0000000000210387
AUTHOR
Renata Rizzo
Congenital muscular dystrophy: from muscle to brain.
Congenital muscular dystrophies (CMDs) are a wide group of muscular disorders that manifest with very early onset of muscular weakness, sometime associated to severe brain involvement. The histologic pattern of muscle anomalies is typical of dystrophic lesions but quite variable depending on the different stages and on the severity of the disorder. Recent classification of CMDs have been reported most of which based on the combination of clinical, biochemical, molecular and genetic findings, but genotype/phenotype correlation are in constant progression due to more diffuse utilization of the molecular analysis. In this article, the Authors report on CMDs belonging to the group of dystroglyc…
Comparison of metals and essential trace elements levels between Autistic Spectrum Disorders cases and their sibs in Sicily (southern Italy)
Introduction: A role of metals exposure and essential trace element deficiency in Autistic Spectrum Disorders (ASD) etiology has been suggested by epidemiologic studies, but conclusive evidence on this topic is still lacking and controversial. We compared metals and essential trace element levels between cases both with their brothers and healthy children. Methods: The diagnosis of ASD were performed by ADOS and ADI-R according to DSM IV (Diagnostic and Statistical Manual of Mental Disorders) criteria. Hair samples were collected from cases and sibs by single cutting from the occipital region. The samples were cut to lengths of about 1.5–2 cm using clean stainless steel scissors. Approximat…
Autosomal dominant and sporadic radio-ulnar synostosis.
We report on seven cases of congenital radio-ulnar synostosis (RUS). Five were found in the same family and two were sporadic. In six the synostosis was bilateral and consistently involved the proximal end of the radius and ulna. In the familial cases the anomaly was inherited as an autosomal dominant trait and was associated with a Dubois sign and relative shortness of metacarpals number 4 and 5 in two patients, and of number 2 in another patient, and of all phalanges of the 5th fingers. These observations suggest involvement of an ulnar developmental field. RUS does not seem to be rare in the Sicilian population.
A clinical review on megalencephaly: A large brain as a possible sign of cerebral impairment
Megalencephaly and macrocephaly present with a head circumference measurement 2 standard deviations above the age-related mean. However, even if pathologic events resulting in both megalencephaly and macrocephaly may coexist, a distinction between these two entities is appropriate, as they represent clinical expression of different disorders with a different approach in clinical work-up, overall prognosis, and treatment. Megalencephaly defines an increased growth of cerebral structures related to dysfunctional anomalies during the various steps of brain development in the neuronal proliferation and/or migration phases or as a consequence of postnatal abnormal events. The disorders associate…
A clinical review on megalencephaly
Abstract Megalencephaly and macrocephaly present with a head circumference measurement 2 standard deviations above the age-related mean. However, even if pathologic events resulting in both megalencephaly and macrocephaly may coexist, a distinction between these two entities is appropriate, as they represent clinical expression of different disorders with a different approach in clinical work-up, overall prognosis, and treatment. Megalencephaly defines an increased growth of cerebral structures related to dysfunctional anomalies during the various steps of brain development in the neuronal proliferation and/or migration phases or as a consequence of postnatal abnormal events. The disorders …