scholarly journals Muenke syndrome

2020 ◽  
Author(s):  
Keyword(s):  
2019 ◽  
Vol 24 (4) ◽  
pp. 415-422 ◽  
Author(s):  
Bianca K. den Ottelander ◽  
Robbin de Goederen ◽  
Marie-Lise C. van Veelen ◽  
Stephanie D. C. van de Beeten ◽  
Maarten H. Lequin ◽  
...  

OBJECTIVEThe authors evaluated the long-term outcome of their treatment protocol for Muenke syndrome, which includes a single craniofacial procedure.METHODSThis was a prospective observational cohort study of Muenke syndrome patients who underwent surgery for craniosynostosis within the first year of life. Symptoms and determinants of intracranial hypertension were evaluated by longitudinal monitoring of the presence of papilledema (fundoscopy), obstructive sleep apnea (OSA; with polysomnography), cerebellar tonsillar herniation (MRI studies), ventricular size (MRI and CT studies), and skull growth (occipital frontal head circumference [OFC]). Other evaluated factors included hearing, speech, and ophthalmological outcomes.RESULTSThe study included 38 patients; 36 patients underwent fronto-supraorbital advancement. The median age at last follow-up was 13.2 years (range 1.3–24.4 years). Three patients had papilledema, which was related to ophthalmological disorders in 2 patients. Three patients had mild OSA. Three patients had a Chiari I malformation, and tonsillar descent < 5 mm was present in 6 patients. Tonsillar position was unrelated to papilledema, ventricular size, or restricted skull growth. Ten patients had ventriculomegaly, and the OFC growth curve deflected in 3 patients. Twenty-two patients had hearing loss. Refraction anomalies were diagnosed in 14/15 patients measured at ≥ 8 years of age.CONCLUSIONSPatients with Muenke syndrome treated with a single fronto-supraorbital advancement in their first year of life rarely develop signs of intracranial hypertension, in accordance with the very low prevalence of its causative factors (OSA, hydrocephalus, and restricted skull growth). This illustrates that there is no need for a routine second craniofacial procedure. Patient follow-up should focus on visual assessment and speech and hearing outcomes.


2017 ◽  
Vol 39 (10) ◽  
pp. 873-876 ◽  
Author(s):  
Yukimune Okubo ◽  
Taro Kitamura ◽  
Mai Anzai ◽  
Wakaba Endo ◽  
Takehiko Inui ◽  
...  

2015 ◽  
Vol 38 (5) ◽  
pp. E8
Author(s):  
Vivek Mehta ◽  
Joshua Bakhsheshian ◽  
Amir H. Dorafshar ◽  
Edward S. Ahn

The authors describe the case of a boy with Muenke syndrome, an autosomal dominant disorder associated with craniosynostosis. The family history was significant for syndromic craniosynostosis in the patient’s maternal grandmother, who died in adulthood after a craniofacial reconstruction. The patient, her grandson, underwent craniofacial reconstruction surgery at the age of 9 months and developed upward transtentorial herniation. Imaging findings revealed remote cerebellar hemorrhage after a large quantity of supratentorial CSF was drained during postoperative Day 1. The clinical course was further complicated by cerebral sinus thrombosis, which was diagnosed after a fourth surgical procedure. Upward transtentorial herniation can occur when a significant increase in intracranial pressure in the posterior fossa causes displacement of the central lobule and superior surfaces of the cerebellum upward through the incisura tentorii. This is a rare but well-documented phenomenon that commonly occurs in the setting of an expansive posterior fossa lesion or excessive supratentorial CSF loss. To help clinicians recognize and prevent this rare but potentially fatal complication, the authors review the postulated mechanisms by which this process may occur.


Author(s):  
Chaya N. Murali ◽  
Donna M. McDonald‐McGinn ◽  
Tara Lynn Wenger ◽  
Carey McDougall ◽  
Bridget M. Stroup ◽  
...  

2012 ◽  
Vol 23 (2) ◽  
pp. e115-e117 ◽  
Author(s):  
Simon G. Talbot ◽  
Joseph Upton ◽  
Gary F. Rogers

2003 ◽  
Vol 120A (1) ◽  
pp. 88-91 ◽  
Author(s):  
Salvatore Grosso ◽  
Maria Angela Farnetani ◽  
Rosario Berardi ◽  
Gabriella Bartalini ◽  
Marilisa Carpentieri ◽  
...  

2011 ◽  
Vol 31 (8) ◽  
pp. 770-771 ◽  
Author(s):  
A. Shaw ◽  
O. B. Petersen ◽  
L. S. Chitty

2008 ◽  
Vol 18 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Suzanne L. Mansour ◽  
Stephen R.F. Twigg ◽  
Rowena M. Freeland ◽  
Steven A. Wall ◽  
Chaoying Li ◽  
...  

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