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. Author manuscript; available in PMC: 2017 Feb 1.
Published in final edited form as: Am J Med Genet A. 2015 Nov 21;170A(2):344–354. doi: 10.1002/ajmg.a.37435

Table 4.

Comparison of Verloes (2005) and Proposed Clinical Diagnostic Criteria for CHARGE Syndrome

Verloes (2005)
Proposed Criteria
Major criteria:
  • Ocular coloboma

  • Choanal atresia

  • Hypoplastic semicircular canals

Major criteria:
  • Coloboma

  • Choanal atresia or cleft palate

  • Abnormal external, middle or inner ears, including hypoplastic semicircular canals

  • Pathogenic CHD7 variant

Minor criteria:
  • Heart or oesophagus malformation

  • Malformation of the middle or external ear

  • Rhombencephalic dysfunction including sensorineural hearing loss

  • Hypothalamo-hypophyseal dysfunction (gonadotropin or growth hormone deficiency)

  • Mental retardation

Minor criteria:
  • Cranial nerve dysfunction including hearing loss

  • Dysphagia/feeding difficulties

  • Structural brain anomalies

  • Developmental delay/ID/Autism

  • Hypothalamo-hypophyseal dysfunction (gonadotropin or growth hormone deficiency) and genital anomalies

  • Heart or esophagus malformation

  • Renal anomaliesSkeletal/limb anomalies

Inclusion rule: Inclusion rule:
Typical CHARGE: 3 major OR 2 major + 2 minor
Partial CHARGE: 2 major + 1 minor
Atypical CHARGE: 2 major + 0 minor OR 1 major + 3
minor
CHARGE: 2 major + any number of minor