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Complex Craniosynostosis in Pitt-Hopkins Syndrome: Case Report in Twins
José Roberto Tude Melo1,2, Ana Rita de Luna Freire Peixoto3, Danilo Marden de Lima Souza3
1D'Or Institute for Research and Education (IDOR), Salvador da Bahia, Brazil.
Pediatric Neurosurgery
|January 21, 2024
Summary
Pitt-Hopkins syndrome (PTHS) is a rare genetic disorder. This report details two infants with PTHS and complex craniosynostosis, suggesting a potential link requiring further investigation.
Area of Science:
- Genetics
- Pediatrics
- Neurology
Background:
- Pitt-Hopkins syndrome (PTHS) is a rare genetic disorder caused by TCF4 gene variations, characterized by neurodevelopmental issues and craniofacial anomalies.
- This study focuses on two twin infants diagnosed with PTHS.
Observation:
- Both infants exhibited craniofacial asymmetry, metopic crest, and cranial deformity.
- Computed tomography revealed premature fusion of coronal and metopic sutures (complex craniosynostosis) in both twins.
- Surgical craniofacial reconstruction was successfully performed at nine months of age.
Findings:
- This is the first reported case of complex craniosynostosis in infants with Pitt-Hopkins syndrome.
- Genetic confirmation of PTHS was achieved through TCF4 gene variant identification via buccal swab DNA analysis.
Implications:
- The co-occurrence of PTHS and complex craniosynostosis may indicate a specific association.
- Further research is necessary to determine if this link is statistically significant or coincidental.
- This case highlights the importance of comprehensive evaluation in patients with rare genetic syndromes.
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