Frank-ter Haar syndrome associated with sagittal craniosynostosis and raised intracranial pressure

Springer Science and Business Media LLC - Tập 13 - Trang 1-8 - 2012
Charlotte L Bendon1, Aimée L Fenwick2, Jane A Hurst3,4, Gudrun Nürnberg5, Peter Nürnberg5,6,7, Steven A Wall1, Andrew OM Wilkie1,2,3, David Johnson1
1Oxford Craniofacial Unit, Oxford University Hospitals NHS Trust, John Radcliffe Hospital, Oxford, UK
2Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK
3Department of Clinical Genetics, Oxford University Hospitals NHS Trust, John Radcliffe Hospital, Oxford, UK
4Department of Clinical Genetics, Great Ormond Street Hospital NHS Foundation Trust, UK
5Cologne Center for Genomics, University of Cologne, Cologne, Germany;
6Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany
7Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany

Tóm tắt

Frank-ter Haar syndrome is a rare disorder associated with skeletal, cardiac, ocular and craniofacial features including hypertelorism and brachycephaly. The most common underlying genetic defect in Frank-ter Haar syndrome appears to be a mutation in the SH3PXD2B gene on chromosome 5q35.1. Craniosynostosis, or premature fusion of the calvarial sutures, has not previously been described in Frank-ter Haar syndrome. We present a family of three affected siblings born to consanguineous parents with clinical features in keeping with a diagnosis of Frank-ter Haar syndrome. All three siblings have a novel mutation caused by the deletion of exon 13 of the SH3PXD2B gene. Two of the three siblings also have non-scaphocephalic sagittal synostosis associated with raised intracranial pressure. The clinical features of craniosynostosis and raised intracranial pressure in this family with a confirmed diagnosis of Frank-ter Haar syndrome expand the clinical spectrum of the disease. The abnormal cranial proportions in a mouse model of the disease suggests that the association is not coincidental. The possibility of craniosynostosis should be considered in individuals with a suspected diagnosis of Frank-ter Haar syndrome.

Tài liệu tham khảo

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2350/13/104/prepub