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.

Clinical Imaging
|January 25, 2021
PubMed

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.

Related Concept Videos

Disorders of the Nervous Tissue01:28

Disorders of the Nervous Tissue

Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
2.2K
Arteries of the Head and Neck01:26

Arteries of the Head and Neck

The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
2.3K
The Blood-brain Barrier00:49

The Blood-brain Barrier

Overview
50.8K
The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
1.3K
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
86
Cerebrospinal Fluid01:21

Cerebrospinal Fluid

Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain....
4.0K