Congenital lipomatous overgrowth, vascular malformations, and epidermal nevi (CLOVE) syndrome: CNS malformations and seizures may be a component of this disorder.
A newborn girl was found to have a massive lymphatic truncal vascular malformation with overlying cutaneous venous anomaly associated with overgrown feet and splayed toes. These manifestations comprise the recently described CLOVE syndrome. She also had cranial asymmetry and developed generalized seizures, which were treated with anticonvulsants. Cranial CT showed encephalomalacia, widening of the ventricles and the sulci, hemimegalencephaly (predominantly white matter) and partial agenesis of corpus callosum. Review of the literature identified several other patients with CLOVE syndrome, some of whom were misdiagnosed as having Proteus syndrome, with strikingly similar manifestations. We conclude that CNS manifestations including hemimegalencephaly, dysgenesis of the corpus callosum, neuronal migration defects, and the consequent seizures, may be an rarely recognized manifestation of CLOVE syndrome.
Gucev
Zoran S
ZS
Medical Faculty Skopje, Skopje, Macedonia. gucevz@gmail.com
Tasic
Velibor
V
Jancevska
Aleksandra
A
Konstantinova
Marina Krstevska
MK
Pop-Jordanova
Nada
N
Trajkovski
Zoran
Z
Biesecker
Leslie G
LG
D000015:Abnormalities, Multiple; D061085:Agenesis of Corpus Callosum; D005260:Female; D005532:Foot Deformities, Congenital; D006801:Humans; D007231:Infant, Newborn; D008068:Lipomatosis / Q000151:congenital*; D044148:Lymphatic Abnormalities; D054220:Malformations of Cortical Development; D009506:Nevus / Q000151:congenital*; D011247:Pregnancy; D012640:Seizures; D013577:Syndrome; D054079:Vascular Malformations