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Updated: Jun 2, 2026

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Published on: October 20, 2019
MPPH syndrome: two new cases
Wendy L Osterling1, Richard S Boyer, Gary L Hedlund
1Department of Pediatrics, the University of Utah School of Medicine, Salt Lake City, Utah, USA.
Abstract:
This report describes 2 additional cases of megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome, a recently recognized disorder of infants and young children with macrocrania, developmental delay/mental retardation, and often epilepsy. Medulloblastoma, a previously unreported feature in megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome, developed in one child at 3 years of age. Although the disorder is presumed to be genetic, the cause of megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome has not yet been determined.
Insights
This study reports two new cases of a rare infant syndrome involving megalencephaly and perisylvian polymicrogyria. A significant finding is the unexpected development of medulloblastoma in one child.
Area of Science:
- Medical Genetics
- Pediatric Neurology
- Developmental Biology
Background:
- Megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome is a rare genetic disorder.
- The syndrome affects infants and young children, presenting with macrocrania, developmental delay, and epilepsy.
Observation:
- Two additional cases of this rare syndrome were identified.
- One child developed medulloblastoma, a previously undocumented feature of this condition.
Findings:
- The syndrome is characterized by macrocephaly, developmental delay, and hydrocephalus.
- Medulloblastoma emerged as a novel, serious complication in one patient.
Implications:
- This expands the known clinical spectrum of megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus syndrome.
- Further research is needed to determine the genetic cause and optimal management strategies for this syndrome and its complications.
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