2022
DOI: 10.1002/epi4.12681
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COL4A1 mutation‐related disorder presenting as fetal intracranial bleeding, hydrocephalus, and polymicrogyria

Abstract: Fetal intracranial hemorrhage represents a rare event with an estimated prevalence of 1:10 000 pregnancies. We report a patient diagnosed prenatally with intracranial hemorrhage and ventriculomegaly carrying a novel, previously unreported, likely pathogenic variant in COL4A1. At the gestational age of 27 weeks, dilation of lateral ventricles was detected during a routine prenatal ultrasound scan, confirmed by prenatal MRI at 30 + 3 weeks of gestation.

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Cited by 4 publications
(4 citation statements)
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“… 21 These collagen type IV genes encode for nearly all vascular basement membranes and have been shown to be associated with foetal intracranial haemorrhages, schizencephaly, porencephaly, and hydrocephalus. 22 …”
Section: Resultsmentioning
confidence: 99%
“… 21 These collagen type IV genes encode for nearly all vascular basement membranes and have been shown to be associated with foetal intracranial haemorrhages, schizencephaly, porencephaly, and hydrocephalus. 22 …”
Section: Resultsmentioning
confidence: 99%
“…A de novo c.3548G > T pathogenic missense variant was found in COL4A1 and linked to the patient's phenotype. 43 This case is an example of pseudo-TORCH syndrome. Pseudo-TORCH syndromes generally present with profound microcephaly, white matter changes, PMG, calcifications, and developmental delay, mimicking TORCH.…”
Section: Clinical Vignettementioning
confidence: 89%
“…At the age of 18 months, the child developed drug‐resistant focal seizures and had moderate developmental delay. A de novo c.3548G > T pathogenic missense variant was found in COL4A1 and linked to the patient's phenotype 43 …”
Section: Excluding Non‐genetic Causes Of MCDmentioning
confidence: 99%
“…[ 30 ] COL4A1, as a member of the type IV collagen family and a crucial constituent of the basement membrane, has been identified as a significant contributor in various types of cancer. [ 31 ] Recent investigations have revealed abnormal expression of COL4A1 in invasive ductal carcinoma of the breast cancer [ 32 ] and bladder tumor, [ 33 ] linking it to tumor invasion and metastasis. Moreover, upregulation of COL4A1 has been reported in patients with Oral Squamous Cell Carcinoma.…”
Section: Discussionmentioning
confidence: 99%