Symptomatic Neurocutaneous Melanosis Associated with Dandy Walker Complex
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초록
Neurocutaneous melanosis (NCM) is a rare nonheritable congenital phakomatosis. NCM is characterized by large or multiple (>3) congenital nevi that are associated with benign and/or malignant melanocytic tumors of the leptomeninges. Approximately 10% of symptomatic patients with NCM have associated Dandy Walker complex (DWC), which seems to have an extremely poor prognosis. We report the case of a 7 year-old patient with multiple congenital NCM associated with DWC, who experienced a transient improvement in neurological symptoms including mental status and hemiparesis after intravenous immunoglobulin (IVIG) therapy. We suggest that the administration of IVIG may play a role in the treatment of symptomatic NCM.
Abstract
Neurocutaneous melanosis (NCM) is a rare nonheritable congenital phakomatosis. NCM is characterized by large or multiple (>3) congenital nevi that are associated with benign and/or malignant melanocytic tumors of the leptomeninges. Approximately 10% of symptomatic patients with NCM have associated Dandy Walker complex (DWC), which seems to have an extremely poor prognosis. We report the case of a 7 year-old patient with multiple congenital NCM associated with DWC, who experienced a transient improvement in neurological symptoms including mental status and hemiparesis after intravenous immunoglobulin (IVIG) therapy. We suggest that the administration of IVIG may play a role in the treatment of symptomatic NCM.
참고문헌 (20)
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