Seylanian Toosi Farrokh, Boloursaz Samineh, Abbasi Bita, Hekmat Reza, Mortazavi Ardestani Reihaneh, Mohajerzadeh Mina
Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Nephrology, Mashhad University of Medical Sciences, Mashhad, Iran.
J Renal Inj Prev. 2016 Nov 7;6(2):76-79. doi: 10.15171/jrip.2017.14. eCollection 2017.
Joubert syndrome is a rare autosomal recessive disorder that may have different clinical presentation such as ataxia, hyperpnea, sleep apnea, nystagmus, hypotonia, seizure and retinitis pigmentosa. We present a 22-year-old girl and her older sibling, labeled as cerebral palsy. She had renal transplant years ago without the true diagnosis of the disorder. Brain imaging revealed the classic "molar tooth sign" appearance, and clinical evaluation established the diagnosis for both of the siblings. Imaging should be done to evaluate the neuroradiological findings of Joubert syndrome. With a neonate with Joubert syndrome in a family, antenatal diagnosis by ultrasound is crucial for future siblings.
乔伯特综合征是一种罕见的常染色体隐性疾病,可能有不同的临床表现,如共济失调、呼吸急促、睡眠呼吸暂停、眼球震颤、肌张力减退、癫痫和色素性视网膜炎。我们报告一名22岁女孩及其年长的兄弟姐妹,他们之前被诊断为脑瘫。该女孩数年前接受了肾移植,但当时并未真正诊断出这种疾病。脑部影像学检查显示出典型的“磨牙征”表现,临床评估确诊了这两名兄弟姐妹患有该疾病。应进行影像学检查以评估乔伯特综合征的神经放射学表现。对于有新生儿患有乔伯特综合征的家庭,通过超声进行产前诊断对未来的兄弟姐妹至关重要。