Acrocallosal syndrome

Acrocallosal syndrome
Polydactyly in a 1-day-old infant due to acrocallosal syndrome
Synonyms	ACLS
Pronounce
Specialty	Medical genetics
Symptoms	Macrocephaly, polydactyly, agenesis of the corpus callosum, intellectual disability
Complications	N/A
Onset	Congenital
Duration	Lifelong
Types	N/A
Causes	Genetic mutation
Risks
Diagnosis	Clinical examination, genetic testing
Differential diagnosis	Greig cephalopolysyndactyly syndrome, Joubert syndrome
Prevention	N/A
Treatment	Supportive care, surgery for polydactyly
Medication
Prognosis	Variable
Frequency	Rare
Deaths

A rare genetic disorder affecting the development of the brain and limbs

Acrocallosal syndrome is a rare genetic disorder characterized by agenesis of the corpus callosum, craniofacial abnormalities, and polydactyly. It is inherited in an autosomal recessive pattern and affects the development of the central nervous system and limbs.

Signs and symptoms

Individuals with acrocallosal syndrome typically present with a range of symptoms, including:

• Agenesis of the corpus callosum: Partial or complete absence of the corpus callosum, the structure that connects the two hemispheres of the brain.
• Craniofacial abnormalities: These may include a prominent forehead, hypertelorism (widely spaced eyes), and a broad nasal bridge.
• Polydactyly: The presence of extra fingers or toes, which is a common feature of the syndrome.
• Developmental delay: Affected individuals often experience delays in reaching developmental milestones.
• Intellectual disability: Varying degrees of intellectual disability are common.
• Hypotonia: Reduced muscle tone, which can affect motor skills.

Genetics

Acrocallosal syndrome is inherited in an autosomal recessive manner, meaning that an individual must inherit two copies of the mutated gene, one from each parent, to be affected. The specific gene associated with the syndrome is not always identified, but mutations in the KIF7 gene have been implicated in some cases.

Diagram of autosomal recessive inheritance

Diagnosis

Diagnosis of acrocallosal syndrome is based on clinical evaluation, identification of characteristic features, and imaging studies such as MRI to assess the structure of the brain. Genetic testing can confirm the diagnosis by identifying mutations in the KIF7 gene or other associated genes.

Management

There is no cure for acrocallosal syndrome, and treatment is supportive and symptomatic. Management may include:

• Physical therapy: To improve motor skills and muscle tone.
• Occupational therapy: To assist with daily living skills.
• Speech therapy: To address communication difficulties.
• Surgical intervention: In some cases, surgery may be required to correct polydactyly or other physical abnormalities.

Prognosis

The prognosis for individuals with acrocallosal syndrome varies depending on the severity of symptoms and associated complications. Early intervention and supportive therapies can improve quality of life and developmental outcomes.

Related pages

• Agenesis of the corpus callosum
• Polydactyly
• Autosomal recessive disorder
• KIF7

Gallery

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  Polydactyly in a 1-day-old infant with acrocallosal syndrome

Acrocallosal_syndrome

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  Polydactyly in a 1-day-old infant due to acrocallosal syndrome

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  Autosomal recessive inheritance pattern