Pilocytic astrocytoma with leptomeningeal spread in a patient with incontinentia pigmenti presenting with unilateral nystagmus

Pediatr Blood Cancer. 2018 Mar;65(3). doi: 10.1002/pbc.26886. Epub 2017 Nov 24.

Abstract

Incontinentia pigmenti (IP) is a genetic disorder caused by mutations in IKBKG, leading to functional loss of nuclear factor kappa B (NF-ĸB). We report the case of a 6-month-old female child with IP who presented with unilateral nystagmus and was found to have a pilocytic astrocytoma with leptomeningeal spread. Enhanced understanding of the relationship between NF-ĸB, along with its upstream regulators, and tumorigenesis may shed light on whether a subset of patients with IP may be at increased risk for neoplasia.

Keywords: brain tumor biology; incontinentia pigmenti; low-grade glioma; nystagmus; pilocytic astrocytoma.

Publication types

  • Case Reports

MeSH terms

  • Astrocytoma / complications
  • Astrocytoma / epidemiology*
  • Female
  • Humans
  • Incontinentia Pigmenti / complications
  • Incontinentia Pigmenti / epidemiology*
  • Infant
  • Meningeal Carcinomatosis / complications
  • Meningeal Carcinomatosis / epidemiology
  • Nystagmus, Pathologic / etiology*