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Case Reports
. 2018 Nov 27:14:31-33.
doi: 10.1016/j.ensci.2018.11.021. eCollection 2019 Mar.

Simple schwannomatosis or an incomplete Coffin-Siris? Report of a particular case

G Bellantoni  1 , F Guerrini  1 , M Del Maestro  1 , R Galzio  1 , S Luzzi  1   2
Affiliations
Case Reports

Simple schwannomatosis or an incomplete Coffin-Siris? Report of a particular case

G Bellantoni et al. eNeurologicalSci. .

Abstract

Background: Schwannomatosis is a genetic disorder that belongs to NF family. The mutation of SMARCB1 gene has been related to this entity and Coffin-Siris syndrome, as well. We reported a case of a female patient with SMARCB1 mutation who has developed a spontaneuous spleen rupture.

Case description: A 28 years old female patient with a story of a Sjogren syndrome, celiac disease and a surgically treated schwannoma, presented to our observation in July 2013 for a pain on the left elbow, where a tumefation was present. After neuroradiological evaluations, a surgical resection was performed and a schwannoma was diagnosed. Genetic exams revealed a puntiform SMARCB1 gene mutation. During 2015, she was subdued to the removal of an another schwannoma located into the cervical medullary canal. Few months later, she was operated in an another hospital for a spontaneous spleen rupture in a possible context of wandering spleen.

Conclusion: We think that the patient could suffer from a partially expressed Coffin-Siris syndrome. No cases of spontaneous rupture in a context of wandering spleen have been ever described as for as schwannomatosis or Coffin-Siris syndrome are concerned. More cases are necessary to establish a direct relationship.

Keywords: Coffin-Siris; Schwannomatosis; Sjogren; Spleen rupture; Wandering.

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Figures

Fig. 1
Fig. 1
MRI studies representing cervical (A) and elbow (B) schwannomas.
See this image and copyright information in PMC

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