Adult-onset neurocutaneous melanosis with Dandy–Walker malformation

Neurocutaneous melanosis (NCM) is characterized by diffuse or focal proliferation of melanin-producing cells over the skin or leptomeninges. Even without malignant transformation, the prognosis is poor after symptomatic progression of NCM, resulting from either mass effect in central nervous system...

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Main Authors: Ting-Wei Chang, Po-Chuan Hsieh, Zhuo-Hao Liu, Po-Hsun Tu
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2018-01-01
Series:Formosan Journal of Surgery
Subjects:
Online Access:http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=3;spage=118;epage=121;aulast=Chang
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author Ting-Wei Chang
Po-Chuan Hsieh
Zhuo-Hao Liu
Po-Hsun Tu
author_facet Ting-Wei Chang
Po-Chuan Hsieh
Zhuo-Hao Liu
Po-Hsun Tu
author_sort Ting-Wei Chang
collection DOAJ
description Neurocutaneous melanosis (NCM) is characterized by diffuse or focal proliferation of melanin-producing cells over the skin or leptomeninges. Even without malignant transformation, the prognosis is poor after symptomatic progression of NCM, resulting from either mass effect in central nervous system or hydrocephalus. We reported a 26-year-old female patient with rapid deterioration after the onset of NCM. Despite no solid tumor formation, elevated cerebrospinal fluid protein content, which complicated shunting procedure, associated with hydrocephalus played the key role in clinical deterioration. Adult onset of NCM with Dandy–Walker malformation was never reported in our literature review. Diagnosis and treatment for such disease entity are discussed.
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spelling doaj.art-376a7bf9705a469992a1cb134bc680d52023-09-02T18:32:41ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2018-01-0151311812110.4103/fjs.fjs_108_17Adult-onset neurocutaneous melanosis with Dandy–Walker malformationTing-Wei ChangPo-Chuan HsiehZhuo-Hao LiuPo-Hsun TuNeurocutaneous melanosis (NCM) is characterized by diffuse or focal proliferation of melanin-producing cells over the skin or leptomeninges. Even without malignant transformation, the prognosis is poor after symptomatic progression of NCM, resulting from either mass effect in central nervous system or hydrocephalus. We reported a 26-year-old female patient with rapid deterioration after the onset of NCM. Despite no solid tumor formation, elevated cerebrospinal fluid protein content, which complicated shunting procedure, associated with hydrocephalus played the key role in clinical deterioration. Adult onset of NCM with Dandy–Walker malformation was never reported in our literature review. Diagnosis and treatment for such disease entity are discussed.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=3;spage=118;epage=121;aulast=ChangDandy–Walker malformationneurocutaneous melanosisprognosisshunt
spellingShingle Ting-Wei Chang
Po-Chuan Hsieh
Zhuo-Hao Liu
Po-Hsun Tu
Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
Formosan Journal of Surgery
Dandy–Walker malformation
neurocutaneous melanosis
prognosis
shunt
title Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
title_full Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
title_fullStr Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
title_full_unstemmed Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
title_short Adult-onset neurocutaneous melanosis with Dandy–Walker malformation
title_sort adult onset neurocutaneous melanosis with dandy walker malformation
topic Dandy–Walker malformation
neurocutaneous melanosis
prognosis
shunt
url http://www.e-fjs.org/article.asp?issn=1682-606X;year=2018;volume=51;issue=3;spage=118;epage=121;aulast=Chang
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