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先天性食管裂孔疝伴小脑蚓部发育不全、畸形特征及基因研究阴性:一例报告

Congenital hiatal hernia with vermis hypoplasia, dysmorphic features and negative genetic study: A case report.

作者信息

Mujahed Ramzi H, Shaheen Manal M, Abusafa Ikram M, Shahin Amenah G, Bouzieh Ethar A, Baniodeh Bushra S, Asaad Hamda L

机构信息

Faculty of Medicine, Palestine Polytechnic University, Hebron, Palestine.

Department of Pediatrics, Hebron Governmental Hospital, Hebron, Palestine.

出版信息

SAGE Open Med Case Rep. 2024 Nov 13;12:2050313X241298868. doi: 10.1177/2050313X241298868. eCollection 2024.

DOI:10.1177/2050313X241298868
PMID:39544501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11561994/
Abstract

Congenital hiatal hernia is a rare congenital defect and often occurs at a sporadic basis, but familial cases have also been reported. Here, we report on a 3-year-old male patient of Middle-Eastern descent, diagnosed at 5 months of age patient presenting with a congenital hiatal hernia, vermis hypoplasia manifested by axial hypotonia and horizontal nystagmus, preauricular tag, and dysmorphic features with negative genetic mutations, not fitting any reported association or syndrome, suggesting the potential existence of a novel disease entity and highlighting the necessity for further exploration into rare genetic conditions for comprehensive patient care and syndrome characterization.

摘要

先天性食管裂孔疝是一种罕见的先天性缺陷,通常呈散发性发生,但也有家族性病例的报道。在此,我们报告一名3岁中东裔男性患者,该患者在5个月大时被诊断为患有先天性食管裂孔疝、以轴性肌张力减退和水平性眼球震颤表现的小脑蚓部发育不全、耳前赘生物以及具有阴性基因突变的畸形特征,不符合任何已报道的关联或综合征,提示可能存在一种新的疾病实体,并强调有必要进一步探索罕见的遗传疾病情况,以实现全面的患者护理和综合征特征描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad4/11561994/474f76374c17/10.1177_2050313X241298868-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad4/11561994/bd93aec97f79/10.1177_2050313X241298868-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad4/11561994/474f76374c17/10.1177_2050313X241298868-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad4/11561994/bd93aec97f79/10.1177_2050313X241298868-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad4/11561994/474f76374c17/10.1177_2050313X241298868-fig2.jpg

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本文引用的文献

1
Diagnostic Approach to Cerebellar Hypoplasia.小脑发育不良的诊断方法。
Cerebellum. 2021 Aug;20(4):631-658. doi: 10.1007/s12311-020-01224-5. Epub 2021 Feb 3.
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Congenital diaphragmatic hernia.先天性膈疝。
Pediatr Radiol. 2020 Dec;50(13):1855-1871. doi: 10.1007/s00247-020-04718-w. Epub 2020 Nov 30.
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Congenital hiatal hernia segregating with a duplication in 9q22.31q22.32 in two families.先天性食管裂孔疝与两个家族中 9q22.31q22.32 处的重复遗传相关。
Am J Med Genet A. 2020 Dec;182(12):3040-3047. doi: 10.1002/ajmg.a.61898. Epub 2020 Oct 7.
4
Congenital mixed giant hiatal hernia in a four-month-old infant.一名4个月大婴儿的先天性混合型巨大食管裂孔疝。
Cir Pediatr. 2020 Jan 20;33(1):47-50.
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Redefining the Etiologic Landscape of Cerebellar Malformations.重新定义小脑畸形的病因景观。
Am J Hum Genet. 2019 Sep 5;105(3):606-615. doi: 10.1016/j.ajhg.2019.07.019. Epub 2019 Aug 29.
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Developmental outcomes in children with congenital cerebellar malformations.先天性小脑畸形患儿的发育结局。
Dev Med Child Neurol. 2019 Mar;61(3):350-358. doi: 10.1111/dmcn.14059. Epub 2018 Oct 15.
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Haploinsufficiency of associated with cerebellar abnormalities in 2p15p16.1 deletion syndrome.2p15p16.1缺失综合征中与小脑异常相关的单倍剂量不足。
Mol Genet Genomic Med. 2017 May 22;5(4):429-437. doi: 10.1002/mgg3.289. eCollection 2017 Jul.
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A truncating mutation in CEP55 is the likely cause of MARCH, a novel syndrome affecting neuronal mitosis.CEP55基因中的截短突变可能是MARCH的病因,MARCH是一种影响神经元有丝分裂的新型综合征。
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Genetic causes of congenital diaphragmatic hernia.先天性膈疝的遗传病因。
Semin Fetal Neonatal Med. 2014 Dec;19(6):324-30. doi: 10.1016/j.siny.2014.09.003. Epub 2014 Oct 28.
10
Guidelines for the management of hiatal hernia.食管裂孔疝管理指南。
Surg Endosc. 2013 Dec;27(12):4409-28. doi: 10.1007/s00464-013-3173-3. Epub 2013 Sep 10.