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Table 3 MRI characteristics/abnormalities and location of melanocytosis

From: Neurological signs, symptoms and MRI abnormalities in patients with congenital melanocytic naevi and evaluation of routine MRI-screening: systematic review and meta-analysis

References

MRI

Location of MRI abnormalities

Others

MRI performed n

MRI abnormalities n (%)

Leptomeningeal melanocytosis n (%)

Parenchymatous melanocytosis n (%)

Other findings than melanocytosis

Group 1: General CMN group

Ruiz-Maldonado et al. [17]

13/13

7/13 (45%) No CNS melanocytosis

Not applicable

Not applicable

Ventricular system asymmetry (n = 4)

Calcifications (n = 2)

Large cisterna magna (n = 2)

Cortical atrophy, loss of cortico subcortical volume (n = 1)

Right frontotemporal subgaleal collection (n = 1)

Foster et al. [9]

42/46

14/42 (33%) (10 CNS melanocytosis)

2/10 (20%)

10/10 (100%)

Middle cranial fossa arachnoid cyst (n = 1)

Chiari type 1 malformation (n = 1)

Tethered spinal cord secondary to a filum terminale fibrolipoma (n = 1)

Transient crescentic enhancement over the right parietal convexity

(that was not evident on repeated examination seven months later) (n = 1)

Bett et al. [48]

Unreported

Unreported

Unreported

Unreported

Dandy-Walker complex (n = 5)

Right hemimegalencephaly (n = 1)

Cerebral cortical dysplasia (n = 1)

Cerebral matrix haemorrhage (n = 1)

Chiari malformation (n = 1)

Choroid plexus tumour (n = 1) Encephalocraniocutaneous lipomatosis (n = 1) Tethered cord (n = 1)

Unknown tumour (n = 1)

Chan et al. [25]

7/39

Head (n = 5)

Spine (n = 2)

0/0 (0%)

Not applicable

Not applicable

Not applicable

Lovett et al. [20]

27/61 (and 1 CT and 1 myelogram)

7/27 (26%) (and 1 CT abnormality)

Unreported

Unreported

CT scan: 2 hyperdense foci (n = 1)

Spinal cord MRI: Mega cisterna magna, increased amount of fluid in post fossa with hydromyelia from C4-T6 (n = 1)

Brain MRI: arachnoid cyst (n = 1)

Ventriculomegaly with haemorrhagic changes, VP shunt, diffuse enhancement of meninges, intraparenchymal hematoma (n = 1)

Bekiesińska-Figatowska et al. [47]

24/24

8/24 (33%)

(CNS melanocytosis)

4/7 (57%)

7/7 (100%)

Neurofibromatosis type 1 (multiple multilevel roots neurofibromas on MRI) (n = 1)

Waelchli et al. [7]

271/271

46/271 (17%)

(36 (13%) CNS melanocytosis)

3/36 (8%)

35/36 (97%)

Dandy-Walker malformation with hydrocephalus (n = 2)

Lack of white matter bulk (n = 2)

Larger ventricles (n = 2)

Benign intradural tumour (n = 1)

Choroid plexus papilloma (n = 1)

Cortical thinning (n = 1)

Extramedullary dural stranding (n = 1)

Filum terminal lipoma (n = 1)

Left frontal lobe meningioma (n = 1)

Leptomeningeal disease (n = 1)

Low volume inferior vermis (n = 1)

Midline posterior fossa arachnoid cyst (n = 1)

Right cerebellar astrocytoma (n = 1)

Small right cerebellar hemisphere (n = 1)

Spinal cord compression (n = 1)

Venous angioma left cerebellar hemisphere (n = 1)

Viana et al. [56]

11/57

Unreported

Unreported

Unreported

Unreported

Wramp et al. [24]

36/83

4/36 (11%) (2 CNS melanocytosis)

Unreported

Unreported

Unreported

Jakchairoongruang et al. [18]

80/80

35/80 (41%) (33 CNS melanocytosis)

5/33 (15%)

33/33 (100%)

Periventricular grey matter heterotopia (n = 3)

Dysmorphic cerebellar hemispheres (n = 2)

Small left-side ventral pons (n = 2)

Small pons and cerebellum (n = 2)

Corpus callosum hypogenesis (n = 1)

Inferior vermian hypoplasia (n = 1)

Small right cerebellar hemisphere (n = 1)

Right temporal lobe polymicrogyria (n = 1)

Vermian hypoplasia (n = 1)

Group 2: Only reporting on neurological signs and symptoms in patients with MRI abnormalities

Bittencourt et al. [23]

38/194

13/38 (34%) (CNS melanocytosis)

Unreported

Unreported

Dandy-Walker syndrome (n = 1)

Ramaswamy et al. [19]

14/14

14/14 (100%)

7/14 (54%) Diffuse leptomeningeal deposits

8/14 (62%)

Lower cervical benign spindle cell tumor (n = 1)

Holocord arachnoid cyst (n = 1)

Cervical/thoracic cyst (n = 1)

Dorsal thoracic cyst (n = 1)

Price et al. [55]

Unreported

12 (CNS melanocytosis)

Unreported

Unreported

Unreported

Qian et al. [21]

13/13

13/13 (100%) (CNS melanocytosis)

13/13 (100%) Diffuse leptomeningeal deposits

Unreported

Leptomeningeal thickening (n = 13)

  1. We identified two study groups. Ten studies reported on neurological signs and symptoms and MRI imaging in a general CMN population ‘general CMN group’ (2107 patients) and four studies reported on neurological signs and symptoms only in patients with MRI abnormalities ‘only reporting on neurological signs and symptoms in patients with MRI abnormalities’ (232 patients)
  2. CMN, congenital melanocytic naevi; CNS, central nervous system