000 02199 am a22002413u 4500
042 _adc
100 1 0 _aCai, Cindy X.
_eauthor
700 1 0 _aGo, Michelle
_eauthor
_9862
700 1 0 _aKelly, Michael P.
_eauthor
_9863
700 1 0 _aHolgado, Sandra
_eauthor
_9864
700 1 0 _aToth, Cynthia A.
_eauthor
_9865
245 0 0 _aOCULAR MANIFESTATIONS OF PORETTI-BOLTSHAUSER SYNDROME: FINDINGS FROM MULTIMODAL IMAGING AND ELECTROPHYSIOLOGY
260 _c2022-05-01.
500 _a/pmc/articles/PMC7494654/
500 _a/pubmed/32195884
520 _aBACKGROUND/PURPOSE: Poretti-Boltshauser syndrome is a rare, nonprogressive neurologic syndrome with characteristic cerebellar cysts on neuroimaging due to mutations in LAMA1. The ophthalmic findings in Poretti-Boltshauser syndrome are not well described. Here, we report the ophthalmic findings from multimodal imaging and electrophysiology of a patient with genetically confirmed Poretti-Boltshauser syndrome. METHODS: A 3-year-old boy with confirmed mutations in LAMA1 underwent examination under anesthesia with electroretinography and multimodal imaging including fundus photography, fluorescein angiography, optical coherence tomography, and optical coherence tomography angiography. RESULTS: Dilated fundus examination was notable for retinal vascular anomalies, including a large area of nonperfusion in the temporal macula with corresponding retinal thinning on optical coherence tomography. There was an absence of a distinct foveal avascular zone and decreased density of both the superficial and deep vascular plexuses in the macula on optical coherence tomography angiography. There was diffuse loss of choriocapillaris architecture and decreased choroidal thickness. CONCLUSION: Patients with Poretti-Boltshauser syndrome may possess chorioretinal thinning and retinal vascular abnormalities appreciable on examination and multimodal imaging. These findings suggest a role for LAMA1 in retinal and choroidal vascular development.
540 _a
546 _aen
690 _aArticle
655 7 _aText
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786 0 _nRetin Cases Brief Rep
856 4 1 _uhttp://dx.doi.org/10.1097/ICB.0000000000000991
_zConnect to this object online.
999 _c1418
_d1418