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Nystagmus in a newborn: a manifestation of Joubert syndrome in the neonatal period.

dc.contributor.authorSalva, I
dc.contributor.authorAlbuquerque, C
dc.contributor.authorMoreira, A
dc.contributor.authorDâmaso, C
dc.date.accessioned2016-02-15T22:07:41Z
dc.date.available2016-02-15T22:07:41Z
dc.date.issued2016
dc.description.abstractJoubert syndrome is a rare disorder, usually autosomal recessive, with a prevalence of 1:80 000 to 1:100 000. This disease presents most commonly as breathing irregularities, although the two major clinical criteria are hypotonia and developmental delay, sometimes associated with ocular movement abnormalities. The severity of the presentation varies, ranging from mild cases with normal intelligence to severe developmental delays associated with early death. We report a case of a newborn who presented to the emergency department for absent ocular fixation and torsional nystagmus without other neurological abnormalities. Her cranial MR showed cerebellar vermis agenesis and a molar tooth sign. Her laboratory evaluation, and renal and abdominal ultrasound were normal. An electroretinogram showed mixed retinal dystrophy and an AHI1 homozygous missense c.1981T>C mutation was identified (parents are carriers). Throughout infancy, she has shown mild developmental delay and hypotonia, but no respiratory abnormalities. Owing to variable expressivity, a high level of suspicion is required.pt_PT
dc.identifier.citationBMJ Case Rep. 2016 Jan 12;2016. pii: bcr2015213127pt_PT
dc.identifier.doi10.1136/bcr-2015-213127
dc.identifier.urihttp://hdl.handle.net/10400.26/11361
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectRecém-Nascidopt_PT
dc.subjectNistagmo Congénitopt_PT
dc.subjectAnomalias Congénitas Múltiplaspt_PT
dc.titleNystagmus in a newborn: a manifestation of Joubert syndrome in the neonatal period.pt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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