Is Schimmelpenning Syndrome Associated with Intracranial Tumors? A Case Report

Pediatr Neurosurg. 2019;54(3):201-206. doi: 10.1159/000497149. Epub 2019 Mar 15.

Abstract

Schimmelpenning syndrome is a rare, well-defined constellation of clinical phenotypes associated with the presence of nevus sebaceous and multisystem abnormalities most commonly manifested as cerebral, ocular, and skeletal defects [<xref ref-type="bibr" rid="ref1">1</xref>]. A single nucleotide mutation in the HRAS or KRAS genes resulting in genetic mosaicism is responsible for the clinical manifestations of this syndrome in the majority of cases. We report a case of an adolescent boy with Schimmelpenning syndrome with a multifocal pilocytic astrocytoma. No HRAS or KRAS gene mutations were noted in the tumor on genetic sequencing. However, glial tumors have been associated with genetic mutations of RAS upregulation, which may imply a common pathway.

Keywords: Pilocytic astrocytoma; RASopathy; Schimmelpenning syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Astrocytoma / diagnostic imaging
  • Astrocytoma / pathology*
  • Astrocytoma / surgery
  • Brain Neoplasms / diagnostic imaging
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery
  • Humans
  • Male
  • Nevus, Sebaceous of Jadassohn / complications*
  • Nevus, Sebaceous of Jadassohn / genetics
  • Phenotype
  • Proto-Oncogene Proteins p21(ras) / genetics
  • Seizures / etiology

Substances

  • KRAS protein, human
  • Proto-Oncogene Proteins p21(ras)