Developmental apraxia.

Dev Med Child Neurol

Published: December 1987

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Joubert Syndrome (JS) is a congenital cerebellar ataxia typically inherited in an autosomal recessive pattern, although rare X-linked inheritance can occur. It is characterized by hypotonia evolving into ataxia, global developmental delay, oculomotor apraxia, breathing dysregulation, and multiorgan involvement. To date, there are 40 causative genes implicated in JS, all of which encode proteins of the primary cilium.

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O'Donnell-Luria-Rodan (ODLURO) syndrome is an autosomal dominant neurodevelopmental disorder mainly characterized by global development delay/intellectual disability, white matter abnormalities, and behavioral manifestations. It is caused by pathogenic variants in the KMT2E gene. Here we report seven new patients with loss-of-function KMT2E variants, six harboring frameshift/nonsense changes, and one with a 7q22.

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Purpose Of Review: Apraxia typically involves impairments in gesture production and tool use, affecting daily life activities. This article reviews current conceptualizations and developments in diagnostic and therapy.

Recent Findings: Apraxia has been studied in various neurological conditions, particularly stroke and dementia, but recent studies show gesturing deficits in psychiatric populations as well.

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Article Synopsis
  • - Joubert syndrome and related disorders (JSRD) are complex and present diagnostic challenges due to their diverse clinical features, making neuroimaging essential for accurate diagnosis.
  • - Key neuroimaging techniques like MRI and CT can reveal significant abnormalities, including the "molar tooth sign," cerebellar vermal agenesis, and other neuroanatomical differences.
  • - Effective diagnosis and management of JSRD require a combination of clinical assessments, neuroimaging results, and collaboration among different medical specialists to address the various symptoms and complications.
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