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Language, behavior and neurodevelopment in Joubert syndrome: a case report
Dionísia Aparecida Cusin Lamônica1, Camila da Costa Ribeiro1, Antonio Richieri-Costa1
1Universidade de São Paulo - USP - Bauru (SP), Brasil.
Joubert syndrome (JS) is a rare genetic disorder affecting development. This case highlights severe language and neurodevelopmental delays, emphasizing the need for early diagnosis and tailored interventions.
Area of Science:
- Genetics
- Neurology
- Developmental Biology
Background:
- Joubert syndrome (JS) is a rare, heterogeneous genetic ciliopathy.
- Over 20 genes are linked to JS, presenting with hypotonia, ataxia, and respiratory issues.
Observation:
- This study details the language and neurodevelopmental profile of an individual with JS.
- Evaluations included clinical genetic assessment, language assessments (DDST-II, ELMS), and MRI brain imaging.
Findings:
- MRI revealed cerebellar vermis hypoplasia, a "molar tooth sign", brainstem hypoplasia, and cerebellar atrophy.
- The individual exhibited severe receptive and expressive language disorder, with significant delays in motor and self-care domains.
Implications:
- Early neuroimaging and genetic evaluation are crucial for diagnosing JS.
- Accurate diagnosis facilitates personalized treatment planning to mitigate the syndrome's effects.
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