Acrocephalosyndactyly, Type 1

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[edit] Name of Condition

Acrocephalosyndactyly, Type I, most commonly referred to as Apert Syndrome, but also known as ACS1 or Syndactylic Oxycephaly.

[edit] Definition

ACS1 is a rare congenital condition that results in the premature closing of the sutures of the skull during developmental stages and is characterized by abnormalities in the shape of head and face, as well as fusion of the fingers and toes (syndactyly) and ends of thumbs and big toes.

[edit] Description, Signs and Symptoms

Characterizations of ACS1 are:

  • distinctive malformations of the skull
  • facial feature malformations such as widely spaced eyes, protrusion of the eyes, and abnormally narrow palate (roof of the mouth)
  • fusion of fingers and toes (syndactyly)
  • broad thumbs and big toes
  • mental retardation, in some cases
  • low-set ears


[edit] Inheritance

Apert syndrome is inherited as an autosomal dominant trait, in the form of a mutation within the fibroblast growth receptor 2 (FGFR2) gene located on chromosome 10. Males and females seem to be equally affected. While most cases have occurred as new mutations, meaning that they occurred randomly and without a known genetic predisposition, a parent with Apert syndrome has a 50% chance of having a child with the condition.


[edit] Diagnosis

Diagnosis can be confirmed by way of prenatal imaging techniques.


[edit] Treatment and Management

Orthodontic and orthognathic surgery can help alleviate some the facial malformations and more aggressive surgical techniques may be used to separate the fused fingers and toes. Surgery would also be required to prohibit closure of the sutures of the skull in order to decrease the risk of damaging brain during development.

[edit] Prognosis

Prognosis is often grave, as distinct functional and mental disabilities are often associated with the condition.

[edit] Resources

Children's Craniofacial Association http://www.ccakids.com

FACES: The National Craniofacial Association http://www.faces-cranio.org

National Foundation for Facial Reconstruction http://www.nffr.org

Craniofacial Foundation of America http://www.craniofacialcenter.com

Apert Support and Information Network http://www.apert.org

About Face USA http://www.aboutfaceusa.org

About Face International http://www.aboutfaceinternational.org

National Organization for Rare Disorders http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Apert%20Syndrome

[edit] References

The Fetus: Apert Syndrome http://www.thefetus.net/page.php?id=2095

Wikipedia http://en.wikipedia.org/wiki/Apert_Syndrome#Treatments

WebMD http://children.webmd.com/apert-syndrome-11050

MedicineNet http://www.medterms.com/script/main/art.asp?articlekey=6605

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