Apert Syndrome: challenges from prenatal diagnosis to treatment with an emphasis on genetics

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27933

Keywords:

Apert syndrome; Craniosynostosis; Fronto-orbital advancement; Hydrocephalus.

Abstract

Introduction: The perfect definition is a definition of rare feet. Its management should be early and multidisciplinary. Almost all bones are stoid and have sagitted skulls and also coronal sagitoids. Methodology: The search platform on the following sites: SciELO, Brazilian Journal of Neurosurgery, Arquivos Ciência Saúde, American Journal of Neurosurgery, PUBLAB and PUBMED. The descriptors were: “Apert syndrome”; “Craniosynostosis”; “Fronto-orbital advancement” e and “Hydrocephalus”. Outcome and Discussion: The middle third of the face in Apert syndrome is underdeveloped and retruded; evaluation subset has a palatal. The hand in Apert syndrome always includes fusion of the three middle fingers; contact and the fifth finger are also sometimes involved. Its severity lies in the coexistence of several malformations with risk of chronic intracranial hypertension responsible for blindness and mental weakness. Multiple airway obstruction may be present and may be due to narrowing of the nasal passages, tongue-based airway obstruction, and/or tracheal abnormalities. Nonprogressive ventriculomegaly is present in most true sets, with a small subset having hydrocephalus. A genetic alteration genitourinary tract alterations, true gastrointestinal malformations and genitourinary tract anomalies. Conclusion: Apert syndrome is one of the most serious craniofacial disorders. Most need a cranial vault surgery intervention, and many more need surgery. The need for average facial advancement is also very prevalent.

References

Denis, D., Conrath, J., & GENITORI, L. (1997). Exophtalmie, astigmatisme et strabisme dans les crânio-facio-sténoses: syndrome d'Apert et syndrome de Crouzon. Ophtalmologie, 11(1), 28-33.

Apert, E. (1906). Del'acrocephalosyndactylie. Bull Soc Med, 23, 1310-1330.

Melott, M. J. (1999). Apert syndrome: a case report and discussion. Clinical eye and vision care, 11(4), 215-220.

Muller, U., Steinberger, D., & Kunze, S. Molecular genetics of craniosynostotic syndromes. Gracfe’s Arch Clin Exp Ophthalmol. 1997; 235: 545-550.

Salazard, B., & Casanova, D. (2008). A mão da síndrome de Apert: estratégia terapêutica. Cirurgia da Mão, 27, S115-S120.

Khong, J. J., Anderson, P., Gray, T. L., Hammerton, M., Selva, D., & David, D. (2006). Ophthalmic findings in Apert’s syndrome after craniofacial surgery: twenty-nine years’ experience. Ophthalmology, 113(2), 347-352.

Cohen Jr, M. M., & Kreiborg, S. (1993). Visceral anomalies in the Apert syndrome. American journal of medical genetics, 45(6), 758-760.

Yacubian-Fernandes, A., Palhares, A., Giglio, A., Gabarra, R. C., Zanini, S., Portela, L., & Plese, J. P. P. (2004). Apert syndrome: analysis of associated brain malformations and conformational changes determined by surgical treatment. Journal of neuroradiology, 31(2), 116-122.

Huang, F., Sweet, R., & Tewfik, T. L. (2004). Apert syndrome and hearing loss with ear anomalies: a case report and literature review. International journal of pediatric otorhinolaryngology, 68(4), 495-501.

Tanimoto, Y., Yokozeki, M., Hiura, K., Matsumoto, K., Nakanishi, H., Matsumoto, T., ... & Moriyama, K. (2004). A soluble form of fibroblast growth factor receptor 2 (FGFR2) with S252W mutation acts as an efficient inhibitor for the enhanced osteoblastic differentiation caused by FGFR2 activation in Apert syndrome. Journal of Biological Chemistry, 279(44), 45926-45934.

Andreou, A., Lamy, A., Layet, V., Cailliez, D., Gobet, F., Pfister, C., Menard, M., & Frebourg, T. (2006). Early-onset low-grade papillary carcinoma of the bladder associated with Apert syndrome and a germline FGFR2 mutation (Pro253Arg). American Journal of Medical Genetics. Part A, 140(20), 2245–2247.

Bissacotti Steglich, E. M., Steglich, R. B., Melo, M. M., & de Almeida, H. L. (2016). Extensive acne in Apert syndrome. International Journal of Dermatology, 55(11), e596–e598.

Cohen, M. M., & Kreiborg, S. (1993). Visceral anomalies in the Apert syndrome. American Journal of Medical Genetics, 45(6), 758–760.

Cohen, M. M., Kreiborg, S., Lammer, E. J., Cordero, J. F., Mastroiacovo, P., Erickson, J. D., Roeper, P., & Martínez-Frías, M. L. (1992). Birth prevalence study of the apert syndrome. American Journal of Medical Genetics, 42(5), 655–659.

Hibberd, C. E., Bowdin, S., Arudchelvan, Y., Forrest, C. R., Brakora, K. A., Marcucio, R. S., & Gong, S.-G. (2016). FGFR-associated craniosynostosis syndromes and gastrointestinal defects. American Journal of Medical Genetics. Part A, 170(12), 3215–3221.

Pelz, L., Unger, K., & Radke, M. (1994). Esophageal stenosis in acrocephalosyndactyly type I. American Journal of Medical Genetics, 53(1), 91.

Allam, K. A., Wan, D. C., Khwanngern, K., Kawamoto, H. K., Tanna, N., Perry, A., & Bradley, J. P. (2011). Treatment of apert syndrome: a long-term follow-up study. Plastic and Reconstructive Surgery, 127(4), 1601–1611.

Benmiloud, S., Chaouki, S., Atmani, S., & Hida, M. (2013). Le syndrome d’Apert. Pan African Medical Journal, 2.

Published

26/03/2022

How to Cite

PAZ, J. V. C. da .; ALVES, L. O. .; ARAÚJO JÚNIOR, F. A. V. de .; FREIRE , L. C. .; MARQUES, J. G. .; NEVES, M. D. F. de J. .; RESTIER, V. S. M. .; PAZ , I. P.; SILVA, A. P. B. M. .; LIMA, D. M. N. de .; SILVA, L. C. M. e .; SIMILI , A. B.; MOTA, B. de S.; FERRAZ, R. B.; FREITAS, C. M. de . Apert Syndrome: challenges from prenatal diagnosis to treatment with an emphasis on genetics. Research, Society and Development, [S. l.], v. 11, n. 4, p. e57011427933, 2022. DOI: 10.33448/rsd-v11i4.27933. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27933. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences