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  • World Neurosurg · Nov 2022

    Case Reports

    Three cases of familial moyamoya disease with RASA1 mutations-case report.

    • Xun Li, Miaomiao Ma, Ran Liu, Yun Yang, and Wei Yue.
    • Department of Neurology, Tianjin Huanhu Hospital, Tianjin, China.
    • World Neurosurg. 2022 Nov 1; 167: e972e977e972-e977.

    ObjectiveThe prevalence of moyamoya disease (MMD) is relatively high in East Asia, whereas the susceptibility genes of MMD have not been identified.MethodsHere, we reported 3 patients diagnosed with MMD from 1 single family, including a 53-year-old mother (case 1) and her 32-year-old and 29-year-old daughters (cases 2 and 3). The younger daughter was diagnosed with cerebral hemorrhage. Computed tomographic angiogram showed the typical signs of MMD in 3 patients.ResultsClinical whole-exome sequencing was performed in 3 daughters of case 1, and RASA1 mutations in chr5: 87,376,389 and NM_002890.2: c.2012-4C > T were determined to have the strongest correlation with MMD. RASA1 mutations were verified in case 1, husband of case 1 and the descendant of case 3 by using Sanger sequencing.ConclusionsAccording to the findings of literature review, this is the first study indicating the association between RASA1 mutations and MMD.Copyright © 2022 Elsevier Inc. All rights reserved.

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