Alwadei syndrome

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Alwadei syndrome
Other namesAutosomal recessive mental retardation-61, Mental retardation, autosomal recessive 61, MRT61
Alwadei syndrome has an autosomal recessive pattern of inheritance.
SpecialtyNeurology
Symptomsdysmorphic facial features, intellectual disability, delayed psychomotor development, neurological malformations,seizures
Usual onsetInfancy

Alwadei syndrome or autosomal recessive mental retardation-61 (MRT61) is an autosomal recessive neurodevelopmental disorder characterized by delayed psychomotor development, intellectual disability, and variable abnormal facial features.[1] [2][3] Severe patients may develop refractory seizures and have brain abnormalities, including hypoplasia of the corpus callosum.[3] Alwadei syndrome attributed to mutation in RUSC2 gene on chromosome 9p13.3.[2]

Signs and symptoms[edit]

Patients with Alwadei syndrome typically have moderate to severe intellectual disability. Speech is delayed and once acquired is limited to single words. Behavioral problems such as hyperactivity, aggression and autistic features can occur. As of 2017 three patients with Alwadei syndrome have been reported, all of whom have been dependent on assistance in all aspects of daily living.[2]

Hypotonia occurs in infancy and in most cases later progresses to mild spasticity in all four limbs. Walking is delayed and in all cases is unsteady. Joint hyperlaxity may occur.[citation needed]

Diagnosis[edit]

History[edit]

It was first described at King Fahd Medical City by the pediatric neurologist Ali Alwadei in 2014. The syndrome was recognized and published in medical journal Developmental Medicine & Child Neurology in 2016.[3] In 2017, Johns Hopkins University named the syndrome as "Alwadei syndrome".[citation needed]

References[edit]

  1. ^ Rasika, Sowmyalakshmi; Passemard, Sandrine; Verloes, Alain; Gressens, Pierre; El Ghouzzi, Vincent (26 December 2019). "Golgipathies in Neurodevelopment: A New View of Old Defects" (PDF). Developmental Neuroscience. 40 (5–6): 396–416. doi:10.1159/000497035. PMID 30878996. S2CID 81978441.
  2. ^ a b c "MENTAL RETARDATION, AUTOSOMAL RECESSIVE 61; MRT61". omim.org. Retrieved 26 December 2019.
  3. ^ a b c Alwadei, Ali H.; Benini, Ruba; Mahmoud, Adel; Alasmari, Ali; Kamsteeg, Erik-Jan; Alfadhel, Majid (1 December 2016). "Loss-of-function mutation in RUSC2 causes intellectual disability and secondary microcephaly". Developmental Medicine and Child Neurology. 58 (12): 1317–1322. doi:10.1111/dmcn.13250. PMID 27612186.