Individual #00410298

ID_report ?
Reference PubMed: Peiris 2018
Remarks -
Gender M
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Panel size 1
Diseases MDDGA3
Owner name LOVD
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Anna Tracewska
Date created 2022-05-23 15:18:38 +02:00 (CEST)
Date last edited N/A


Phenotypes

dystrophy-dystroglycanopathy, muscular, (congenital with brain and eye anomalies), type A3 (Walker-Warburg syndrome (WWS), muscle-eye-brain disease (MEB)) (MDDGA3;MEB;WWS)   Add phenotype for this disease

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0000302403 - Familial, autosomal recessive 3y dystrophy, muscular, dystroglycanopathy (congenital with brain and eye anomalies), type A3 - 3m - 9m: progressively increasing esotropia, initially diagnosed at 3 months of age, developmental delay; rapid and unsteady eye movements and torticollis; abnormal fetal magnetic resonance imaging: cerebral ventriculomegaly, cyanosis at birth, and global developmental delay, with central weakness and hypotonia; visual acuity (assessed by preferential looking testing) right, left eye: 20/130, 20/270; pupils: 3.5 mm and minimally reactive to light; cycloplegic refraction: -2.50 sphere bothe eyes; anterior segment: unremarkable; sensorimotor evaluation: pendular, horizontal nystagmus with occasional jerk-like movements, full ductions and versions, and 45D-50D of esotropia at near; fundus: pale and hypoplastic-appearing optic nerves, with anomalous vascular loops; retina had a dysplastic appearance, and the retinal vasculature (and presumed fovea) appeared to have been dragged inferiorly; vertical deviation was thus recognized to be a large vertical angle kappa � no focus of traction to explain the apparent retinal dragging; however, the peripheral retina was avascular in both eyes; laboratory evaluation: elevated creatine kinase at 3213 U/L; magnetic resonance imaging: low-volume cerebral white matter with a diffusely abnormal hyperintense T2 signal, polymicrogyria of the frontal lobes and perisylvian regions, cerebellar dysgenesis, pontine hypoplasia, and ventriculomegaly dystrophy; esotropia was treated with an injection of 5 units of botulinum toxin (onabotulinumtoxin A to each medial rectus muscle during the examination under anesthesia; presumed amblyopia was treated with 4 hours of daily patching of the right eye. Follow-up at 13m: visual acuity unchanged, persistent right eye fixation preference, myopia increased to -3.75 D sphere in both eyes; persistent V-pattern esotropia of 40D at near (Krimsky) was managed with a repeat injection of 5 units of botulinum toxin into both medial rectus muscles for the esotropia and additional 5 units into both inferior oblique muscles for the V pattern; minimal residual esotropia - LOVD



Screenings


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0000411562 DNA SEQ blood - POMGNT1 2 LOVD



Variants

2 entries on 1 page. Showing entries 1 - 2.
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1 Unknown +?/. - likely pathogenic g.46655129C>A g.46189457C>A POMGNT1 c.1895+1G>T - POMGNT1_000024 heterozygous PubMed: Peiris 2018 - - Unknown ? - - - - LOVD POMGNT1 - - - - - NM_001243766.1:c.1869+27G>T, NM_017739.3:c.1895+1G>T - r.(=), r.(?) p.(=), p.? - - - - - - - - - - - - - -
1 Unknown +?/. - likely pathogenic g.46657769C>T g.46192097C>T POMGNT1 c.1539 + 1G>A (p.Leu472_His513del) - POMGNT1_000002 heterozygous PubMed: Peiris 2018 - - Unknown ? - - - - LOVD POMGNT1 - - - - - NM_001243766.1:c.1539+1G>A, NM_017739.3:c.1539+1G>A - r.spl?, r.(?) p.?, p.(Leu472_His513del) - - - - - - - - - - - - - -
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