Skip to main content
Top
Published in: Child's Nervous System 5/2007

01-05-2007 | Case Report

A report of two cases with dolichosegmental intracranial arteries as a new feature of PHACES syndrome

Authors: Carlos E. Baccin, Timo Krings, Hortensia Álvarez, Augustin Ozanne, Pierre L. Lasjaunias

Published in: Child's Nervous System | Issue 5/2007

Login to get access

Abstract

Background

We describe two previously unreported cases with complete or incomplete expression of PHACES syndrome, a rare congenital syndromal pediatric disorder, which is characterized by posterior cranial fossa malformations, large facial hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, abnormalities of the eye, sternal and supraabdominal raphe defects.

Case reports

These two children exhibited a feature not reviewed extensively in the literature, namely, segmental elongation and dilatation of intracranial arteries associated with intracranial occlusive arterial disease, predominantly on the anterior division of the internal carotid artery (ICA) and on the P2 segment of the posterior cerebral artery. This dolichoectasia was found at the distal cervical internal carotid artery, the intradural segment of the ICA before the division, the trigeminal artery, and the posterior division of the ICA. We presume that the different forms of arterial involvement in PHACES syndrome (arterial stenoses, segmental agenesis of vessels, and the dolichoectasia described in this study) constitute a spectrum of angiogenetic dysfunctions related to an embryonic event involving several cephalic neural crest segments of the dorsal aorta.
Literature
1.
go back to reference Bhattacharya JJ, Luo CB, Alvarez H, Rodesch G, Pongpech S, Lasjaunias PL (2004) PHACES syndrome: a review of eight previously unreported cases with late arterial occlusions. Neuroradiology 46:227–233PubMedCrossRef Bhattacharya JJ, Luo CB, Alvarez H, Rodesch G, Pongpech S, Lasjaunias PL (2004) PHACES syndrome: a review of eight previously unreported cases with late arterial occlusions. Neuroradiology 46:227–233PubMedCrossRef
2.
go back to reference Burrows PE, Robertson RL, Mulliken JB et al (1998) Cerebral vasculopathy and neurologic sequelae in infants with cervicofacial hemangioma: report of eight patients. Radiology 207:601–607PubMed Burrows PE, Robertson RL, Mulliken JB et al (1998) Cerebral vasculopathy and neurologic sequelae in infants with cervicofacial hemangioma: report of eight patients. Radiology 207:601–607PubMed
3.
go back to reference Frieden IJ, Reese V, Cohen D (1996) PHACE syndrome: the association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities. Arch Dermatol 132:307–311PubMedCrossRef Frieden IJ, Reese V, Cohen D (1996) PHACE syndrome: the association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities. Arch Dermatol 132:307–311PubMedCrossRef
4.
go back to reference Metry DW, Dowd CF, Barkovich AJ, Frieden IJ (2001) The many faces of PHACE syndrome. J Pediatr 139:117–123PubMedCrossRef Metry DW, Dowd CF, Barkovich AJ, Frieden IJ (2001) The many faces of PHACE syndrome. J Pediatr 139:117–123PubMedCrossRef
5.
go back to reference Pascual-Castroviejo I (1978) Vascular and nonvascular intracranial malformation associated with external capillary hemangiomas. Neuroradiology 16:82–84PubMedCrossRef Pascual-Castroviejo I (1978) Vascular and nonvascular intracranial malformation associated with external capillary hemangiomas. Neuroradiology 16:82–84PubMedCrossRef
6.
go back to reference Rossi A, Bava GL, Biancheri R, Tortori-Donati P (2001) Posterior fossa and arterial abnormalities in patients with facial capillary haemangioma: presumed incomplete phenotypic expression of PHACES syndrome. Neuroradiology 43(11):934–940PubMedCrossRef Rossi A, Bava GL, Biancheri R, Tortori-Donati P (2001) Posterior fossa and arterial abnormalities in patients with facial capillary haemangioma: presumed incomplete phenotypic expression of PHACES syndrome. Neuroradiology 43(11):934–940PubMedCrossRef
7.
go back to reference Tortori-Donati P, Fondelli MP, Rossi A, Bava GL (1999) Intracranial contrast-enhancing masses in infants with capillary haemangioma of the head and neck: intracranial capillary haemangioma? Neuroradiology 41(5):369–375PubMedCrossRef Tortori-Donati P, Fondelli MP, Rossi A, Bava GL (1999) Intracranial contrast-enhancing masses in infants with capillary haemangioma of the head and neck: intracranial capillary haemangioma? Neuroradiology 41(5):369–375PubMedCrossRef
8.
go back to reference Monnier D, Pelletier F, Aubin F, Puzenat E, Moulin T, Humbert P (2005) Incomplete expression of PHACE (S) syndrome: facial hemangioma associated with absence of the internal carotid artery. Ann Dermatol Venereol 132(5):451–454PubMed Monnier D, Pelletier F, Aubin F, Puzenat E, Moulin T, Humbert P (2005) Incomplete expression of PHACE (S) syndrome: facial hemangioma associated with absence of the internal carotid artery. Ann Dermatol Venereol 132(5):451–454PubMed
9.
go back to reference Hirsch JF, Pierre-Kahn A, Renier D, Sainte-Rose C, Hoppe-Hirsch E (1984) The Dandy–Walker malformation. A review of 40 cases. J Neurosurg 61(3):515–522PubMedCrossRef Hirsch JF, Pierre-Kahn A, Renier D, Sainte-Rose C, Hoppe-Hirsch E (1984) The Dandy–Walker malformation. A review of 40 cases. J Neurosurg 61(3):515–522PubMedCrossRef
10.
go back to reference Goh W, Lo R (1993) A new 3C syndrome: cerebellar hypoplasia, cavernous haemangioma and coarctation of the aorta. Dev Med Child Neurol 35:631–641 Goh W, Lo R (1993) A new 3C syndrome: cerebellar hypoplasia, cavernous haemangioma and coarctation of the aorta. Dev Med Child Neurol 35:631–641
11.
go back to reference Afifi AK, Godersky JC, Menezes A, Smoker WR, Bell WE, Jacoby CG (1987) Cerebral hemiatrophy, hypoplasia of internal carotid artery, and intracranial aneurysm: a rare association occurring in an infant. Arch Neurol 44:232–235PubMed Afifi AK, Godersky JC, Menezes A, Smoker WR, Bell WE, Jacoby CG (1987) Cerebral hemiatrophy, hypoplasia of internal carotid artery, and intracranial aneurysm: a rare association occurring in an infant. Arch Neurol 44:232–235PubMed
12.
go back to reference Pascual-Castroviejo I, Viano J, Moreno F et al (1996) Hemangiomas of the head, neck and chest with associated vascular and brain anomalies: a complex neurocutaneous syndrome. AJNR Am J Neuroradiol 17:461–471PubMed Pascual-Castroviejo I, Viano J, Moreno F et al (1996) Hemangiomas of the head, neck and chest with associated vascular and brain anomalies: a complex neurocutaneous syndrome. AJNR Am J Neuroradiol 17:461–471PubMed
13.
go back to reference Metry DW, Hawrot A, Altman C, Frieden IJ (2004) Association of solitary, segmental hemangiomas of the skin with visceral hemangiomatosis. Arch Dermatol 140(5):591–596PubMedCrossRef Metry DW, Hawrot A, Altman C, Frieden IJ (2004) Association of solitary, segmental hemangiomas of the skin with visceral hemangiomatosis. Arch Dermatol 140(5):591–596PubMedCrossRef
14.
go back to reference Grosso S, De Cosmo L, Bonifazi E et al (2004) Facial hemangioma and malformation of the cortical development: a broadening of the PHACE spectrum or a new entity? Am J Med Genet A 124(2):192–195PubMedCrossRef Grosso S, De Cosmo L, Bonifazi E et al (2004) Facial hemangioma and malformation of the cortical development: a broadening of the PHACE spectrum or a new entity? Am J Med Genet A 124(2):192–195PubMedCrossRef
15.
go back to reference Esterly NB (1995) Cutaneous hemangiomas, vascular stains and malformations, and associated syndromes. Curr Probl Dermatol 7:65–108CrossRef Esterly NB (1995) Cutaneous hemangiomas, vascular stains and malformations, and associated syndromes. Curr Probl Dermatol 7:65–108CrossRef
16.
go back to reference Lasjaunias P, ter Brugge K, Berenstein A (2006) Surgical Neuroangiography. Vascular diseases in children, 2nd edn. Springer, Berlin Heidelberg New York Lasjaunias P, ter Brugge K, Berenstein A (2006) Surgical Neuroangiography. Vascular diseases in children, 2nd edn. Springer, Berlin Heidelberg New York
17.
go back to reference Boon LM, Enjolras O, Mulliken JB (1996) Congenital hemangioma: evidence of accelerated involution. J Pediatr 128:329–335PubMedCrossRef Boon LM, Enjolras O, Mulliken JB (1996) Congenital hemangioma: evidence of accelerated involution. J Pediatr 128:329–335PubMedCrossRef
18.
go back to reference Enjolras O, Mulliken JB, Boon LM, Wassef M, Kozakewich H, Burrows PE (2001) Noninvoluting congenital hemangioma: a rare cutaneous vascular anomaly. Plast Reconstr Surg 107(7):1647–1654PubMedCrossRef Enjolras O, Mulliken JB, Boon LM, Wassef M, Kozakewich H, Burrows PE (2001) Noninvoluting congenital hemangioma: a rare cutaneous vascular anomaly. Plast Reconstr Surg 107(7):1647–1654PubMedCrossRef
19.
go back to reference Waner M, North PE, Scherer KA, Frieden IJ, Waner A, Mihm MC (2003) The nonrandom distribution of facial hemangiomas. Arch Dermatol 139:869–875PubMedCrossRef Waner M, North PE, Scherer KA, Frieden IJ, Waner A, Mihm MC (2003) The nonrandom distribution of facial hemangiomas. Arch Dermatol 139:869–875PubMedCrossRef
20.
go back to reference Burns AJ, Kaplan LC, Mulliken JB (1991) Is there an association between hemangioma and syndromes with dysmorphic features? Pediatrics 88:1257–1267PubMed Burns AJ, Kaplan LC, Mulliken JB (1991) Is there an association between hemangioma and syndromes with dysmorphic features? Pediatrics 88:1257–1267PubMed
21.
go back to reference Kishnani P, Iafolla AK, McConkie-Rosell A, Van Hove JL, Kanter RJ, Kahler SG (1995) Hemangioma, supraumbilical midline raphe, and coarctation of the aorta with a right aortic arch: single causal entity? Am J Med Genet 23; 59(1):44–48CrossRef Kishnani P, Iafolla AK, McConkie-Rosell A, Van Hove JL, Kanter RJ, Kahler SG (1995) Hemangioma, supraumbilical midline raphe, and coarctation of the aorta with a right aortic arch: single causal entity? Am J Med Genet 23; 59(1):44–48CrossRef
22.
go back to reference Crisponi G, Marras AR, Corrias A, Memo L, Gorinati M, Flora PG (2000) Two patients with varying combinations of sternal cleft, haemangiomas, midline abdominal raphe, coarctation of the aorta with a right aortic arc. Clin Dysmorphol 9(2):103–106PubMedCrossRef Crisponi G, Marras AR, Corrias A, Memo L, Gorinati M, Flora PG (2000) Two patients with varying combinations of sternal cleft, haemangiomas, midline abdominal raphe, coarctation of the aorta with a right aortic arc. Clin Dysmorphol 9(2):103–106PubMedCrossRef
23.
go back to reference Raas-Rothschild A, Nir A, Gillis R, Rein AJ (2000) Giant congenital aortic aneurysm with cleft sternum, supraumbilical raphe, and hemangiomatosis: report and review. Am J Med Genet 90(3):243–245PubMedCrossRef Raas-Rothschild A, Nir A, Gillis R, Rein AJ (2000) Giant congenital aortic aneurysm with cleft sternum, supraumbilical raphe, and hemangiomatosis: report and review. Am J Med Genet 90(3):243–245PubMedCrossRef
24.
go back to reference Reese V, Frieden IJ, Paller AS et al (1993) Association of facial hemangiomas with Dandy–Walker and other posterior fossa malformations. J Pediatr 122:379–384PubMedCrossRef Reese V, Frieden IJ, Paller AS et al (1993) Association of facial hemangiomas with Dandy–Walker and other posterior fossa malformations. J Pediatr 122:379–384PubMedCrossRef
25.
go back to reference Golitz LE, Rudikoff J, O’Meara OP (1986) Diffuse neonatal hemangiomatosis. Pediatr Dermatol 3:145–152PubMed Golitz LE, Rudikoff J, O’Meara OP (1986) Diffuse neonatal hemangiomatosis. Pediatr Dermatol 3:145–152PubMed
26.
go back to reference Lopriore E, Markhorst DG (1999) Diffuse neonatal hemangiomatosis: new views on diagnostic criteria and prognosis. Acta Paediatr 88:93–97PubMedCrossRef Lopriore E, Markhorst DG (1999) Diffuse neonatal hemangiomatosis: new views on diagnostic criteria and prognosis. Acta Paediatr 88:93–97PubMedCrossRef
27.
go back to reference Stern JK, Wolf JE, Jarrat M (1981) Benign neonatal hemangiomatosis. J Am Acad Dermatol 4:442–445PubMed Stern JK, Wolf JE, Jarrat M (1981) Benign neonatal hemangiomatosis. J Am Acad Dermatol 4:442–445PubMed
28.
go back to reference Wong CH, Wright JG, Silove ED, Willets R, Brawn WJ (2001) A new syndrome of multiple hemangiomas, right dominant double aortic arch, and coarctation. J Thorac Cardiovasc Surg 121:1207–1209PubMedCrossRef Wong CH, Wright JG, Silove ED, Willets R, Brawn WJ (2001) A new syndrome of multiple hemangiomas, right dominant double aortic arch, and coarctation. J Thorac Cardiovasc Surg 121:1207–1209PubMedCrossRef
29.
go back to reference Bronzetti G, Giardini A, Patrizi A, Prandstraller D, Donti A, Formigari R, Bonvicini M, Picchio FM (2004) Ipsilateral hemangioma and aortic arch anomalies in posterior fossa malformations, hemangiomas, arterial anomalies, coarctation of the aorta, and cardiac defects and eye abnormalities (PHACE) anomaly: report and review. Pediatrics 113(2):412–415PubMedCrossRef Bronzetti G, Giardini A, Patrizi A, Prandstraller D, Donti A, Formigari R, Bonvicini M, Picchio FM (2004) Ipsilateral hemangioma and aortic arch anomalies in posterior fossa malformations, hemangiomas, arterial anomalies, coarctation of the aorta, and cardiac defects and eye abnormalities (PHACE) anomaly: report and review. Pediatrics 113(2):412–415PubMedCrossRef
30.
go back to reference Coats DK, Paysse EA, Levy ML (1999) PHACE: a neurocutaneous syndrome with important ophthalmologic implications: case report and literature review. Ophthalmology 106:1739–1741PubMedCrossRef Coats DK, Paysse EA, Levy ML (1999) PHACE: a neurocutaneous syndrome with important ophthalmologic implications: case report and literature review. Ophthalmology 106:1739–1741PubMedCrossRef
31.
go back to reference Opitz JM, Gilbert EF (1982) CNS anomalies and the midline as a “developmental field.” Am J Med Genet 12:443–455PubMedCrossRef Opitz JM, Gilbert EF (1982) CNS anomalies and the midline as a “developmental field.” Am J Med Genet 12:443–455PubMedCrossRef
32.
go back to reference Hersh JH, Waterfill D, Rutledge J et al (1985) Sternal malformation/vascular dysplasia association. Am J Med Genet 21:177–186PubMedCrossRef Hersh JH, Waterfill D, Rutledge J et al (1985) Sternal malformation/vascular dysplasia association. Am J Med Genet 21:177–186PubMedCrossRef
33.
go back to reference Lasjaunias P, Berenstein A, ter Brugge K (2001) Surgical neuroangiography. Clinical vascular anatomy and variations, vol 1, 2nd edn. Springer, Berlin Heidelberg New York, pp 261–385 Lasjaunias P, Berenstein A, ter Brugge K (2001) Surgical neuroangiography. Clinical vascular anatomy and variations, vol 1, 2nd edn. Springer, Berlin Heidelberg New York, pp 261–385
34.
go back to reference Moreano EH, Puparella MM, Zelterman D, Goycoolea MV (1994) Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope 104:309–320PubMed Moreano EH, Puparella MM, Zelterman D, Goycoolea MV (1994) Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope 104:309–320PubMed
35.
go back to reference Smoker WR, Price MJ, Keyes WD et al (1986) High-resolution computed tomography of the basilar artery: 1. Normal size and position. Am J Neuroradiol 7:55–60PubMed Smoker WR, Price MJ, Keyes WD et al (1986) High-resolution computed tomography of the basilar artery: 1. Normal size and position. Am J Neuroradiol 7:55–60PubMed
36.
go back to reference Yu YL, Moseley IF, Pullicino P, McDonald WI (1982) The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 45:29–36PubMed Yu YL, Moseley IF, Pullicino P, McDonald WI (1982) The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 45:29–36PubMed
37.
go back to reference Pessin MS, Chimowitz MI, Levine SR et al (1989) Stroke in patients with fusiform vertebrobasilar aneurysms. Neurology 39:16–21PubMed Pessin MS, Chimowitz MI, Levine SR et al (1989) Stroke in patients with fusiform vertebrobasilar aneurysms. Neurology 39:16–21PubMed
38.
go back to reference Pico F, Labreuche J, Touboul PJ, Amarenco P (2003) Intracranial arterial dolichoectasia and its relation with atherosclerosis and stroke subtype. Neurology 61:1736–1742PubMed Pico F, Labreuche J, Touboul PJ, Amarenco P (2003) Intracranial arterial dolichoectasia and its relation with atherosclerosis and stroke subtype. Neurology 61:1736–1742PubMed
39.
go back to reference Passero S, Filosomi G (1998) Posterior circulation infarcts in patients with vertebrobasilar dolichoectasia. Stroke 29:653–659PubMed Passero S, Filosomi G (1998) Posterior circulation infarcts in patients with vertebrobasilar dolichoectasia. Stroke 29:653–659PubMed
40.
go back to reference Hennerici M, Rautenberg W, Schwartz A (1987) Transcranial Doppler ultrasound for the assessment of intracranial arterial flow velocity. II. Evaluation of intracranial arterial disease. Surg Neurol 27:523–532PubMedCrossRef Hennerici M, Rautenberg W, Schwartz A (1987) Transcranial Doppler ultrasound for the assessment of intracranial arterial flow velocity. II. Evaluation of intracranial arterial disease. Surg Neurol 27:523–532PubMedCrossRef
41.
go back to reference Lasjaunias PL (2000) Segmental identity and vulnerability in cerebral arteries. Interv Neuroradiol 6:113–124 Lasjaunias PL (2000) Segmental identity and vulnerability in cerebral arteries. Interv Neuroradiol 6:113–124
42.
go back to reference Makos MM, McComb RD, Hart MN, Bennett DR (1987) Alpha-glucosidase deficiency and basilar artery aneurysm: report of a sib ship. Ann Neurol 22:629–633PubMedCrossRef Makos MM, McComb RD, Hart MN, Bennett DR (1987) Alpha-glucosidase deficiency and basilar artery aneurysm: report of a sib ship. Ann Neurol 22:629–633PubMedCrossRef
43.
go back to reference Zambrino CA, Berardinelli A, Martelli A et al (1999) Dolicho–vertebrobasilar abnormality and migraine-like attacks. Eur Neurol 41:10–14PubMedCrossRef Zambrino CA, Berardinelli A, Martelli A et al (1999) Dolicho–vertebrobasilar abnormality and migraine-like attacks. Eur Neurol 41:10–14PubMedCrossRef
44.
go back to reference Mitsias P, Levine SR (1996) Cerebrovascular complications of Fabry’s disease. Ann Neurol 40:8–17PubMedCrossRef Mitsias P, Levine SR (1996) Cerebrovascular complications of Fabry’s disease. Ann Neurol 40:8–17PubMedCrossRef
45.
go back to reference Silverman IE, Berman DM, Dike GL et al (2000) Vertebrobasilar dolichoectasia associated with Marfan syndrome. J Stroke Cerebrovasc Dis 9:196–198CrossRef Silverman IE, Berman DM, Dike GL et al (2000) Vertebrobasilar dolichoectasia associated with Marfan syndrome. J Stroke Cerebrovasc Dis 9:196–198CrossRef
46.
go back to reference Weon Yc, Chung JI, Kim HJ, Byun HS (2005) Agenesis of bilateral internal carotid arteries and posterior fossa abnormality in a patient with facial capillary hemangioma: presumed incomplete phenotypic expression of PHACE syndrome. AJNR Am J Neuroradiol 26:2635–2639PubMed Weon Yc, Chung JI, Kim HJ, Byun HS (2005) Agenesis of bilateral internal carotid arteries and posterior fossa abnormality in a patient with facial capillary hemangioma: presumed incomplete phenotypic expression of PHACE syndrome. AJNR Am J Neuroradiol 26:2635–2639PubMed
Metadata
Title
A report of two cases with dolichosegmental intracranial arteries as a new feature of PHACES syndrome
Authors
Carlos E. Baccin
Timo Krings
Hortensia Álvarez
Augustin Ozanne
Pierre L. Lasjaunias
Publication date
01-05-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 5/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0247-8

Other articles of this Issue 5/2007

Child's Nervous System 5/2007 Go to the issue