Apert Syndrome Unveiling a Rare Craniofacial Disorder

Main Content:

Apert Syndrome is an autosomal dominant disorder primarily caused by mutations in the FGFR2 gene, leading to the premature fusion of skull bones and deformities in the hands and feet. This condition presents several characteristic features:

  • Craniofacial Abnormalities: Turribrachycephalic skull shape, ocular proptosis, and midfacial hypoplasia.
  • Syndactyly: Fusion of fingers and toes, commonly with separate nails.
  • Oral and Dental Anomalies: Features like cleft or pseudocleft palate, delayed tooth eruption, and dental crowding.

Clinical Diagnosis: Apert Syndrome is diagnosed through a combination of physical examination, family history, and molecular genetic tests. X-rays and chromosome examination typically reveal the typical craniofacial and skeletal features of the syndrome.

  • Genetic Testing: Testing for mutations in the FGFR2 gene is essential for confirmation, though the cost of genetic testing can be prohibitive in developing countries. In such cases, clinical findings are used for diagnosis.

Case Presentation: A 39-year-old woman gave birth to a baby girl with signs of Apert Syndrome, including an abnormal skull shape, eye and facial deformities, and fused fingers and toes. Chromosome analysis suggested FGFR2 gene mutations. Surgical intervention is planned for later stages of development, with the primary focus on craniofacial correction and syndactyly treatment.

Treatment Approach: The management of Apert Syndrome requires a multidisciplinary team approach, including specialists in craniofacial surgery, neurosurgery, and orthodontics. Key treatments involve:

  • Craniectomy: To correct craniosynostosis and reduce intracranial pressure.
  • Syndactyly Surgery: To separate the fingers and toes during early childhood.
  • Midfacial Correction: Cosmetic and functional correction typically occurs around ages 4 to 6.
  • Genetic Counseling: Important for families, as there is a 50% chance of recurrence in future pregnancies.

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