Genes :Joubert综合征眼部症状综述

2019-01-17 MedSci MedSci原创

纽约州立大学下州医学中心的Wang SF和斯坦福大学医学院眼科的Kowal TJ等在Genes上发表了一篇综述,作者系统的回顾了在Joubert综合征患者中,目前已经发现的眼部表型。

纽约州立大学下州医学中心的Wang SF和斯坦福大学医学院眼科的Kowal TJ等在Genes上发表了一篇综述,作者系统的回顾了在Joubert综合征患者中,目前已经发现的眼部表型。

Joubert综合征是一组罕见的疾病,主要病因是感觉细胞器(初级纤毛)存在缺陷。受影响的患者经常出现多器官系统的疾病,包括大脑、眼睛和肾脏等。常见症状包括呼吸异常、精神发育迟缓、肌肉协调失常和异常眼球运动,通过中脑的核磁共振成像(MRI)观察到 "臼齿"的特征。

眼球运动失调用是最常见的症状(80%的患者),其次是斜视(74%)和眼球震颤(72%)。少数患者也出现上眼睑下垂(43%)、脉络膜视网膜缺损(30%)和视神经萎缩(22%)等。虽然已经鉴定出34种基因突变与Joubert综合征有关,但仅有38%的患者发现有视网膜变性。 AHI1和CEP290是对初级纤毛功能至关重要的基因,其突变与视网膜病变有关。

总之,Joubert综合征是一种罕见的多效疾病,眼部症状也非常多样。

原文出处:

Wang, S.F., et al., Review of Ocular Manifestations of Joubert Syndrome. Genes (Basel), 2018. 9(12).

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