Goldberg-Shprintzen syndrome
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(megacolon-microcephaly syndrome)
Not to be confused with Shprintzen-Goldberg syndrome, which is a marfanoid syndrome !
Autosomal recessive transmission of a mutation of the KIAA1279 or KIFBP gene (10q21.3-q22.1). Malformative syndrome phenotypically similar to Mowat-Wilson syndrome but its genetic origin is different.
Association of:
- mild to severe mental retardation: poor or absent speech, hypotonia
- microcephaly: polymicrogyria, gyration anomalies secondary to a neural crest migration disorder
- facial dysmorphism: hypertelorism, telecanthus, synophris, cleft palate (submucosal), maxillary hypoplasia, short philtrum, short neck, low set ears
- widely spaced nipples
- strong predisposition to Hirchsprung's disease (> 5 %)
Sometimes: coloboma, megalocornea and urogenital anomalies.
Anesthetic implications:
risk of difficult intubation
References :
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Updated: April 2023