Cerebrocostomandibular Syndrome

Alternative Names

  • CCMS
  • Rib Gap Defects with Micrognathia
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Other congenital malformations

OMIM Number

117650

Mode of Inheritance

Autosomal dominant

Gene Map Locus

20p13

Description

Cerebrocostomandibular syndrome (CCMS) is a potentially lethal developmental disorder characterized by mental handicap, palatal defects, micrognathia, and severe costovertebral defects. Presence of dorsal and posterior rib defects in those affected often lead to respiratory complications and in about 40% of cases can result in death before the age 1.

Autosomal dominant inheritance has been described in patients with CCMS. Studies identified heterozygous mutation in SNRPB (small nuclear ribonucleoprotein polypeptides B and B1) gene to be the causative factor among several CCMS patients.

Epidemiology in the Arab World

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Other Reports

United Arab Emirates

Hosani and Czeizel (2000) evaluated the pilot dataset [March-May 1998] of the UAE National Congenital Abnormality Registry (NCAR). A total of 4,861 births were recorded in this study period, with a birth prevalence of total congenital anomalies being 30.3 per 1,000 births. Cerebrocostomandibulare syndrome was identified in one neonate, resulting in an incidence rate of 0.21 per 1,000 births.

In a 5-year prospective study for newborns at Al Ain Medical District, Al-Gazali et al. (2003) defined the pattern and birth prevalence of the different types of osteochondrodysplasias in the United Arab Emirates. Among the 38,048 births during the study period, 36 (9.46 per 10,000 births) had some type of skeletal dysplasia of which one, born to consanguineous parents, had the cerebrocostomandibular syndrome (0.26 per 10,000 births).

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