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Athabaskan brainstem dysgenesis syndrome
ICD-10 Codes
Related ICD-10:
Description
Athabascan Brainstem Dysgenesis Syndrome (ABDS) is a rare, genetic disorder that affects the development of the brain and nervous system. The main symptoms of ABDS include:
- Horizontal gaze palsy: Inability to move the eyes to the sides [1]
- Sensorineural deafness: Hearing loss due to problems with the nerves that transmit sound signals to the brain [2, 3]
- Central hypoventilation: Difficulty breathing due to problems with the brain's ability to control breathing [4, 5]
- Developmental delay: Slowed or delayed development of physical and mental skills [6]
Other features of ABDS may include:
- Facial weakness: Weakness or paralysis of facial muscles [1, 7]
- Swallowing dysfunction: Difficulty swallowing due to problems with the nerves that control swallowing [1]
- Vocal cord paralysis: Paralysis of the vocal cords, which can affect speech and breathing [1]
- Seizures: Abnormal electrical activity in the brain that can cause seizures or convulsions [1]
- Cardiac outflow tract anomalies: Problems with the heart's ability to pump blood effectively [1]
ABDS is a rare disorder, and its exact prevalence is unknown. However, it is thought to be associated with mutations in the HOXA1 gene, which plays a critical role in brain development [8].
Additional Characteristics
- Facial weakness
- Seizures
- Sensorineural deafness
- Developmental delay
- Horizontal gaze palsy
- Central hypoventilation
- Swallowing dysfunction
- Vocal cord paralysis
- Cardiac outflow tract anomalies
Signs and Symptoms
Athabaskan Brainstem Dysgenesis Syndrome (ABDS) is a rare genetic disorder that affects the development of the brainstem, leading to various neurological and systemic symptoms.
Common Signs and Symptoms:
- Sensorineural Deafness: A significant hearing loss due to problems with the inner ear or auditory nerve. [1][2]
- Horizontal Gaze Palsy: Difficulty moving the eyes in a horizontal direction, which can be present at birth or develop later in life. [1][3]
- Central Hipoventilation: A condition where the brain has difficulty controlling breathing, often leading to respiratory problems and potentially life-threatening complications. [4]
- Facial Weakness: Muscle weakness or paralysis affecting the face, which can impact facial expressions and other motor functions. [5][6]
- Developmental Delay: Slowed or impaired development in various areas, such as cognitive, motor, or language skills. [6]
Additional Features:
- Impaired eye movement
- Facial and bulbar paralysis (weakness or paralysis of the face and related muscles)
- Cardiovascular abnormalities (problems with the heart or blood vessels)
- Abnormalities of the internal carotid arteries
It's essential to note that each individual with ABDS may experience a unique combination of symptoms, and not everyone will exhibit all of these characteristics. If you suspect someone has this condition, it is crucial to consult with a qualified medical professional for an accurate diagnosis and proper care.
References: [1] - Context result 1 [2] - Context result 2 [3] - Context result 3 [4] - Context result 4 [5] - Context result 6 [6] - Context result 7
Additional Symptoms
- Developmental Delay
- Horizontal Gaze Palsy
- Central Hipoventilation
- deafness
- facial weakness
Diagnostic Tests
Athabaskan brainstem dysgenesis syndrome (ABDS) is a rare genetic disorder that affects various systems in the body, including the nervous system, ear, and eye. Diagnostic tests for ABDS are crucial to confirm the diagnosis and rule out other conditions.
Diagnostic Tests:
- Genetic Testing: Full gene sequencing is recommended to confirm the diagnosis of ABDS [1]. This test can identify genetic mutations that cause the disorder.
- Brainstem Auditory Evoked Responses (BAER): BAER tests are used to diagnose sensorineural deafness, a common feature of ABDS [3].
- Imaging Studies: Imaging studies such as MRI and CT scans may be performed to rule out other conditions that can cause similar symptoms.
Other Relevant Information:
- ABDS is inherited in an autosomal recessive pattern, meaning that individuals must inherit two copies of the mutated gene (one from each parent) to develop the disorder [7].
- The disorder affects various systems in the body, including the nervous system, ear, and eye. Abnormalities in these systems can lead to symptoms such as developmental delay, sensorineural deafness, and horizontal gaze palsy [
Additional Diagnostic Tests
- Imaging Studies
- Genetic Testing
- Brainstem Auditory Evoked Responses (BAER)
Treatment
Athabaskan Brainstem Dysgenesis Syndrome (ABDS) is a rare genetic disorder that requires supportive treatment to manage its symptoms.
Treatment Options
While there is no cure for ABDS, various treatments can help alleviate the symptoms and improve the quality of life for affected individuals. The following are some of the treatment options mentioned in the available literature:
- Mechanical ventilation: This is a crucial aspect of managing ABDS, as patients often experience central hypoventilation (1). Mechanical ventilation helps ensure adequate oxygenation and carbon dioxide removal.
- Supplemental oxygen: Providing supplemental oxygen can be satisfactory for some patients, especially when they are infants (4).
- Antiplatelet and anti-ester fixation treatment: This treatment approach has been shown to effectively improve symptoms and shorten the course of the disease in some cases (10).
Other Considerations
It's essential to note that each patient with ABDS may require a tailored treatment plan, taking into account their unique needs and circumstances. A multidisciplinary team of healthcare professionals should be involved in managing the condition.
References:
[1] - 1. May 17, 2024 — Athabascan Brainstem Dysgenesis Syndrome (ABDS) is a very rare genetic syndrome ... ABDS is managed with supportive treatment. This includes ... [8] - Athabaskan brainstem dysgenesis syndrome (ABDS) or Athabascan brainstem dysgenesis ... Treatment. edit. Treatment includes mechanical ventilation and supplemental ... [10] - The administration of antiplatelet and anti-ester fixation treatment can effectively improve the symptoms and shorten the course of the disease.
Recommended Medications
- Mechanical ventilation
- Antiplatelet and anti-ester fixation treatment
- Oxygen
- oxygen atom
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Athabaskan brainstem dysgenesis syndrome (ABDS) is a rare genetic disorder that affects the development of the brainstem, leading to various symptoms and complications. A differential diagnosis for ABDS involves considering other conditions that may present with similar symptoms.
Possible Differential Diagnoses:
- Congenital horizontal gaze palsy: This condition can cause impaired eye movement and is often associated with other neurological disorders.
- [3] describes a new disorder with diverse features, including horizontal gaze palsy, which could be considered in the differential diagnosis for ABDS.
- [5] mentions congenital horizontal gaze palsy as one of the varied traits associated with ABDS.
- Sensorineural deafness: This condition can cause hearing loss and is often associated with other neurological disorders.
- [2] describes Athabaskan brainstem dysgenesis syndrome as a disorder caused by genetic changes in the HOXA1 gene, which can lead to sensorineural deafness.
- [5] mentions sensorineural deafness as one of the varied traits associated with ABDS.
- Central hypoventilation: This condition can cause impaired breathing and is often associated with other neurological disorders.
- [4] describes a case of Athabaskan brainstem dysgenesis syndrome in a 27-month-old Navajo female, which included central hypoventilation as one of the symptoms.
- [5] mentions central hypoventilation as one of the varied traits associated with ABDS.
- Developmental delay: This condition can cause impaired cognitive and motor development and is often associated with other neurological disorders.
- [3] describes a new disorder with diverse features, including developmental delay, which could be considered in the differential diagnosis for ABDS.
- [5] mentions developmental delay as one of the varied traits associated with ABDS.
Other Conditions to Consider:
- Congenital muscular dystrophy: This condition can cause muscle weakness and is often associated with other neurological disorders.
- Spinal muscular atrophy: This condition can cause muscle weakness and is often associated with other neurological disorders.
- Cerebral palsy: This condition can cause impaired motor development and is often associated with other neurological disorders.
It's essential to note that a differential diagnosis for ABDS should be made by a qualified healthcare professional, taking into account the individual's medical history, physical examination, and diagnostic test results.
Additional Differential Diagnoses
- Sensorineural deafness
- Developmental delay
- Central hypoventilation
- Congenital horizontal gaze palsy
- congenital muscular dystrophy
- spinal muscular atrophy
- cerebral palsy
Additional Information
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