Atlantoaxial Instability due to Os Odontoideum in a Child with Christianson Syndrome


Guven N. E., Ucmak H., Ucar C. I., HAVAN M., YILDIRIM M., TEBER S., ...Daha Fazla

MOLECULAR SYNDROMOLOGY, cilt.15, sa.5, ss.398-402, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 5
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1159/000538015
  • Dergi Adı: MOLECULAR SYNDROMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.398-402
  • Anahtar Kelimeler: Atlantoaxial instability, Christianson syndrome, Medullary nephrocalcinosis, Os odontoideum, Primary hyperparathyroidism, SLC9A6
  • Ankara Üniversitesi Adresli: Evet

Özet

Introduction: Christianson syndrome is a rare neurodevelopmental disorder associated with mutations in the SLC9A6 gene located on the chromosome X. It is characterized by intellectual disability, developmental delay, speech and language impairments, dysmorphic features, seizures, ataxia, and neurobehavioral problems. Case Presentation: A 5-year-old boy was presented with respiratory failure and then progressive muscle weakness in all four extremities. He manifested acquired microcephaly, intellectual disability, global developmental delay, distinct dysmorphic facial features, seizures, spastic tetraparesis, truncal hypotonia, speech impairment, failure to thrive, malnutrition, recurrent lung infections, self-mutilation, primary hyperparathyroidism, medullary nephrocalcinosis, and atlantoaxial instability due to os odontoideum. Brain magnetic resonance imaging revealed atlantoaxial instability due to os odontoideum, a narrow foramen magnum, myelopathy due to spinal cord compression, and cerebral and cerebellar atrophy. Discussion: This report highlights a significant contribution by introducing a child with Christianson syndrome describing atlantoaxial instability due to os odontoideum, a previously undocumented phenomenon. This report suggests a potential link between Christianson syndrome and atlantoaxial instability. In children with Christianson syndrome experiencing increased muscle weakness in all extremities during follow-up, consideration of underlying myelopathy due to os odontoideum is advised.