Síndrome de malformação do sistema nervoso central caracterizada por holoprosencefalia com microcefalia, morfologia ocular anormal (hipotelorismo, ciclopia, exoftalmia), anomalias nasais (narina única ou nariz ausente) e fissura labiopalatina, combinada com sinais de regressão caudal (agenesia sacral, sirenomelia com ausência de genitália externa).
Introdução
O que você precisa saber de cara
Síndrome de malformação do sistema nervoso central caracterizada por holoprosencefalia com microcefalia, morfologia ocular anormal (hipotelorismo, ciclopia, exoftalmia), anomalias nasais (narina única ou nariz ausente) e fissura labiopalatina, combinada com sinais de regressão caudal (agenesia sacral, sirenomelia com ausência de genitália externa).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 7 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 17 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome de holoprosencefalia-disgenesia caudal
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Ensaios clínicos abertos e novidades científicas recentes
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Publicações mais relevantes
Anaesthetic management of a paediatric patient with Goldenhar syndrome for oral rehabilitation and palatoplasty.
Goldenhar syndrome is a rare congenital condition characterised by craniofacial deformities and vertebral anomalies, which pose significant challenges for anaesthesiologists in airway management and ventilatory support. In this case report, we present a paediatric patient with Goldenhar syndrome for oral rehabilitation and palatoplasty, highlighting the importance of a thorough preoperative evaluation, airway planning and the application of lung protective ventilation strategies. The procedure was successfully done under general anaesthesia without intraoperative or postoperative complications. This case report emphasises the importance of individualised anaesthetic planning in patients with craniofacial and vertebral anomalies. The perioperative risks were significantly reduced by anticipating a potential difficult airway and tailoring ventilatory management.
Immune mechanisms of congenital Zika syndrome.
Zika virus (ZIKV) infection during pregnancy can adversely affect mother and child. ZIKV can vertically transmit from mother to fetus, especially during early pregnancy, to cause congenital Zika syndrome (CZS), which includes microcephaly, ocular and musculoskeletal defects, and other disorders. Whereas human clinical studies have provided crucial insights into how ZIKV affects pregnancy, animal models have uncovered mechanisms of fetal disease. This Review discusses fetal immunological factors that contribute to or protect from CZS, as well as the interplay between maternal and fetal immunity, viral molecular factors, maternal nutrition, and metabolic changes to fetal ZIKV infection and disease outcomes. We also consider how factors like preexisting flavivirus immunity and gene polymorphisms may affect CZS risk, with implications for vaccine and therapeutic development. There are insights to be gained from studying ZIKV disease for our improved understanding of congenital infections and the functioning of the immune system in early life.
Follicle-dependent differential localization of adipokines in the letrozole-induced hyperandrogenized mouse ovary.
This study investigated whether ovarian adipokines exhibit uniform or stage-specific expression patterns across different follicular stages under hyperandrogenic conditions using a letrozole-induced polycystic ovary syndrome (PCOS) mouse model. Adult female mice received oral letrozole treatment for 21 days to induce hyperandrogenism, and ovarian tissues were analyzed by immunohistochemistry and western blot to examine the localization and expression of adiponectin (ADPN), adipoR1, adipoR2, leptin (Ob), leptin receptor (ObR), apelin (APLN), apelin receptor (APJ), chemerin, CMKLR1, and visfatin. Intense immunostaining for Ob, ObR, APJ, APLN, adipoR2, and visfatin was observed in primary, secondary, and Graafian follicles, whereas ADPN, adipoR1, and CMKLR1 showed reduced reactivity. In follicular cysts, adipoR2, APLN, APJ, and Ob were markedly upregulated compared with the corpus luteum of control ovaries, whereas ADPN, adipoR1, chemerin, CMKLR1, and ObR were downregulated. These findings indicate that hyperandrogenism disrupts adipokine signaling in a follicle-dependent manner, with differential expression patterns contributing to altered follicular maturation and cyst formation. The enhanced activation of adiponectin, apelin, and leptin signaling observed in cystic follicles may indicate disrupted adipokine-mediated regulation of ovarian physiology in letrozole-induced PCOS. Given the established roles of these adipokines in folliculogenesis and steroidogenesis, their dysregulation may contribute to follicular arrest and impaired ovarian function. These alterations are likely reflective responses to an altered endocrine and metabolic environment rather than direct causal mechanisms. Nonetheless, they may participate in the pathophysiological processes underlying cyst formation in PCOS.
Understanding the impact of growth hormone on ventilatory control stability in children with Prader-Willi syndrome.
A hallmark of Prader-Willi syndrome (PWS) is hypothalamic-pituitary axis dysfunction, which can result in reduced growth hormone (GH) production. While GH replacement therapy is common in children with PWS, it has also been implicated in the development of obstructive sleep apnoea (OSA) in some children. The mechanisms underlying this development are poorly understood but may be related to alterations in ventilatory control. Our study investigated the impact of GH treatment on ventilatory control stability during sleep in children with PWS. Polysomnographic data pre- and post-GH therapy in 25 children (aged 2mo-18y) were used to assess ventilatory control using a validated method that estimates loop gain (dimensionless ratio) from ventilation changes following spontaneous sighs during sleep. Data were analysed using linear mixed-effects modelling with GH as a fixed effect and participant as a random intercept. Covariates that could impact loop gain including age, obstructive-apnoea hypopnoea index (OAHI) and central apnoea-hypopnoea index (CAHI) were each added separately to the base model in a stepwise, manual forward selection approach. Loop gain was not altered by GH treatment (β = 0.003, 95% CI: [-0.042, 0.049], p = 0.878, Cohen's d = 0.031). Age, OAHI and CAHI did not alter the impact of GH on loop gain. No difference in sleep or respiratory characteristics were found, however 20% of children developed OSA post-GH. Initiation of GH therapy was not associated with a change in loop gain, suggesting that changes in ventilatory control are unlikely to contribute to the development of OSA in children with PWS. • Prader-Willi syndrome is associated with abnormal ventilatory control and increased risk of sleep-disordered breathing. • Growth hormone therapy may influence respiratory physiology but its effect on the stability of ventilatory control (loop gain) remains unclear. • In this cohort of children with Prader-Willi syndrome, growth hormone therapy did not alter loop gain despite inter-individual variability. • Our findings suggest that any sleep-disordered breathing that emerges following growth hormone therapy is likely driven by mechanisms other than altered loop gain.
Sucking Patterns in Infants with Down Syndrome admitted to a Level 4 Neonatal Intensive Care Unit.
Infants with Down syndrome present multiple challenges that can affect growth and development, among them feeding, difficulties that arise in the early days after birth. We aimed to describe the sucking patterns of infants with Down syndrome in the neonatal intensive care unit (NICU). We reviewed the medical records of infants with Down syndrome admitted (2012-2022) to the University Pediatric Hospital NICU in San Juan, Puerto Rico, who were evaluated with a clinical swallow examination and the Neonatal Oral-Motor Assessment Scale (NOMAS). The study included 29 infants. The median gestational age was 38 weeks, and the median birth weight was 2650 grams. Generalized low muscle tone was identified in 81% of the infants. Sucking patterns were classified as disorganized (41%), dysfunctional (52%), and mature (7%). Only 8% of term infants had mature sucking. The clinical signs of swallow dysfunction included reduced oxygen saturation (20%), mottling (50%), interference with the gag reflex (31%), stridor (40%), and wet or gurgly breathing (75%). Mature sucking skills are expected in term infants. However, our sample of term infants with Down syndrome had a high prevalence of dysfunctional sucking. Neonates with congenital anomalies associated with hypotonia require a formal assessment with a clinical tool to determine their readiness for oral feeding and may require a complete evaluation of feeding and swallowing for the diagnosis and monitoring of swallowing dysfunction. These assessments will form the basis for the design of evidence-based interventions and may yield valuable information regarding neurodevelopmental outcomes.
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NeoReviewsElevated gamma spectral event peak power during auditory chirp is associated with neuropsychiatric features in Fragile X syndrome.
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Stem cell researchSilencing the Mutant KCNH2 Allele to Reduce the Effects of Long QT Syndrome Type 2.
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Journal of cardiothoracic and vascular anesthesiaBilateral Cochlear Implantation in a Child With Galloway-Mowat Syndrome: A Case Report.
The American journal of case reportsDelayed diagnosis of Waardenburg syndrome type 1 in a Syrian adult: Challenges and lessons from resource-limited settings, a case report and literature review.
Science progressEfficacy of bumetanide for cognitive improvement in children and adolescents with Down syndrome: study protocol of a randomised, double-blind, placebo-controlled trial.
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Open biologyCorrelations between phenotype and gene region-specific episignatures in Rubinstein-Taybi syndrome and Menke-Hennekam syndrome.
Human molecular geneticsExploring the influence of risk factors on outcomes following surgical closure of ventricular septal defects.
Cardiovascular journal of AfricaCell-type-specific alternative splicing in the brain and kidney of a Setbp1S858R Schinzel-Giedion syndrome mouse.
Disease models & mechanismsIn silico Analysis of CHD4 Mutations Reveals Domain-Specific Impacts on Cardiovascular Disorders Among Patients With Rare Diseases.
Human mutationTongue strength and endurance in relation to oral cavity morphology among children with Down syndrome in the permanent dentition period.
Journal of the Indian Society of Pedodontics and Preventive DentistryCongenital Temporomandibular Joint Ankylosis: Investigating Potential Genetic Etiologies with Whole Exome Sequencing.
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International journal of molecular sciencesDeciphering the Genetic Basis of Congenital Vertebral Malformations Through a Stepwise Diagnostic Approach.
International journal of molecular sciencesApplication of Prenatal Whole Exome Sequencing for Congenital Heart Anomalies.
International journal of molecular sciencesNonsense Mutation in USH2A Exon-13 Activates the Innate Immune Response in Müller Glial Cells.
International journal of molecular sciencesGenetic Mapping of the 22q11.2 Deletion Syndrome (DiGeorge Syndrome) Microdeletion Types Revealed Novel Candidate Breakpoints.
GenesReassessing Benign ASXL1 Variants in Bohring-Opitz Syndrome: The Role of Population Databases in Variant Reinterpretation.
GenesCharacterisation of a Missense Variant of the Alström Syndrome Centrosome and Basal Body Associated Protein (ALMS1) Gene Associated with Cardiomyopathy Using Induced Pluripotent Stem Cells.
GenesMulti-System Genetic Architecture of Hypermobile Ehlers-Danlos Syndrome: Integrating Machine Learning with Subject-Level Genomic Analysis.
GenesBehavioral Features in Phelan-McDermid Syndrome: Characteristics and Genetic and Metabolic Contributions in a Cohort of 56 Individuals.
GenesA Complex Case of Langer-Giedion Syndrome, Cornelia de Lange Syndrome Type 4, and Hereditary Multiple Osteochondromas with Mosaic 8q23.1-q24.12 Deletion.
GenesPrenatal Diagnosis of Sex Chromosome Aneuploidies: A Retrospective Study Using QF-PCR, SNP-Based Chromosomal Microarray Analysis, and NIPT.
GenesPrevalence of Smith-Lemli-Opitz Syndrome Carriers and the Spectrum of DHCR7 Pathogenic Variants in Representative Czech and Hungarian Population Cohorts.
GenesRNAi-Induced Expression of Paternal UBE3A.
GenesFoundations of an Ovine Model of Fragile X Syndrome.
GenesThe Impact of Genetics on Craniofacial Dysplasias and Consequent Oral Malformations-Integrative Review.
GenesA Splice Acceptor Variant in DLL3 Is Associated with Spondylocostal Dysostosis in a Litter of Mixed-Breed Dogs.
GenesAdaptive and Behavioral Phenotype in Pediatric 22q11.2 Deletion Syndrome: Characterizing a High-Risk Neurogenetic Copy Number Variant.
GenesA Clinical Practice Example of Smith-Magenis Syndrome in the Neuropediatric Clinic: Etiology, Clinical Presentation, Diagnostics and Therapeutic Approaches-A Case Report.
Children (Basel, Switzerland)Otopalatodigital Syndrome Type 2: A Case Report.
Neonatal network : NNGeneration of an induced pluripotent stem cell and isogenic control line from a vascular Ehlers-Danlos Syndrome (vEDS) patient harboring a pathogenic c.755G>T in the COL3A1 gene.
Stem cell researchFunctional validation of a novel PBX1 missense variant in a 46,XY girl.
Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiationSplicing variants in MYRF cause partial loss of function in the retinal pigment epithelium leading to nanophthalmos.
JCI insightCongenital hyperinsulinism in an individual with CHARGE syndrome and a pathogenic CHD7 variant.
JCEM case reportsDiagnosis, surgery, and outcome of tethered cord syndrome in 12 dogs.
Journal of veterinary internal medicineEducational Attainment of Children With Major Congenital Anomalies During Primary School in England: A Population Cohort Study.
Paediatric and perinatal epidemiologyOrofacial clefting in PHF6-related Börjeson-Forssman-Lehmann syndrome.
BMJ case reportsCongenital core myopathy linked to SOX5: Expanding the phenotypical spectrum of Lamb-Shaffer syndrome.
Journal of neuromuscular diseasesGut microbiota dysbiosis in Indian women with PCOS may be linked to metabolic and hormonal dysregulation.
Future microbiologyIntravenous Amiodarone in Preexcited Atrial Fibrillation: A Systematic Review.
Circulation. Arrhythmia and electrophysiologyIsolated Congenital Hyponychia and Anonychia in a Neonate: A Rare Case.
CureusPrenatal Diagnosis and Genotype-Phenotype Correlation in 8q21.11 Microdeletion Syndrome: A Case Report.
International medical case reports journalNon-Isolated Dandy-Walker Malformation: Exome Sequencing Efficacy and Phenotypic Expansions.
Clinical geneticsA Case of Prostatic Mixed Germ Cell Tumor Showing Pagetoid Spread Into the Vas Deference in a Patient With Klinefelter Syndrome.
Pathology internationalPhenotypic description of a large French series of individuals with Potocki-Lupski syndrome.
Journal of medical geneticsEstablishment and characterization of induced pluripotent stem cell lines from individuals with Down syndrome and age-matched euploid donors.
Stem cell researchCardiac conduction system malformations in heterotaxy result from dysregulated Pitx2 expression.
JCI insightElectrocardiographic patterns in an urban community of South Kivu in the Democratic Republic of Congo.
Cardiovascular journal of AfricaAndrogen insensitivity syndrome: Presentation, diagnosis, and management.
The Nurse practitionerFrom Thymic Hypoplasia to Immune Reconstitution: An Immunological Review of DiGeorge Syndrome.
Scandinavian journal of immunologyFrom Sound to Stability: Lessons Learned From the CRUSH Study on Hearing Loss Progression and Vestibular Phenotype in Usher Syndrome Type 2A.
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and NeurotologyErythropoietin alleviates syndrome-associated intellectual disability and autism-like behavior in Zbtb20-haploinsufficient Primrose syndrome mouse model.
JCI insightFetal Neuroimaging in Aicardi Syndrome: A Case Report and Literature Review.
CureusScimitar Syndrome Incidentally Identified During the Workup for Acute Appendicitis in a Young Adult Female: A Case Report.
CureusTrisomy 13 as a risk factor for pulmonary hypertension induced by diazoxide.
Annals of pediatric cardiologyLeft Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome.
Methodist DeBakey cardiovascular journalMulti-omics investigation of thyroid development and dysfunction in down syndrome.
Human molecular geneticsClinical Characteristics and Management of Two Cases of Complete Androgen Insensitivity Syndrome With Germ Cell Tumors.
Cancer reports (Hoboken, N.J.)A Decade-Long Diagnostic Challenge: A Case of Nonclassical 21-Hydroxylase Deficiency Mistaken for Polycystic Ovary Syndrome.
The journal of obstetrics and gynaecology researchAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Anaesthetic management of a paediatric patient with Goldenhar syndrome for oral rehabilitation and palatoplasty.
- Immune mechanisms of congenital Zika syndrome.
- Follicle-dependent differential localization of adipokines in the letrozole-induced hyperandrogenized mouse ovary.
- Understanding the impact of growth hormone on ventilatory control stability in children with Prader-Willi syndrome.
- Sucking Patterns in Infants with Down Syndrome admitted to a Level 4 Neonatal Intensive Care Unit.
- A custom phenotypic profile for Fanconi anemia: Addressing gaps in existing disease annotations.
- The Human Phenotype Ontology in 2024: phenotypes around the world.
- Clinical manifestation, economic burden, and mortality in patients with transthyretin cardiac amyloidosis.
- Development of newborn screening connect (NBS connect): a self-reported patient registry and its role in improvement of care for patients with inherited metabolic disorders.
- Evaluation of disease burden and response to treatment in adults with type 1 Gaucher disease using a validated disease severity scoring system (DS3).
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:2165(Orphanet)
- MONDO:0016299(MONDO)
- GARD:2722(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q55786122(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar