Scientific publications

Spinal extradural arachnoid cysts in lymphedema-distichiasis syndrome

Sánchez-Carpintero R [SP], Dominguez P, Núñez MT, Patiño-García A. [SP]
From the 1Department of Pediatrics, Pediatric Neurology Unit; 2Department of Radiology, Neuroradiology Unit; and 3Department of Pediatrics, Laboratory of Pediatrics, University Clinic of Navarra, Pamplona, Spain.

Magazine: Genetics in Medicine

Date: Jun 8, 2010

Pediatrics [SP]

PURPOSE
Lymphedema-distichiasis syndrome is characterized by the presence of lower limb lymphedema and supernumerary eyelashes arising from the Meibomian glands. Spinal extradural arachnoid cysts have been observed in some families but their true frequency is unknown. The aim of this study is to determine the frequency of spinal extradural arachnoid cysts in lymphedema distichiasis syndrome.

METHODS
We collected clinical information from all 45 living members of a complete family of 48 members and performed molecular analysis of the FOXC2 gene in 30 individuals. We obtained spinal magnetic resonance imaging from all family members with a FOXC2 gene mutation.

RESULTS
Twelve family members carried a mutation in the FOXC2 gene and had clinical features of lymphedema-distichiasis syndrome. Of these, 58% (seven individuals) had extradural arachnoid cysts.

DISCUSSION
We suggest that a follow-up protocol for lymphedema-distichiasis syndrome families should include spinal magnetic resonance imaging for all affected members so that the timing of surgery for removal of these cysts can be optimized.

CITATION  Genet Med. 2010 Aug;12(8):532-5

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