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Decreased head circumference

MedGen UID:
473122
Concept ID:
C0424688
Finding
Synonyms: Reduced head circumference; Small calvarium; Small head; Small head circumference; Small head size
SNOMED CT: Small head (271611007); Small skull (271611007)
 
HPO: HP:0040195

Definition

An abnormally reduced head circumference in a growing child. Head circumference is measured with a nonelastic tape and comprises the distance from above the eyebrows and ears and around the back of the head. The measured HC is then plotted on an appropriate growth chart. Microcephaly is defined as a head circumference (HC) that is great than two standard deviations below the mean of age- and gender-matched population based samples. Severe microcephaly is defined with an HC that is three standard deviations below the mean. [from HPO]

Conditions with this feature

Developmental and epileptic encephalopathy, 55
MedGen UID:
1622363
Concept ID:
C4539843
Disease or Syndrome
Developmental and epileptic encephalopathy-55 (DEE55) is an autosomal recessive neurologic disorder characterized by onset of refractory seizures in the first weeks or months of life. Affected individuals have an extremely poor outcome, with profoundly impaired intellectual development, absent speech, spastic quadriplegia, and dyskinetic movements. Most have cortical visual impairment and require a feeding tube. Brain imaging shows nonspecific abnormalities, including cerebral atrophy, thin corpus callosum, and abnormal signals in the white matter. Death in childhood may occur. Biochemically, the disorder is associated with impaired synthesis of GPI-anchored proteins (summary by Vetro et al., 2020). For a general phenotypic description and a discussion of genetic heterogeneity of DEE, see 308350. For a discussion of genetic heterogeneity of GPI biosynthesis defects, see GPIBD1 (610293).
Al Kaissi syndrome
MedGen UID:
1611968
Concept ID:
C4540156
Disease or Syndrome
Al Kaissi syndrome (ALKAS) is an autosomal recessive developmental disorder characterized by growth retardation, spine malformation, particularly of the cervical spine, dysmorphic facial features, and delayed psychomotor development with moderate to severe intellectual disability (summary by Windpassinger et al., 2017).
Vissers-Bodmer syndrome
MedGen UID:
1776566
Concept ID:
C5436647
Disease or Syndrome
Vissers-Bodmer syndrome (VIBOS) is characterized by global developmental delay with variably impaired intellectual development, speech delay, motor delay, and behavioral abnormalities apparent from infancy. The phenotype is highly variable: some individuals have only mild learning difficulties, whereas others have severe cognitive impairment with IQ in the 50s. Many patients have behavioral abnormalities, including autism spectrum disorder, ADD, ADHD, obsessive-compulsive disorder, and impulsivity. Other common features include growth impairment abnormalities, hypotonia, and distal skeletal defects, such as foot and hand deformities. Less common features include seizures, brain abnormalities on MRI, feeding problems, and joint hypermobility. Most individuals have dysmorphic facial features, but there is no recognizable gestalt (summary by Vissers et al., 2020).

Professional guidelines

PubMed

Tsuji M, Maki S, Enomoto N, Okamoto K, Kitamura A, Magawa S, Takakura S, Nii M, Tanaka K, Yodoya N, Tanaka H, Sawada H, Kondo E, Hirayama M, Ikeda T
Medicina (Kaunas) 2023 May 8;59(5) doi: 10.3390/medicina59050900. PMID: 37241131Free PMC Article
van Montfort L, Gerver WJM, Kooger BLS, Plat J, Bierau J, Stumpel CTRM, Schott DA
Horm Res Paediatr 2021;94(7-8):285-296. Epub 2021 Oct 4 doi: 10.1159/000519963. PMID: 34607328
Klinger G, Koren G
Can Fam Physician 2000 Aug;46:1571-3. PMID: 10955173Free PMC Article

Recent clinical studies

Etiology

Leon RL, Sharma K, Mir IN, Herrera CL, Brown SL, Spong CY, Chalak LF
Am J Obstet Gynecol 2022 Oct;227(4):620.e1-620.e8. Epub 2022 May 21 doi: 10.1016/j.ajog.2022.05.038. PMID: 35609643
da Silva JVB, de Oliveira CAF, Ramalho LNZ
Molecules 2021 Dec 2;26(23) doi: 10.3390/molecules26237312. PMID: 34885894Free PMC Article
Shiohama T, Hisada A, Yamamoto M, Sakurai K, Takatani R, Fujii K, Shimojo N, Mori C; Japan Environment Children’s Study (JECS) Group
Sci Rep 2021 Sep 23;11(1):18949. doi: 10.1038/s41598-021-98311-2. PMID: 34556740Free PMC Article
Tal G, Cohen A, Habib S, Tirosh E
Pediatr Neurol 2012 Nov;47(5):341-4. doi: 10.1016/j.pediatrneurol.2012.07.002. PMID: 23044015
Hoegerman G, Wilson CA, Thurmond E, Schnoll SH
West J Med 1990 May;152(5):559-64. PMID: 2190424Free PMC Article

Diagnosis

Leon RL, Sharma K, Mir IN, Herrera CL, Brown SL, Spong CY, Chalak LF
Am J Obstet Gynecol 2022 Oct;227(4):620.e1-620.e8. Epub 2022 May 21 doi: 10.1016/j.ajog.2022.05.038. PMID: 35609643
Tal G, Cohen A, Habib S, Tirosh E
Pediatr Neurol 2012 Nov;47(5):341-4. doi: 10.1016/j.pediatrneurol.2012.07.002. PMID: 23044015
Gray TR, Magri R, Shakleya DM, Huestis MA
Clin Chem 2008 Dec;54(12):2018-27. Epub 2008 Oct 9 doi: 10.1373/clinchem.2008.109173. PMID: 18845770Free PMC Article
McNeil TF, Cantor-Graae E, Nordström LG, Rosenlund T
Schizophr Res 1996 Oct 18;22(1):41-7. doi: 10.1016/0920-9964(96)00045-x. PMID: 8908689
Hoegerman G, Wilson CA, Thurmond E, Schnoll SH
West J Med 1990 May;152(5):559-64. PMID: 2190424Free PMC Article

Therapy

Ghazi T, Naidoo P, Naidoo RN, Chuturgoon AA
Cells 2021 Nov 5;10(11) doi: 10.3390/cells10113025. PMID: 34831248Free PMC Article
Shiohama T, Hisada A, Yamamoto M, Sakurai K, Takatani R, Fujii K, Shimojo N, Mori C; Japan Environment Children’s Study (JECS) Group
Sci Rep 2021 Sep 23;11(1):18949. doi: 10.1038/s41598-021-98311-2. PMID: 34556740Free PMC Article
Dombrowski JG, Souza RM, Lima FA, Bandeira CL, Murillo O, Costa DS, Peixoto EPM, Cunha MDP, Zanotto PMA, Bevilacqua E, Grisotto MAG, Pedroso de Lima AC, Singer JDM, Campino S, Clark TG, Epiphanio S, Gonçalves LA, Marinho CRF
JAMA Netw Open 2019 May 3;2(5):e193300. doi: 10.1001/jamanetworkopen.2019.3300. PMID: 31050780Free PMC Article
Zhou S, Rosenthal DG, Sherman S, Zelikoff J, Gordon T, Weitzman M
Curr Probl Pediatr Adolesc Health Care 2014 Sep;44(8):219-41. Epub 2014 Jun 25 doi: 10.1016/j.cppeds.2014.03.007. PMID: 25106748Free PMC Article
Nilsson D, Svensson J, Korkmaz BA, Nelvig H, Tisell M
J Neurosurg Pediatr 2013 Nov;12(5):483-90. Epub 2013 Sep 13 doi: 10.3171/2013.8.PEDS1370. PMID: 24032988

Prognosis

Khare SP, Madhok A, Patta I, Sukla KK, Wagh VV, Kunte PS, Raut D, Bhat D, Kumaran K, Fall C, Tatu U, Chandak GR, Yajnik CS, Galande S
J Dev Orig Health Dis 2023 Jun;14(3):437-448. Epub 2023 Jan 12 doi: 10.1017/S204017442200068X. PMID: 36632790
Nilsson D, Svensson J, Korkmaz BA, Nelvig H, Tisell M
J Neurosurg Pediatr 2013 Nov;12(5):483-90. Epub 2013 Sep 13 doi: 10.3171/2013.8.PEDS1370. PMID: 24032988
Gray TR, Magri R, Shakleya DM, Huestis MA
Clin Chem 2008 Dec;54(12):2018-27. Epub 2008 Oct 9 doi: 10.1373/clinchem.2008.109173. PMID: 18845770Free PMC Article
Chen XK, Lougheed J, Lawson ML, Gibb W, Walker RC, Wen SW, Walker MC
Am J Perinatol 2008 Jan;25(1):21-8. Epub 2007 Nov 29 doi: 10.1055/s-2007-995222. PMID: 18050037
Laegreid L, Hagberg G, Lundberg A
Neuropediatrics 1992 Apr;23(2):60-7. doi: 10.1055/s-2008-1071314. PMID: 1351263

Clinical prediction guides

Leon RL, Sharma K, Mir IN, Herrera CL, Brown SL, Spong CY, Chalak LF
Am J Obstet Gynecol 2022 Oct;227(4):620.e1-620.e8. Epub 2022 May 21 doi: 10.1016/j.ajog.2022.05.038. PMID: 35609643
van Gemert LA, Leen WG, Draaisma JM, Roeleveld N, Willemsen MA
Eur J Paediatr Neurol 2022 May;38:73-76. Epub 2022 Apr 27 doi: 10.1016/j.ejpn.2022.04.005. PMID: 35500464
Nilsson D, Svensson J, Korkmaz BA, Nelvig H, Tisell M
J Neurosurg Pediatr 2013 Nov;12(5):483-90. Epub 2013 Sep 13 doi: 10.3171/2013.8.PEDS1370. PMID: 24032988
Tal G, Cohen A, Habib S, Tirosh E
Pediatr Neurol 2012 Nov;47(5):341-4. doi: 10.1016/j.pediatrneurol.2012.07.002. PMID: 23044015
Ratcliffe SG, Bancroft J, Axworthy D, McLaren W
Arch Dis Child 1982 Jan;57(1):6-12. PMID: 7065696Free PMC Article

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