6533b7d8fe1ef96bd126ae0a

RESEARCH PRODUCT

Cerebroarthrodigital syndrome: A newly recognized formal genesis syndrome in three patients with apparent arthromyodysplasia and sacral agenesis, brain malformation and digital hypoplasia

A. GiedionJohn M. OpitzAlbert SchinzelJudith G. HallT. L. MyersJ. RyanJürgen W. Spranger

subject

Male2716 Genetics (clinical)medicine.medical_specialtyMicrocephalyPathology10039 Institute of Medical Genetics610 Medicine & healthHydranencephalySacral Agenesisaino virusarthromyodysplasia1311 GeneticsInternal medicineErgotaminemedicineHumansmicrocephalyNeural Tube Defectsformal genesis syndromeGenetics (clinical)ArthrogryposisArthrogryposisBone Diseases Developmentaldigital hypoplasiabusiness.industryDiazoxideInfant NewbornBrainakebane virusSyndromemedicine.diseaseHypoplasiahydrocephalyEndocrinology10036 Medical ClinicDysplasiaErgotamine570 Life sciences; biologyFemaleCrestsacral agenesismedicine.symptombusinessHydrocephalusmedicine.drug

description

We describe three patients with a complex syndrome of apparent arthromyodysplasia, dyscephaly, sacral agenesis, and hypoplastic digitis. Cause is unknown, but an environmental cause is suspected on the basis of ergotamine exposure in one case and diazoxide intake in another, together with suggestive similarities to anomalies seen in animals treated with these drugs and to calves with the Australian hydranencephaly/arthrogryposis syndrome caused by Akebane or Aino virus. Pathogenetically the primary defect may be a neural tube-neural crest dysplasia with multiple secondary and tertiary manifestations and deformities.

https://doi.org/10.1002/ajmg.1320050104