Complex Dysautonomia in a Patient With Cerebral Cavernous Malformations Due to a KRIT1 Pleiotropic Gene Mutation.

autonomic dysfunction barrington’s nucleus cavernous malformation dysautonomia pons vagal dysfunction vagal nerve

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Feb 2024
Historique:
accepted: 26 02 2024
medline: 1 3 2024
pubmed: 1 3 2024
entrez: 1 3 2024
Statut: epublish

Résumé

Dysautonomia is a disruption of the body's autonomic processes. Symptoms vary among patients, depending on the underlying disease pathways. Given that symptoms can affect all organ functions, dysautonomia often significantly impacts quality of life. However, due to its complex and varied presentation, early recognition of dysautonomia remains a challenge, yet it is crucial for improving patient outcomes. We report a case of a patient with a KRIT1 mutation presenting with dysautonomia causing urological, sexual, and bowel dysfunction. We hypothesize that the patient's symptoms are due to a pontine cavernous malformation (CM) caused by the KRIT1 mutation. A literature review was conducted to establish a link between pontine CM and dysautonomia.

Identifiants

pubmed: 38425333
doi: 10.7759/cureus.55202
pmc: PMC10902799
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e55202

Informations de copyright

Copyright © 2024, Janssen et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Roel Janssen (R)

Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, NLD.

Maxime Ariëns (M)

Department of Primary Care Medicine, Radboud University Medical Center, Nijmegen, NLD.

Jessie van Genugten (J)

Department of Neurology, Ziekenhuisgroep Twente Hengelo, Hengelo, NLD.

Linda Jacobi (L)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Centre, Maastricht, NLD.

Ger Koek (G)

Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Centre, Maastricht, NLD.

Classifications MeSH