Oculocerebrofacial, Kaufman type syndrome
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Very rare. Autosomal recessive transmission of a heterozygous mutation of the UBE3B (ubiquitin protein ligase E38) (12q24.11).
Association of:
- postnatal microcephaly with mongoloid slanting palpebral fissure
- respiratory and feeding problems in the neonatal period
- ocular anomalies: microcornea, myopia, optic atrophy, strabismus, blepharophimosis
- severe psychomotor retardation
- micrognathia, small mouth opening, ogival palate, cleft palate
- ear anomalies (small, with or without preauricular appendages), hearing disorders
- stridor, laryngomalacia, obstructive sleep apnea requiring early intervention
- post-natal growth retardation
- congenital cardiac anomaly (25 %)
- long, thin fingers, club feet
- MRI: hypoplasia or agenesis of corpus callosum, ventriculomegaly, small or ectopic pituitary gland, Chiari type 1 malformation
Anesthetic implications:
difficult intubation.
References :
- Galarretaa CI, Wigbya KM, Jonesa MC.
Further phenotypic characterization of Kaufman oculocerebrofacial syndrome: report of five new cases and literature review.
Clinical Dysmorphology 2019 ; 28:175-83
Updated: November 2023