Glossary in Congenital Malformations
NeuroLearn NeuroHelp Malformations @ General Syndromes
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#Kallman
syndrome:
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Neuropathology:
Anosmia due to absence of olfactory bulb stalks and gyri, hypogonadism (eunuchoidism)
and, often, mild mental retardation.
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Genetics:
This syndrome is generally heterogenous but usually transmitted as an X-linked
recessive trait, and the gene (KALIG-1, an adhesion molecule) has been localized
to chromosome Xp22.3.
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Mechanism:
The hypogonadism is due to migration defects involving the olfactory axons and
gonadotrophin releasing hormone-secreting neurons. These neurons originate from
the olfactory placode and normally migrate through the ethmoid to the olfactory
bulbs. These cells do not develop if they are not reached by axons (as in
olfactory bulb and tract agenesis).
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Clinical:
Neurological defects includ abnormalities include congenital anosmia, mirror movements, cerebellar signs, hearing loss, abnormal eye
movements and mild mental retardation.
#Klippel-Trenauny-Weber
syndrome: this is an ectomesodermal syndrome. Eye
abnormalities including glaucoma, macrocephaly, cerebral and cerebellar
hemihypertrophy, arteriovenous malformation of the brain. Skin lesions include
port-wine hemangioma or vascular nevi of skin, varicose veins, soft tissue and
bony hypertrophy.
NeuroLearn NeuroHelp Malformations General Syndromes For Comment: KarMing-Fung@ouhsc.edu