Ullah Irfan, Khan Kiran Shafiq, Afridi Rifayat Ullah, Shirazi Farida, Naz Irum, Ambreen Aneela, Singh Manjeet, Asghar Muhammad Sohaib
Department of Pediatrics, Naseer Teaching Hospital, Peshawar, Pakistan.
Kabir Medical College, Gandhara University, Peshawar, Pakistan.
Ann Med Surg (Lond). 2022 Jun 30;79:104113. doi: 10.1016/j.amsu.2022.104113. eCollection 2022 Jul.
Joubert syndrome (JS) is defined by the characteristic set of cerebellum and midbrain abnormalities that communally result in the indicative "molar tooth sign" on the axial MRI report. The incidence of estimated to be from 1:80,000 to 1:100,000.
Clinical features can be noticed shortly after birth that includes hypotonia episodic tachypnea and apnea that may be followed by developmental delays and speech apraxia. Polydactyly, cleft lip or palate, tongue abnormalities, hypotonia, encephalocele, meningocele, hydrocephalus, kidney problems, pituitary abnormality, and autistic-like behavior are the other deformities that can be seen with JS. Seizures may also occur. Motor disability and mental health range from mild to severe forms.
Treatment for JS is symptomatic and supportive. The prognosis depends on cerebellar vermis development.
JS can be missed if special attention were not given to radiological findings.
Joubert综合征(JS)由小脑和中脑异常的特征性组合所定义,这些异常共同导致轴向MRI报告上出现特征性的“磨牙征”。其发病率估计为1:80,000至1:100,000。
出生后不久即可注意到临床特征,包括肌张力减退、发作性呼吸急促和呼吸暂停,随后可能出现发育迟缓及言语失用症。多指畸形、唇腭裂、舌部异常、肌张力减退、脑膨出、脑膜膨出、脑积水、肾脏问题、垂体异常以及类似自闭症的行为是JS可能出现的其他畸形。也可能发生癫痫。运动残疾和心理健康问题从轻度到重度不等。
JS的治疗是对症和支持性的。预后取决于小脑蚓部的发育情况。
如果不特别关注影像学检查结果,JS可能会被漏诊。