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primary autosomal recessive microcephaly 11
Description
Primary autosomal recessive microcephaly 11, also known as MCPH11, is a rare genetic disorder characterized by a significantly reduced head circumference at birth, indicating a smaller brain size.
Key Features:
- Reduced head circumference at birth
- Smaller brain size
- No major brain abnormalities
- Variable degree of mental retardation (now referred to as intellectual disability)
This condition is caused by a mutation in the PHC1 gene, which plays a crucial role in neurogenic mitosis. The exact symptoms and severity of MCPH11 can vary from person to person.
References:
- [6] Microcephaly 11, primary, autosomal recessive is a form of microcephaly characterized by a significantly reduced head circumference, indicating a smaller brain ...
- [5] Any autosomal recessive primary microcephaly in which the cause of the disease is a mutation in the PHC1 gene.
Additional Characteristics
- Reduced head circumference at birth
- No major brain abnormalities
- Smaller brain size
- Variable degree of mental retardation (now referred to as intellectual disability)
- Mutation in the PHC1 gene
- Neurogenic mitosis crucial for neurodevelopment
Signs and Symptoms
Based on the provided context, here are the signs and symptoms of Primary Autosomal Recessive Microcephaly (MCPH):
- Small head circumference: The most common feature of MCPH is a significantly smaller-than-normal head circumference, often below the 3rd percentile [5].
- Intellectual disability: Individuals with MCPH may experience intellectual disability, which can range from mild to severe [6].
- Poor motor function: Motor skills and coordination may be impaired in individuals with MCPH [6].
- Seizures: Seizures are a common feature of MCPH, affecting approximately 10% of patients [1].
- Delayed speech and language development: Speech and language development may be delayed or impaired in individuals with MCPH [3].
- Global developmental delay: Global developmental delay is another common feature of MCPH, indicating delays in multiple areas of development [3].
- Short stature: Some individuals with MCPH may experience short stature or growth retardation [7].
- Mild seizures: In some cases, mild seizures may be present [7].
It's essential to note that the severity and presentation of these symptoms can vary widely among individuals with MCPH.
Additional Symptoms
- Delayed speech and language development
- Global developmental delay
- Seizures
- Intellectual disability
- Mild seizures
- Poor motor function
- Small head circumference
- short stature
Diagnostic Tests
Based on the provided context, here are some diagnostic tests for primary autosomal recessive microcephaly:
- Head Circumference Measurement: Head circumference is the most common diagnostic tool for MCPH. It has been observed that HC ranges from 3 to 4 standard deviations below the mean at birth [8].
- Molecular Genetic Testing: Molecular genetic testing is available for several genes, including PHC1 gene mutations, which can cause autosomal recessive primary microcephaly [3][7].
- Prenatal Ultrasound: The condition can be diagnosed on prenatal ultrasound, but absence of microcephaly does not exclude the diagnosis [1].
These diagnostic tests are used to confirm the presence of primary autosomal recessive microcephaly. It's worth noting that a definitive diagnosis may require a combination of these tests and clinical evaluation.
References: [1] Context #1 [3] Context #3 [7] Context #7 [8] Context #8
Additional Diagnostic Tests
- Prenatal Ultrasound
- Molecular Genetic Testing
- Head Circumference Measurement
Treatment
Unfortunately, there isn't much information available on the drug treatment of primary autosomal recessive microcephaly (MCPH) in the search results provided.
However, I can tell you that according to search result [3], "Treatment is symptomatic. Care by a multidisciplinary team, often including a pediatric neurologist, developmental pediatrician, speech-language pathologist, and other specialists, may be necessary."
This suggests that while there may not be specific drug treatments available for MCPH, a comprehensive care plan involving multiple specialists can help manage the symptoms of the condition.
It's also worth noting that search result [9] mentions that MCPH is a disorder characterized by congenital microcephaly and intellectual disability without extra-central nervous system malformation. This implies that any treatment approach would likely focus on addressing the associated cognitive and developmental delays, rather than targeting the underlying genetic cause of the condition.
If you're looking for more information on this topic, I'd be happy to try searching again or provide more general information on MCPH.
Recommended Medications
- symptomatic treatment
- comprehensive care plan
💊 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
The differential diagnosis for primary autosomal recessive microcephaly (MCPH) involves ruling out other conditions that may present with similar symptoms, such as reduced head circumference and intellectual disability.
- Secondary microcephaly: This condition can be caused by various factors such as congenital infections, metabolic disorders, or acquired diseases. It is characterized by a smaller head size due to brain damage or disease, rather than a primary developmental issue [8].
- Primary microcephaly with progressive mental retardation: Some cases of MCPH may present with progressive mental retardation, which can be distinguished from the nonprogressive form by its worsening symptoms over time [7].
- Other genetic disorders: Conditions such as trisomy 13, trisomy 18, and other chromosomal abnormalities can also present with microcephaly and intellectual disability. A thorough genetic evaluation is necessary to rule out these conditions [6][5].
- Metabolic disorders: Certain metabolic disorders, such as phenylketonuria (PKU), can cause microcephaly and intellectual disability if left untreated [10].
Imaging studies, such as ultrasound and MRI, can be useful in the differential diagnosis of MCPH by ruling out other conditions that may present with similar symptoms [4]. A comprehensive evaluation by a multidisciplinary team of healthcare professionals is essential to accurately diagnose and manage primary autosomal recessive microcephaly.
References: [1] - Not applicable [2] - Not applicable [3] - Not applicable [4] Zaqout, S. (2017). Neuroimaging of the brain with ultrasound and/or MRI are useful for the differential diagnosis in patients with primary microcephaly. [5] Faheem, M. (2015). Autosomal recessive primary microcephaly (MCPH) is a neurodevelopmental disorder that is characterised by microcephaly present at birth and ... [6] Woods, CG. (2005). It is characterized by two principal features, microcephaly present at birth and nonprogressive mental retardation. [7] - Not applicable [8] - Microcephaly may indicate a significant underlying congenital, genetic, or metabolic condition; or acquired disease such as a congenital ... [9] - Autosomal-recessive primary microcephaly due to mutation in citron kinase, a multidomain protein that localizes to the cleavage furrow and midbody of mitotic ... [10] von der Hagen, M. (2014). Both primary and secondary microcephaly can be acquired or genetic. The distinction of primary and secondary microcephaly enables clinicians to ...
Additional Differential Diagnoses
- Metabolic disorders
- Other genetic disorders
- Secondary microcephaly
- Primary microcephaly with progressive mental retardation
Additional Information
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:0070287
- core#notation
- DOID:0070287
- oboInOwl#hasDbXref
- MIM:615414
- IAO_0000115
- A primary autosomal recessive microcephaly that has_material_basis_in homozygous or compound heterozygous mutation in the PHC1 gene on chromosome 12p13.
- oboInOwl#hasExactSynonym
- MCPH11
- rdf-schema#label
- primary autosomal recessive microcephaly 11
- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_0070296
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_2159
- owl#annotatedSource
- t349783
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