous system. This partially explains the increased prevalence in this genetic disorder. On the other hand the type, electroclinical features, and the pathogenesis of seizures associated with NF1 without tumors, are poorly characterized to date. The Authors present a case of symptomatic epilepsy in a child with NF1 that represents the clinical onset of a Moyamoya disease. The clinical as-pects, EEG and neuroimaging features, as well as therapeutic approach are also discussed.
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Bibliografia


Bibliografia
  1. Riccardi VM. Neurofibromatosis: Phenotype, Natural History And Pathogenesis. Baltimore: The Johns Hopkins Univerity Press, 1992.
  2. Hirbe AC, Gutmann DH. Neurofibromatosis type 1: a multidisciplinary approach to care. Lancet Neurol 2014;13(8):834-43.
  3. Rosser T, Vezina G, Packer RJ. Cerebrovascular abnormalities in a population of children with neurofibromatosis type 1. Neurology 2005;64(3):553-5.
  4. Ostendorf AP, Gutmann DH, Weisenberg JL. Epilepsy in individuals with neurofibromatosis type 1. Epilepsia 2013;54(10):1810-4.
  5. Korf BR, Carrazana E, Holmes GL. Patterns of seizures observed in association with neuro-fibromatosis 1. Epilepsia 1993;34(4):616-20.
  6. Kulkantrakorn K, Geller TJ. Seizures in neurofibromatosis 1. Pediatr Neurol 1998;19(5):347-50.
  7. Hsieh HY, Fung HC, Wang CJ, Chin SC, Wu T. Epileptic seizures in neurofibromatosis type 1 are related to intracranial tumors but not to neurofibromatosis bright objects. Seizure 2011;20(8):606-11.
  8. Nakase H, Ohnishi H, Touho H, et al. Long-term follow-up study of “epileptic type” moya-moya disease in children. Neurol Med Chir (Tokyo) 1993;33(9):621-4.
  9. Schoenberg BS, Mellinger JF, Schoenberg DG, Barringer FS. Moyamoya disease presenting as a seizure disorder. A case report. Arch Neurol 1977;34(8):511-2.
  10. Hoshino H, Izawa Y, Suzuki N; Research Committee on Moyamoya Disease. Epidemiological features of moyamoya disease in Japan. Neurol Med Chir (Tokyo) 2012;52(5):295-8.
  11. Liu W, Xu G, Liu X. Neuroimaging diagnosis and the collateral circulation in moyamoya disease. Intervent Neurol 2013;1(2):77-86.
  12. Currie S, Raghavan A, Batty R, Connolly DJ, Griffiths PD. Childhood moyamoya disease and moyamoya syndrome: a pictorial review. Pediatr Neurol 2011;44(6):401-13.
  13. Cho A, Chae JH, Kim HM, et al. Electroencephalography in pediatric moyamoya disease: reappraisal of clinical value. Childs Nerv Syst 2014;30(3):449-59.
  14. Vivarelli R, Grosso S, Calabrese F, et al. Epilepsy in neurofibromatosis 1. J Child Neurol 2003;18(5):338-42.
  15. Kaciński M, Kubik A, Kroczka S, Gergont A. Clinical and videoEEG findings in a girl with juvenile moyamoya disease. Brain Dev 2007;29(9):603-6.
  16. Vendrame M, Kaleyias J, Loddenkemper T, et al. Electroencephalogram monitoring during intracranial surgery for moyamoya disease. Pediatr Neurol 2011;44(6):427-32.
  17. Brinciotti M, Di Sabato ML, Matricardi M, Guidetti V. Electroclinical features in children and adolescents with epilepsy and/or migraine, and occipital epileptiform EEG abnormalities. Clin Electroencephalogr 2000;31(2):76-82.
  18. Dlamini N, Goyal S, Jarosz J, Hampton T, Siddiqui A, Hughes E. Paroxysmal episodes, “re-build up” phenomenon and moyamoya disease. Epileptic Disord 2009;11(4):324-8.