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Updated: Nov 20, 2025

Induction and Micro-CT Imaging of Cerebral Cavernous Malformations in Mouse Model
Published on: September 4, 2017
Systemic and CNS manifestations of inherited cerebrovascular malformations
Blaine L Hart1, Marc C Mabray1, Leslie Morrison2
1Department of Radiology, MSC10 5530, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Insights
Genetic cerebrovascular malformations, like cerebral cavernous malformations and hereditary hemorrhagic telangiectasia, have complex causes and potential treatments. Research into their genetic and molecular mechanisms, including microbiome interactions, is advancing rapidly.
Area of Science:
- Neurology
- Genetics
- Vascular Biology
Background:
- Cerebrovascular malformations (CVMs) present in both sporadic and inherited forms.
- Genetic CVMs, including familial cerebral cavernous malformations and hereditary hemorrhagic telangiectasia, often involve multisystemic manifestations.
- Understanding the genetic and molecular underpinnings of inherited CVMs is crucial for developing targeted therapies.
Purpose of the Study:
- To review the imaging and clinical features of genetically based CVMs.
- To explore the genetic and molecular mechanisms driving inherited CVMs.
- To discuss current and future treatment prospects for CVMs.
Main Methods:
- Literature review focusing on genetic cerebrovascular malformations.
- Analysis of clinical and imaging features of inherited CVMs.
- Synthesis of current research on genetic mechanisms and potential therapeutic strategies.
Main Results:
- Inherited CVMs frequently exhibit extra-cranial manifestations in bone, skin, eyes, and visceral organs.
- Emerging research highlights the role of the intestinal microbiome in cerebral cavernous malformation development.
- Somatic mutations are implicated in sporadic CVMs, suggesting shared mechanisms with inherited forms.
Conclusions:
- Advances in understanding genetic and molecular mechanisms offer promising avenues for CVM treatment.
- Multisystemic involvement in inherited CVMs necessitates a comprehensive clinical approach.
- Discoveries in inherited CVMs may inform the treatment of sporadic CVMs, emphasizing the interconnectedness of these conditions.
Abstract:
Cerebrovascular malformations occur in both sporadic and inherited patterns. This paper reviews imaging and clinical features of cerebrovascular malformations with a genetic basis. Genetic diseases such as familial cerebral cavernous malformations and hereditary hemorrhagic telangiectasia often have manifestations in bone, skin, eyes, and visceral organs, which should be recognized. Genetic and molecular mechanisms underlying the inherited disorders are becoming better understood, and treatments are likely to follow. An interaction between the intestinal microbiome and formation of cerebral cavernous malformations has emerged, with possible treatment implications. Two-hit mechanisms are involved in these disorders, and additional triggering mechanisms are part of the development of malformations. Hereditary hemorrhagic telangiectasia encompasses a variety of vascular malformations, with widely varying risks, and a more recently recognized association with cortical malformations. Somatic mutations are implicated in the genesis of some sporadic malformations, which means that discoveries related to inherited disorders may aid treatment of sporadic cases. This paper summarizes the current state of knowledge of these conditions, salient features regarding mechanisms of development, and treatment prospects.
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