Van Maldergem syndromes
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(cerebrofacioarticular syndrome)
Autosomal recessive transmission.
Type 1 [MIM 601 390]: mutation of DCHS1 gene (11p15.4)
Type 2 [MIM 615 546]: mutation of FAT4 gene (4q28)
Association of:
- facial anomalies: ptosis, epi- or telecantus, macrostomia with reverse W-shaped upper lip and everted lower lip , malformed ears, wide nasal root
- abnormalities of the extremities: camptodactyly, interdigital webs, genu recurvatum
- hearing disorders from malformative origin: microtia, atresia of the external auditory canal.
- intellectual deficit
- MRI: periventricular nodular heterotopia
- sometimes: renal hypoplasia
Anesthetic implications:
check renal function, intellectual deficit
References :
Updated: January 2017