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Congenital malformations - Edocr

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CHAPTER 6 ENCEPHALOCELE 55<br />

TABLE 6-2 Syndromes Associated with Encephaloceles<br />

Syndromes Other Clinical Findings Etiology<br />

Amniotic band syndrome Irregular disruption of skull and Amnion disruption<br />

(Amnion disruption sequence) facial structures; facial clefts;<br />

limb and digital constrictions<br />

and amputation-type defects<br />

Apert syndrome Craniosynostosis; syndactyly Autosomal dominant<br />

both hands and both feet<br />

FGFR2, 10q26<br />

Chromosome anomalies Multiple minor and major Trisomies (13, 18);<br />

anomalies in various organ<br />

deletions, duplications<br />

systems<br />

Dyssegmental dysplasia Skeletal dysplasia with very Autosomal recessive<br />

(Silverman-Handmaker) short limbs; oral clefts; HSPG2, 1p36.1<br />

stillborn or early neonatal<br />

perlecan<br />

death<br />

Fraser syndrome Syndactyly; eyelid fusion; Autosomal recessive<br />

abnormal ears; laryngeal<br />

FRAS1, 4q21<br />

anomalies; renal FREM2, 13q13.3<br />

agenesis/dysgenesis;<br />

abnormal genitalia; mental<br />

retardation<br />

Frontonasal dysplasia Widow’s peak; hypertelorism; Sporadic, occasionally<br />

broad or bifid nose; median<br />

autosomal dominant<br />

cleft lip; variable mental<br />

retardation<br />

(Frontonasal encephalocele)<br />

Meckel-Gruber syndrome Microphthalmia; cleft lip/palate; Autosomal recessive<br />

cystic kidneys; polydactyly 8q24<br />

11q13<br />

17q23<br />

MURCS association Short stature; cervicothoracic Unknown<br />

vertebral defects; absence of<br />

proximal 2/3 of vagina and<br />

uterus; renal agenesis<br />

or ectopia<br />

Pallister-Hall syndrome Dysmorphic facies; cleft palate; Autosomal dominant<br />

polydactyly; syndactyly; renal GLI3, 7p13<br />

anomalies; anal atresia;<br />

hypothalamic hamartoma<br />

Roberts SC-phocomelia<br />

syndrome<br />

Microcephaly; growth failure;<br />

cleft lip/palate; limb deficiency;<br />

mental retardation<br />

Walker-Warburg syndrome Lissencephaly; cerebellar Autosomal recessive<br />

<strong>malformations</strong>; retinal dysplasia, POM1, 9q34.1<br />

microphthalmia; congenital POM2, 14q24.3<br />

muscular dystrophy FCMD, 9q3.1

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