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Joubert Syndrome and Renal Implication Joubert综合征与肾脏意义
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759541
G. Conti, G. Farello, M. Ceravolo, M. Fusco, C. Cuppari, Alessio Mancuso, I. Ceravolo, E. David, G. Iapadre, Giovanna Scorrano, M. F. Fiorile, R. Chimenz
Abstract Twenty-five to 30% of patients with Joubert syndrome (JS) have renal involvement. Two forms of renal disease (RD) have traditionally been described. The less common form is the Dekaban–Arima syndrome, a JS RD that includes congenital blindness and occasional encephalocele. The other, more common RD is juvenile nephronophthisis (NPHP), that presents a progressive interstitial fibrosis, associated with small cysts at the corticomedullary junction. NPHP is the most frequent genetic cause for end-stage RD in the first three decades of life. Symptoms start at approximately 6 years of age with urine concentrating defects, polydipsia, polyuria, and secondary enuresis.
25 - 30%的Joubert综合征(JS)患者有肾脏受累。两种形式的肾脏疾病(RD)传统上被描述。不太常见的形式是Dekaban-Arima综合征,一种JS RD,包括先天性失明和偶尔的脑膨出。另一种更常见的RD是幼年肾病(NPHP),表现为进行性间质纤维化,并伴有皮质-髓交界处的小囊肿。NPHP是生命前30年终末期RD最常见的遗传原因。症状开始于大约6岁,伴有尿浓缩缺陷、烦渴、多尿和继发性遗尿。
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引用次数: 0
An Overview of Genes Involved in the Pure Joubert Syndrome and in Joubert Syndrome-Related Disorders (JSRD) 纯Joubert综合征和Joubert综合征相关疾病(JSRD)相关基因综述
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1760242
M. Amorini, G. Iapadre, Alessio Mancuso, I. Ceravolo, G. Farello, A. Scardamaglia, S. Gramaglia, A. Ceravolo, A. Salpietro, C. Cuppari
Abstract Joubert syndrome (JS) is a rare autosomal recessive disease characterized by a peculiar brain malformation, hypotonia, ataxia, developmental delay, abnormal eye movements, and neonatal breathing abnormalities. This picture is often associated with variable multiorgan involvement, mainly of the retina, kidneys and liver, defining a group of conditions termed syndrome and Joubert syndrome-related disorders (JSRD). Currently, more than 30 causative genes have been identified, involved in the development and stability of the primary cilium. Correlations genotype–phenotype are emerging between clinical presentations and mutations in JSRD genes, with implications in terms of molecular diagnosis, prenatal diagnosis, follow-up, and management of mutated patients.
Joubert综合征(JS)是一种罕见的常染色体隐性遗传病,以特殊的脑部畸形、张力低下、共济失调、发育迟缓、眼动异常和新生儿呼吸异常为特征。这张图片通常与可变的多器官受累有关,主要是视网膜、肾脏和肝脏,定义了一组称为综合征和Joubert综合征相关疾病(JSRD)的病症。目前,已经确定了30多个致病基因,参与初级纤毛的发育和稳定。临床表现与JSRD基因突变之间存在基因型-表型相关性,这在分子诊断、产前诊断、随访和突变患者管理方面具有重要意义。
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引用次数: 0
Meckel Syndrome: A Clinical and Molecular Overview 梅克尔综合征:临床和分子综述
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759531
G. Valentini, Mariana Saia, G. Farello, V. Salpietro, Alessio Mancuso, I. Ceravolo, P. V. Colucci, Manuela Torre, G. Iapadre, G. Rosa, F. Cucinotta
Abstract Meckel syndrome (MKS) is a lethal, autosomal recessive, congenital syndrome caused by mutations in genes that encode proteins structurally or functionally related to the primary cilium. MKS is a malformative syndrome, most commonly characterized by occipital meningoencephalocele, polycystic kidney disease, liver fibrosis, and post- and (occasionally) preaxial polydactyly. To date, more than 10 genes are known to constitute the molecular background of MKS, displaying genetic heterogeneity. Individuals with MKS may resemble some phenotypic features of Joubert syndrome and related disorders, thus making diagnostic setting quite challenging. Here, we systematically reviewed the main clinical and genetic characteristics of MKS and its role among ciliopathies.
Meckel综合征(MKS)是一种致命的常染色体隐性先天性综合征,由编码与原纤毛结构或功能相关的蛋白质的基因突变引起。MKS是一种畸形综合征,最常见的特征是枕部脑膜脑膨出、多囊肾病、肝纤维化、轴后和(偶尔)轴前多指畸形。迄今为止,已知有10多个基因构成MKS的分子背景,表现出遗传异质性。患有MKS的个体可能类似于Joubert综合征和相关疾病的一些表型特征,因此使诊断设置相当具有挑战性。在这里,我们系统地回顾了MKS的主要临床和遗传特征及其在纤毛病中的作用。
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引用次数: 0
Joubert Syndrome with Oral-Facial-Digital Defect (JS-OFD): A Brief Overview on Clinics and Genetics Joubert综合征合并口腔-面部-数字缺损(JS-OFD):临床和遗传学的简要概述
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759516
C. Cuppari, A. Salpietro, R. Chimenz, L. Colavita, M. Ceravolo, E. Gitto, A. Sallemi, M. Fusco, I. Ceravolo, G. Farello, G. Iapadre, C. Rocca, Ainara Salazar, Alessio Mancuso
Abstract Joubert's syndrome with digital facial oral defects represents a rare subgroup of Joubert's syndrome with related disorders. There are 11 forms of oral-facial-digital syndromes and are characterized by having neurological signs of JS associated with orofacial anomalies and often polydactyly. The most severe variant is the OFD type VI (Varadi-Papp syndrome) in which there are tongue hamartomas, multiple frenula, midline notch of the upper lip, mesoaxial polydactyly, and hypothalamic hamartomas. Treatments are symptomatic and supportive with reconstructive surgery for correctable malformation and physical therapy, occupational therapy, speech therapy, and infant stimulation for mental delay.
朱伯特综合征伴指面口腔缺损是朱伯特综合征伴相关疾病的一个罕见亚群。有11种形式的口-面-指综合征,其特征是具有与口-面异常和常为多指畸形相关的JS神经体征。最严重的变体是OFD VI型(Varadi-Papp综合征),其中有舌错构瘤、多系带、上唇中线切迹、中轴多指畸形和下丘脑错构瘤。治疗是对症和支持性的,包括可矫正畸形的重建手术、物理治疗、职业治疗、语言治疗和对智力迟缓的婴儿刺激。
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引用次数: 0
Ophthalmological Findings in Joubert Syndrome and Related Disorders Joubert综合征及相关疾病的眼科检查结果
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759536
I. Ceravolo, F. Granata, E. Gitto, G. Iapadre, R. Chimenz, N. Giannitto, Alessio Mancuso, M. Ceravolo, Tommaso La Macchia, Federico Rissotto, G. Farello, C. Cuppari
Abstract Joubert syndrome (JS) is a rare genetic condition characterized by congenital malformation of the mid-hindbrain, cerebellar ataxia, hypotonia, oculomotor apraxia, hypoplasia of the cerebellar vermis resulting in breathing defects, ataxia, and delayed development. Ophthalmological examination reveals eye involvement with nystagmus and retinal defects. Genetic counseling is important for the prevention of new cases. Great advances have been made in recent years. Management is symptomatic and multidisciplinary. In the present review, we discussed the most frequent ophthalmological anomalies associated with JS and speculated on the role of ciliary physiology in eye development.
Joubert综合征(JS)是一种罕见的遗传性疾病,以先天性中脑畸形、小脑共济失调、张力低下、动眼肌失用症、小脑蚓发育不全导致呼吸缺陷、共济失调和发育迟缓为特征。眼科检查发现眼球震颤及视网膜缺损。遗传咨询对预防新病例很重要。近年来取得了很大的进步。管理是有症状的和多学科的。在本文中,我们讨论了与JS相关的最常见的眼科异常,并推测了睫状体生理在眼睛发育中的作用。
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引用次数: 0
Radiological Features of Joubert's Syndrome Joubert综合征的放射学特征
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1760241
G. Stroscio, C. Cuppari, M. Ceravolo, A. Salpietro, Francesco Battaglia, A. Sallemi, M. Fusco, A. Ceravolo, G. Iapadre, E. Calì, D. Impollonia, F. Granata
Abstract Joubert syndrome (JS) is a rare autosomal recessive disorder. All patients affected by this syndrome presented a characteristic picture of cranial fossa malformations, called “molar tooth sign.” This sign is defined by the presence in axial section at the level of a deck/midbrain, of hypo/dysplasia of the cerebellar vermis, abnormally deep interpeduncular fossa and horizontalized thickened and elongated superior cerebellar peduncles. Although “molar tooth sign” is peculiar of JS, other radiological findings have been also reported in these patients. Here, the authors briefly assumed the principal magnetic resonance imaging findings of JS.
Joubert综合征(JS)是一种罕见的常染色体隐性遗传病。所有受此综合征影响的患者均表现为颅窝畸形的特征性表现,称为“磨牙征”。该征象表现为轴向切面在甲板/中脑水平,小脑蚓部发育不全/发育不良,脚间窝异常深,小脑上脚水平增厚和拉长。虽然“磨牙征”是JS所特有的,但在这些患者中也有其他影像学表现的报道。在这里,作者简要假设了JS的主要磁共振成像表现。
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引用次数: 0
A Brief Focus on Joubert Syndrome and Related Acute Complications 朱伯特综合征及其相关急性并发症的简要介绍
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1760240
S. Manti, E. Gitto, I. Ceravolo, Alessio Mancuso, A. Ceravolo, A. Salpietro, G. Farello, R. Chimenz, G. Iapadre, Francesco Battaglia, C. Cuppari
Abstract Joubert syndrome (JS) and related disorders are a group of congenital anomalies syndromes in which the obligatory hallmark is the molar tooth sign, a complex midbrain–hindbrain malformation. Moreover, JS may be associated with multiorgan involvement, mainly nephronophthisis, hepatic fibrosis, retinal dystrophy, and other abnormalities with both inter- and intra-familial variability. Therefore, these patients should be followed by both diagnostic protocol and multidisciplinary approach to assess multiorgan involvement. Here, we briefly summarize the possible complications in patients with JS.
Joubert综合征(JS)及其相关疾病是一组以磨牙征为特征的先天性异常综合征,是一种复杂的中脑-后脑畸形。此外,JS可能与多器官受累有关,主要是肾病、肝纤维化、视网膜营养不良和其他具有家族间和家族内变异性的异常。因此,这些患者应遵循诊断方案和多学科方法来评估多器官受累情况。在此,我们简要总结JS患者可能出现的并发症。
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引用次数: 0
Joubert Syndrome: Diagnostic Evaluation and Follow-up Joubert综合征:诊断评估和随访
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759532
C. Cuppari, I. Ceravolo, Alessio Mancuso, G. Farello, G. Iapadre, Luca Zagaroli, G. Nanni, M. Ceravolo
Abstract The follow-up of a child with genetic syndrome is necessarily multidisciplinary because of the multiplicity of problems and calls for close collaboration between different specialists. The primary objective is the total care of the child and his family, regardless of the rarity and complexity of the disease, to obtain the highest possible degree of mental and physical health and autonomy.
儿童遗传综合征的随访必须是多学科的,因为问题的多样性,需要不同专家之间的密切合作。首要目标是全面照顾儿童及其家人,无论疾病是否罕见和复杂,以获得尽可能最高程度的身心健康和自主。
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引用次数: 0
Ciliopathies: Genetic Counseling 纤毛病:遗传咨询
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-22 DOI: 10.1055/s-0042-1759515
C. Cuppari, A. Salpietro, I. Ceravolo, G. Iapadre, M. Fusco, A. Sallemi, Alessio Mancuso, G. Farello, M. Ceravolo
Abstract Joubert syndrome (JS) follows autosomal recessive inheritance, with rare X-linked recessive cases. The disease is genetically heterogeneous with neurological features associated with multiorgan involvement (e.g., retinal dystrophy, nephronophthisis, hepatic fibrosis, and polydactyly). The incidence of JS and related disorders is between 1/80,000 and 1/100,000 live births. Many causative genes have been identified, all encoding for proteins of the cilium or the centrosome, making the JS part of a group of diseases called “ciliopathies.” The identification of the molecular defect in couples at risk is allowed by prenatal genetic testing, whereas fetal ultrasound and brain neuroimaging are informative in the first and second trimester of pregnancy.
Joubert综合征(JS)为常染色体隐性遗传,少见x连锁隐性遗传。该病具有遗传异质性,伴有与多器官受累相关的神经系统特征(如视网膜营养不良、肾病、肝纤维化和多趾畸形)。JS及相关疾病的发病率在1/80,000至1/100,000活产之间。许多致病基因已经被发现,它们都编码纤毛或中心体的蛋白质,使JS成为一组被称为“纤毛病”的疾病的一部分。产前基因检测可以识别有风险的夫妇的分子缺陷,而胎儿超声和脑神经成像在怀孕的前三个月和中期是有帮助的。
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引用次数: 0
COVID-19 Vaccination May Provoke Intracranial Hypertension COVID-19疫苗可能引起颅内高压
IF 0.2 Q4 PEDIATRICS Pub Date : 2022-08-18 DOI: 10.1055/s-0042-1750788
Alexandria E. Melendez‐Zaidi, R. Foroozan, G. Orman, Farida Abid
In parallel to the spread of the novel severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), there has been the growing recognition that active SARS-CoV-2 infection has the potential to effect both the peripheral and central nervous systems. When it comes to the SARS-CoV-2 vaccine, however, reporting has been more uncertain. As the vaccination rate has risen, we have seen a rise in rare neurological complications thought to be associated with the vaccination including acute transverse myelitis, Guillain–Barre syndrome, optic neuritis, and Tolosa–Hunt syndrome. The Centers for Disease Control and Prevention (CDC) estimates 98 confirmed cases of Guillain–Barre syndrome out of 12.6 million doses. Given the initial age limits of vaccination eligibility, most reports have been limited to the adult population. Here, we report a case of intracranial hypertension (IH), evolving to fulminant IH in a healthy female after receiving the SARS-CoV-2 vaccine. While elevated intracranial pressure has been reported in the context of active SARS-CoV-2 infections and postinfection multisystem inflammatory syndrome (MIS-C), this is the first reported case of pediatric IH after vaccination alone.
在新型严重急性呼吸综合征-冠状病毒-2 (SARS-CoV-2)传播的同时,人们越来越认识到,活动性SARS-CoV-2感染有可能影响外周和中枢神经系统。然而,当涉及到SARS-CoV-2疫苗时,报告更加不确定。随着疫苗接种率的提高,我们看到被认为与疫苗接种有关的罕见神经系统并发症的增加,包括急性横断面脊髓炎、格林-巴利综合征、视神经炎和托洛萨-亨特综合征。美国疾病控制与预防中心(CDC)估计,在1260万剂疫苗中,有98例确诊的格林-巴利综合征。鉴于疫苗接种资格的初始年龄限制,大多数报告仅限于成年人口。在这里,我们报告了一例在接受SARS-CoV-2疫苗后,健康女性颅内高压(IH)发展为暴发性IH。虽然在SARS-CoV-2活动性感染和感染后多系统炎症综合征(misc)的背景下曾有颅内压升高的报道,但这是首次报道的仅接种疫苗后儿童IH病例。
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引用次数: 1
期刊
Journal of pediatric neurology
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