Abstract
We report a 4 year old boy in whom the clinical features of craniosynostosis and bilateral absent radii led to a diagnosis of Baller-Gerold syndrome. Additional congenital abnormalities included midface hypoplasia, atrial and ventricular septal defects, right hydronephrosis, partial sacral agenesis, and anterior ectopic anus. Evidence of portal venous hypertension was present from 8 months and a congenital portal venous malformation was discovered at 2 years. This is the first reported case of Baller-Gerold syndrome associated with a congenital portal venous malformation. We discuss the diagnostic confusion between this syndrome and other overlapping malformation syndromes and propose optimal evaluation strategies aimed at clarifying the nosology of these syndromes.
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- Alvarez F., Bernard O., Brunelle F., Hadchouel P., Odièvre M., Alagille D. Portal obstruction in children. I. Clinical investigation and hemorrhage risk. J Pediatr. 1983 Nov;103(5):696–702. doi: 10.1016/s0022-3476(83)80460-0. [DOI] [PubMed] [Google Scholar]
- Anyane-Yeboa K., Gunning L., Bloom A. D. Baller-Gerold syndrome craniosynostosis-radial aplasia syndrome. Clin Genet. 1980 Feb;17(2):161–166. doi: 10.1111/j.1399-0004.1980.tb00126.x. [DOI] [PubMed] [Google Scholar]
- Benzacken B., Savary J. B., Manouvrier S., Bucourt M., Gonzales J. Prenatal diagnosis of Roberts syndrome: two new cases. Prenat Diagn. 1996 Feb;16(2):125–130. doi: 10.1002/(SICI)1097-0223(199602)16:2<125::AID-PD822>3.0.CO;2-S. [DOI] [PubMed] [Google Scholar]
- Boudreaux J. M., Colon M. A., Lorusso G. D., Parro E. A., Pelias M. Z. Baller-Gerold syndrome: an 11th case of craniosynostosis and radial aplasia. Am J Med Genet. 1990 Dec;37(4):447–450. doi: 10.1002/ajmg.1320370403. [DOI] [PubMed] [Google Scholar]
- Cohen M. M., Jr Craniosynostosis and syndromes with craniosynostosis: incidence, genetics, penetrance, variability, and new syndrome updating. Birth Defects Orig Artic Ser. 1979;15(5B):13–63. [PubMed] [Google Scholar]
- Cohen M. M., Jr, Toriello H. V. Is there a Baller-Gerold syndrome? Am J Med Genet. 1996 Jan 2;61(1):63–64. doi: 10.1002/ajmg.1320610103. [DOI] [PubMed] [Google Scholar]
- Dallapiccola B., Zelante L., Mingarelli R., Pellegrino M., Bertozzi V. Baller-Gerold syndrome: case report and clinical and radiological review. Am J Med Genet. 1992 Feb 1;42(3):365–368. doi: 10.1002/ajmg.1320420323. [DOI] [PubMed] [Google Scholar]
- Farrell S. A., Paes B. A., Lewis M. E. Fanconi anemia in a child previously diagnosed as Baller-Gerold syndrome. Am J Med Genet. 1994 Mar 1;50(1):98–99. doi: 10.1002/ajmg.1320500123. [DOI] [PubMed] [Google Scholar]
- Feingold M., Sklower S. L., Willner J. P., Desnick R. H., Cohen M. M. Craniosynostosis-radial aplasia: Baller-Gerold syndrome. Am J Dis Child. 1979 Dec;133(12):1279–1280. doi: 10.1001/archpedi.1979.02130120071014. [DOI] [PubMed] [Google Scholar]
- GEROLD M. Frakturheilung bei einem seltenen Fall kongenitaler Anomalie der oberen Gliedmassen. Zentralbl Chir. 1959 May 23;84(21):831–834. [PubMed] [Google Scholar]
- Galea P., Tolmie J. L. Normal growth and development in a child with Baller-Gerold syndrome (craniosynostosis and radial aplasia). J Med Genet. 1990 Dec;27(12):784–787. doi: 10.1136/jmg.27.12.784. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greitzer L. J., Jones K. L., Schnall B. S., Smith D. W. Craniosynostosis--radial aplasia syndrome. J Pediatr. 1974 May;84(5):723–724. doi: 10.1016/s0022-3476(74)80017-x. [DOI] [PubMed] [Google Scholar]
- Holmes-Siedle M., Seres-Santamaria A., Crocker M., Hall J. G., Crouchman M. A sibship with Roberts/SC phocomelia syndrome. Am J Med Genet. 1990 Sep;37(1):18–22. doi: 10.1002/ajmg.1320370106. [DOI] [PubMed] [Google Scholar]
- Huson S. M., Rodgers C. S., Hall C. M., Winter R. M. The Baller-Gerold syndrome: phenotypic and cytogenetic overlap with Roberts syndrome. J Med Genet. 1990 Jun;27(6):371–375. doi: 10.1136/jmg.27.6.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Joenje H., Oostra A. B., Wijker M., di Summa F. M., van Berkel C. G., Rooimans M. A., Ebell W., van Weel M., Pronk J. C., Buchwald M. Evidence for at least eight Fanconi anemia genes. Am J Hum Genet. 1997 Oct;61(4):940–944. doi: 10.1086/514881. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kwee M. L., Lo Ten Foe J. R., Arwert F., Pals G., Madan K., Nieuwint A., In't Veld P. A., Van der Horst A. R., Van Vugt J. M., Ten Kate L. P. Early prenatal diagnosis of Fanconi anaemia in a twin pregnancy, using DNA analysis. Prenat Diagn. 1996 Apr;16(4):345–348. doi: 10.1002/(SICI)1097-0223(199604)16:4<345::AID-PD852>3.0.CO;2-9. [DOI] [PubMed] [Google Scholar]
- Lewis M. E., Rosenbaum P. L., Paes B. A. Baller-Gerold syndrome associated with congenital hydrocephalus. Am J Med Genet. 1991 Sep 1;40(3):307–310. doi: 10.1002/ajmg.1320400312. [DOI] [PubMed] [Google Scholar]
- Lin A. E., McPherson E., Nwokoro N. A., Clemens M., Losken H. W., Mulvihill J. J. Further delineation of the Baller-Gerold syndrome. Am J Med Genet. 1993 Feb 15;45(4):519–524. doi: 10.1002/ajmg.1320450423. [DOI] [PubMed] [Google Scholar]
- Pelias M. Z., Superneau D. W., Thurmon T. F. Brief clinical report: a sixth report (eighth case) of craniosynostosis-radial aplasia (Baller-Gerold) syndrome. Am J Med Genet. 1981;10(2):133–139. doi: 10.1002/ajmg.1320100206. [DOI] [PubMed] [Google Scholar]
- Preis S., Majewski F., Körholz D., Göbel U. Osteosarcoma in a 16-year-old boy with Baller-Gerold syndrome. Clin Dysmorphol. 1995 Apr;4(2):161–168. [PubMed] [Google Scholar]
- Reichenbach H., Hörmann D., Theile H. Ein weiterer Fall mit Baller-Gerold-Syndrom (Craniosynostosis--Radial Aplasia Syndrome)--Uberblick und neue Gesichtspunkte bei einem seltenen Syndrom. Kinderarztl Prax. 1993 Jun;61(4-5):161–167. [PubMed] [Google Scholar]
- Rossbach H. C., Sutcliffe M. J., Haag M. M., Grana N. H., Rossi A. R., Barbosa J. L. Fanconi anemia in brothers initially diagnosed with VACTERL association with hydrocephalus, and subsequently with Baller-Gerold syndrome. Am J Med Genet. 1996 Jan 2;61(1):65–67. doi: 10.1002/(SICI)1096-8628(19960102)61:1<65::AID-AJMG12>3.0.CO;2-U. [DOI] [PubMed] [Google Scholar]
- Van Maldergem L., Verloes A., Lejeune L., Gillerot Y. The Baller-Gerold syndrome. J Med Genet. 1992 Apr;29(4):266–268. doi: 10.1136/jmg.29.4.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woon K. C., Kokich V. G., Clarren S. K., Cohen M. M., Jr Craniosynostosis with associated cranial base anomalies: a morphologic and histologic study of affected like-sexed twins. Teratology. 1980 Aug;22(1):23–35. doi: 10.1002/tera.1420220105. [DOI] [PubMed] [Google Scholar]