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Joubert syndrome
ICD-10 Codes
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Description
Joubert Syndrome: A Rare Genetic Disorder
Joubert syndrome is a rare genetic disorder that affects the brain, causing various physical, mental, and sometimes visual impairments. The hallmark feature of this condition is a combination of brain abnormalities known as the "molar tooth sign" [1]. This distinctive cerebellar and brain stem malformation is a primary finding in classic Joubert syndrome [4].
Common Features
The most common features of Joubert syndrome include:
- Lack of muscle control (ataxia) [3]
- Abnormal breathing patterns (hyperpnea) [3]
- Sleep apnea
- Abnormal eye movements
- Developmental delay or intellectual disability
Causes and Inheritance
Joubert syndrome is a rare, autosomal recessive congenital cerebellar ataxia characterized by congenital malformation of the brainstem and agenesis or hypoplasia of the cerebellar vermis [5]. It is a group of recessively inherited conditions clinically characterized by ataxia, hypotonia, and mental retardation [7].
Symptoms and Diagnosis
The symptoms of Joubert syndrome can vary in severity and may include physical, mental, and visual impairments. The diagnosis is typically made through a combination of clinical evaluation, imaging studies (such as MRI), and genetic testing.
References:
[1] Jul 1, 2017 — The hallmark feature of Joubert syndrome is a combination of brain abnormalities that together are known as the molar tooth sign, which can be ...
[3] Jun 14, 2021 — The most common features of Joubert syndrome are lack of muscle control (ataxia), abnormal breathing patterns (hyperpnea), sleep apnea, abnormal ...
[4] by M Parisi · 2017 · Cited by 128 — Classic Joubert syndrome (JS) is characterized by the three primary findings of: a distinctive cerebellar and brain stem malformation called the ...
[5] A rare, autosomal recessive congenital cerebellar ataxia characterized by congenital malformation of the brainstem and agenesis or hypoplasia of the cerebellar ...
[7] Joubert syndrome and related disorders are a group of recessively inherited conditions clinically characterized by ataxia, hypotonia, and mental retardation.
Additional Characteristics
- Joubert syndrome is a rare genetic disorder that affects the brain, causing various physical, mental, and sometimes visual impairments.
- The most common features of Joubert syndrome include: lack of muscle control (ataxia), abnormal breathing patterns (hyperpnea), sleep apnea, abnormal eye movements, developmental delay or intellectual disability.
- Joubert syndrome is a rare, autosomal recessive congenital cerebellar ataxia characterized by congenital malformation of the brainstem and agenesis or hypoplasia of the cerebellar vermis.
- The symptoms of Joubert syndrome can vary in severity and may include physical, mental, and visual impairments.
Signs and Symptoms
Common Signs and Symptoms of Joubert Syndrome
Joubert syndrome is a rare genetic disorder that affects various parts of the body, including the brain,
Additional Symptoms
- tardieu sign
- liver dysfunction
- renal tubular acidosis
- growth retardation
Diagnostic Tests
Joubert syndrome is a rare genetic disorder that affects the development of the brain and other parts of the body. Diagnostic tests for Joubert syndrome are crucial in confirming the condition, especially in cases where symptoms are not immediately apparent.
Imaging Studies
Imaging studies play a significant role in diagnosing Joubert syndrome. A characteristic finding on an MRI called the "molar tooth sign" is often visible, which resembles the cross-section of a molar tooth [4]. This sign is caused by abnormalities in the cerebellar vermis of the brain.
Clinical Examination
A clinical examination is also essential in diagnosing Joubert syndrome. Healthcare professionals may perform various tests to assess the patient's overall health and identify any symptoms that are characteristic of the condition, such as respiratory problems or intellectual disability [7].
Genetic Testing
Genetic testing can determine the presence of particular defects that cause Joubert syndrome. This type of testing is ideal for patients with a clinical suspicion of the condition, especially when other diagnostic tests have been inconclusive [5]. A 36 gene panel that includes assessment of non-coding variants is often used to identify genetic mutations associated with Joubert syndrome.
Renal Function Tests
Tests of renal function, including blood pressure, blood urea nitrogen (BUN), serum creatinine concentration, and complete blood count (CBC), may also be performed to assess the patient's overall health [2][6].
In summary, diagnostic tests for Joubert syndrome include:
- Imaging studies (MRI) to identify the "molar tooth sign"
- Clinical examination to assess symptoms characteristic of the condition
- Genetic testing to determine genetic mutations associated with Joubert syndrome
- Renal function tests to assess overall health
References: [1] Not provided in context [2] Context 6 [3] Not provided in context [4] Context 4 [5] Context 5 [6] Context 6 [7] Context 7
Additional Diagnostic Tests
- Imaging studies (MRI) to identify the 'molar tooth sign'
- Clinical examination to assess symptoms characteristic of the condition
- Genetic testing to determine genetic mutations associated with Joubert syndrome
- Renal function tests to assess overall health
Treatment
**Treatment Options
Recommended Medications
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Differential Diagnosis
Joubert syndrome (JS) is a rare genetic disorder characterized by hypotonia, ataxia, developmental delay, and other systemic features [4]. The differential diagnosis for JS must consider various conditions that display similar neurological and/or organ system abnormalities [2].
Some of the key conditions to be considered in the differential diagnosis of Joubert syndrome include:
- Nephronophthisis: a genetic disorder affecting the kidneys and often associated with cystic kidney disease, which can also be present in JS [8].
- Senior-Loken syndrome: another ciliopathy that shares similar systemic features with JS, including renal disease and retinal dystrophy [7].
- Bardet-Biedl syndrome: a rare genetic disorder characterized by obesity, intellectual disability, polydactyly, and other systemic abnormalities, which can be confused with the symptoms of JS [8].
- Dandy Walker spectrum: a group of disorders affecting the cerebellum and brainstem, which can present with similar neurological features as JS [9].
It's essential to note that differential diagnosis for Joubert syndrome requires careful consideration of these conditions and other ciliopathies to ensure accurate diagnosis and treatment.
References:
[2] Brancati F. (2010) - Differential diagnosis. [4] Joubert syndrome (JS) is a rare autosomal recessive genetic heterogeneously inherited disorder characterized by hypotonia, ataxia, developmental delay, ... [7] Differential diagnosis must consider in particular the other ciliopathies (such as nephronophthisis, Senior-Loken syndrome, and Bardet-Biedl syndrome; see these ... [8] These include occipital encephalocele, polymicrogyria, polydactyly, ocular coloboma, retinal dystrophy, cystic kidney disease, nephronophthisis, ... [9] May 20, 2024 — Imaging differential diagnosis · Dandy Walker spectrum with ossicular malformation · Mega cisterna magna · Rhombocephalosynapsis.
Additional Differential Diagnoses
- Dandy Walker spectrum
- Senior-Loken syndrome
- Bardet-Biedl syndrome 1
- nephronophthisis 1
- orofaciodigital syndrome XI
- Ritscher-Schinzel syndrome
- Ritscher-Schinzel syndrome 1
- Ritscher-Schinzel syndrome 2
- Meckel syndrome 3
- Meckel syndrome 8
- Meckel syndrome 13
- ocular motor apraxia, Cogan type
- Bardet-Biedl syndrome 20
- Bardet-Biedl syndrome 21
- Bardet-Biedl syndrome 22
- autosomal recessive intellectual developmental disorder 56
- autosomal recessive intellectual developmental disorder 59
- Bardet-Biedl syndrome 8
- Bardet-Biedl syndrome 10
- Bardet-Biedl syndrome 12
- Bardet-Biedl syndrome 13
- Bardet-Biedl syndrome 16
- Bardet-Biedl syndrome 18
- Bardet-Biedl syndrome 19
- Leber congenital amaurosis 14
- Leber congenital amaurosis 6
- Leber congenital amaurosis 4
- Joubert syndrome 28
- Joubert syndrome 3
- hydrolethalus syndrome 2
- COACH syndrome
- Leber congenital amaurosis with early-onset deafness
- Leber congenital amaurosis
- Bardet-Biedl syndrome
- orofaciodigital syndrome XIV
Additional Information
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- A ciliopathy that is characterized by congenital malformation of the brainstem and agenesis or hypoplasia of the cerebellar vermis leading to an abnormal respiratory pattern, nystagmus, hypotonia, ataxia, and delay in achieving motor milestones.
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