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Athabaskan brainstem dysgenesis syndrome





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Athabaskan brainstem dysgenesis syndrome (ABDS) or Athabascan brainstem dysgenesis syndrome is an extremely rare genetic condition that affects the central nervous system's brainstem. It is characterized by a variety of varied traits, such as facial paresis, sensorineural deafness, congenital horizontal gaze palsycentral hypoventilation, and developmental delay.[1]

Athabaskan brainstem dysgenesis syndrome
Other namesAthabascan brainstem dysgenesis syndrome, ABDS
Athabaskan brainstem dysgenesis syndrome is an autosomal recessive disorder.
SpecialtyMedical genetics

Signs and symptoms

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Symptoms of Athabaskan brainstem dysgenesis syndrome include developmental delay, central hypoventilation, sensorineural deafness, congenital horizontal gaze palsy, and additional variable characteristics, such as facial paresis.[1]

Causes

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It has been established that HOXA1 deficiency, which disrupts normal motor neuron development and results in loss of normal brainstem function, is the genetic etiology of Athabaskan brainstem dysgenesis syndrome.[2] It has been discovered that two loss-of-function non-sense mutations in the HOXA1 gene, which result in a shortened protein product, are homozygous in patients with Athabaskan brainstem dysgenesis syndrome.[3]

Diagnosis

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The diagnostic criteria for Athabaskan brainstem dysgenesis syndrome include:[1]

  1. Verification of sensorineural deafnessbybrainstem auditory evoked responses.[1]
  2. Upon conjugate lateral gazing, there is horizontal gaze palsy; however, the medial gaze remains intact with convergence.[1]
  3. Central hypoventilation shown by hypoxia and/or respiratory acidosis without an underlying neuromuscular or lung disease.[1]
  4. Developmental delays.[1]
  5. Either cardiac outflow tract abnormalities, seizures, vocal cord paresis, or facial paresis.[1]

Treatment

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Treatment includes mechanical ventilation and supplemental oxygen.[4]

See also

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References

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  1. ^ a b c d e f g h Holve, Steve; Friedman, Barbara; Hoyme, H. Eugene; Tarby, Theodore J.; Johnstone, Sharon J.; Erickson, Robert P.; Clericuzio, Carol L.; Cunniff, Christopher (2003). "Athabascan brainstem dysgenesis syndrome". American Journal of Medical Genetics Part A. 120A (2). Wiley: 169–173. doi:10.1002/ajmg.a.20087. ISSN 1552-4825.
  • ^ Erickson, Robert P. (2009-10-28). "Autosomal recessive diseases among the Athabaskans of the Southwestern United States: Recent advances and implications for the future". American Journal of Medical Genetics Part A. 149A (11). Wiley: 2602–2611. doi:10.1002/ajmg.a.33052. ISSN 1552-4825.
  • ^ Engle, Elizabeth C. (2007-05-01). "Oculomotility Disorders Arising From Disruptions in Brainstem Motor Neuron Development". Archives of Neurology. 64 (5). American Medical Association (AMA): 633. doi:10.1001/archneur.64.5.633. ISSN 0003-9942.
  • ^ "Athabascan Brainstem Dysgenesis Syndrome". EyeWiki. 2023-11-12. Retrieved 2024-02-28.
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    Retrieved from "https://en.wikipedia.org/w/index.php?title=Athabaskan_brainstem_dysgenesis_syndrome&oldid=1219013686"
     



    Last edited on 15 April 2024, at 06:35  





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    This page was last edited on 15 April 2024, at 06:35 (UTC).

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