First case of pan-suture craniosynostosis due to de novo mosaic KAT6A mutation

Autor: Nisha, Korakavi, Caleb, Bupp, Bethany, Grysko, Jane, Juusola, Chelsea, Borta, Casey, Madura
Rok vydání: 2020
Předmět:
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 38(1)
ISSN: 1433-0350
Popis: A nonverbal 3-year-old male with a complex past medical history was referred to pediatric neurosurgery for evaluation of Chiari I malformation. A full clinical evaluation suggested that the "Chiari" was a secondary change caused by craniocerebral disproportion that was the result of delayed pan-sutural craniosynostosis. Given his unknown cause of craniosynostosis, whole-exome sequencing (WES) was performed. WES revealed a de novo, somatic mosaic variant in the KAT6A gene. This report discusses importance of keeping a broad differential in the setting of referral for Chiari I malformation and presents a unique case of craniosynostosis. Additionally, it emphasizes the value of utilizing genetic testing for complex craniofacial cases with unknown causes to provide clinical answers and guide clinical management.
Databáze: OpenAIRE