Microcephaly with Chorioretinopathy, Autosomal Recessive

Alternative Names

  • Chorioretinal Dysplasia-Microcephaly-Mental Retardation Syndrome
  • CDMM Syndrome
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Other congenital malformations

OMIM Number

251270

Mode of Inheritance

Autosomal recessive

Description

Microcephaly with chorioretinopathy is an extremely rare condition characterized by an association of microcephaly with either a stable retinal dysplasia or a progressive retinal degeneration. The consistent association of these two conditions in affected members in a few families worldwide first suggested the existence of the condition as a separate genetic entity from isolated microcephaly. Affected patients have mild to severe mental retardation, and hypopigmented retinal lesions that may resemble those of TORCH or Aicardi syndrome. Only a handful of affected families have been reported in medical literature.

Molecular Genetics

Both autosomal recessive and dominant forms of microcephaly with chorioretinopathy are known. The recessive form is also known as chorioretinal dysplasia-microcephaly-mental retardation (CDMM) syndrome. No mutations in any of the MCP-related genes have been reported to date with this entity.

Epidemiology in the Arab World

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Other Reports

Kuwait

Sheriff and Hegab (1988) described a Kuwaiti family in which three siblings (two boys and a girl) presented with microcephaly in association with congenital hypertrophy of the retinal pigment epithelium (CHRPE) resembling that of Gardner syndrome. There was no evidence of mental retardation or any systemic anomalies. The boys had hyperpigmented spots located on a fine background of variable pigmentation, while the girl had, in addition, a diffuse area of chorioretinal atrophy. The parents were clinically normal, suggesting an autosomal recessive disorder. Another sibling, an 11-year old boy had microcephaly (head circumference = 42 cm) in the absence of any detectable ophthalmic anomaly. In addition, a boy born to the sister of the father, who was born to consanguineous parents who was married to a cousin, was said to have been microcephalic.

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