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Septo-optic dysplasia

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251:). Five homozygous and eight heterozygous pathogenic HESX1 mutations have been discovered. Patients with homozygous mutations present with a typical SOD phenotype while those with heterozygous mutations are mildly affected. In addition to HESX1, mutations in OTX2, SOX2 and PAX6 have been implicated in SOD. SOX2 mutations in SOD patients are associated with severe bilateral ocular anomalies such as 39: 333:
described an association between underdevelopment of the optic nerve with an absent septum pellucidum. Fifteen years later French doctor Georges de Morsier reported his theory that the two abnormalities were connected and coined the term septo-optic dysplasia. In 1970 American doctor William Hoyt
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de Morsier G (1956). "Études sur les dysraphies, crânioencéphaliques. III. Agénésie du septum palludicum avec malformation du tractus optique. La dysplasie septo-optique" [Studies on dysraphias, cranioencephalic. III. Agenesis of the septum palludicum with malformation of the optic tract.
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A diagnosis of SOD is made when at least two of the following triad are present: optic nerve underdevelopment; pituitary hormone abnormalities; and mid-line brain abnormalities. Diagnosis is usually made at birth or during childhood, and a clinical diagnosis can be confirmed by
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SOD results from an abnormality in the development of the embryonic forebrain at 4–6 weeks of pregnancy. There is no known single cause of SOD, but it is thought that both genetic and environmental factors may be involved.
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A European survey put the prevalence of SOD at somewhere in the region of 1.9 to 2.5 per 100,000 live births, with the United Kingdom having a particularly high rate and with increased risk for younger mothers.
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Dattani MT, Martinez-Barbera JP, Thomas PQ, Brickman JM, Gupta R, MĂĄrtensson IL, et al. (June 1998). "Mutations in the homeobox gene HESX1/Hesx1 associated with septo-optic dysplasia in human and mouse".
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are more common in children with bilateral optic nerve hypoplasia than those with unilateral optic nerve hypoplasia. Bilateral optic nerve hypoplasia is also associated with a more severe disease course.
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The symptoms of SOD can be divided into those related to optic nerve underdevelopment, pituitary hormone abnormalities, and mid-line brain abnormalities. Symptoms may vary greatly in their severity.
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may fail to develop normally, leading to neurological problems such as seizures or developmental delay. Patients with seizures are more likely to show additional neurological abnormalities such as
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occurs in 57%, and behavioral problems occur in 20%, but further research has indicated that these symptoms may be less common and caused by additional neurological abnormalities.
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About one quarter of people with SOD have significant visual impairment in one or both eyes, as a result of optic nerve underdevelopment.
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There is no cure for SOD. Treatment aims to manage symptoms and may require a multidisciplinary team of specialists including
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Neurological symptoms are typically considered late onset manifestations of SOD. Common initial presentations include
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first recognized the relation of a rudimentary or absent septum pellucidum with hypoplasia of the optic nerves and
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Gleason, CA; Devascar, S (5 October 2011). "Congenital malformations of the Central Nervous System".
172: 2046: 1961: 1416: 887: 714:"Epidemiology of septo-optic dysplasia with focus on prevalence and maternal age - A EUROCAT study" 260: 1723: 1571: 1345: 219: 215: 214:, development delays and limb weakness. Intellectual abilities vary widely from normal to severe 2132: 1998: 1956: 1904: 1309: 440: 334:
made the connection between the three features of SOD and named the syndrome after de Morsier.
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Garne E, Rissmann A, Addor MC, Barisic I, Bergman J, Braz P, et al. (September 2018).
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this can usually be detected within the first three months of life. It may be followed by
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Rare familial recurrence has been reported, suggesting at least one
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Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL (2015-10-25).
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that features a combination of the underdevelopment of the
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Ganau M, Huet S, Syrmos N, Meloni M, Jayamohan J (2019).
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The optic nerve is underdeveloped in this condition.
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Genetic and Rare Diseases Information Center (GARD)
2137:Ectrodactyly–ectodermal dysplasia–cleft syndrome 3 312:but vision impairments are not usually treatable. 158: 2220: 457: 383:Schweizer Archiv fĂĽr Neurologie und Psychiatrie 182: 130: 187:In SOD, mid-line brain structures such as the 2029:Yemenite deaf-blind hypopigmentation syndrome 1217: 931: 308:. Hormone deficiencies may be treated with 527: 1224: 1210: 938: 924: 661: 496:: CS1 maint: location missing publisher ( 398: 396: 379: 37: 776: 611: 601: 555: 545: 342:British model and television personality 1633:Posterior polymorphous corneal dystrophy 1463:Autoimmune polyendocrine syndrome type 1 758: 579: 577: 575: 466:Bradley's neurology in clinical practice 1824:Anterior segment mesenchymal dysgenesis 1123:Bilateral frontoparietal polymicrogyria 426: 424: 393: 2229:Congenital disorders of nervous system 2221: 523: 521: 519: 517: 515: 513: 511: 509: 507: 1356:X-linked adrenal hypoplasia congenita 1205: 919: 807: 637: 635: 633: 631: 572: 337: 122: 1408:Greig cephalopolysyndactyly syndrome 718:European Journal of Medical Genetics 421: 346:'s son, Harvey, has this condition. 1782:Iridogoniodysgenesis, dominant type 649:. U.S. National Library of Medicine 504: 13: 2066: 949:malformations and deformations of 628: 534:European Journal of Human Genetics 528:Webb EA, Dattani MT (April 2010). 14: 2255: 824: 1796:Lymphedema–distichiasis syndrome 1392:Tricho–rhino–phalangeal syndrome 1366:Familial partial lipodystrophy 3 439:(9 ed.). Saunders. p.  404:"Septo-Optic Dysplasia Spectrum" 329:In 1941 Dr. David Reeves at the 107:dysfunction, and absence of the 2060:(0) Other transcription factors 1351:Estrogen insensitivity syndrome 1319:Androgen insensitivity syndrome 1075:Agenesis of the corpus callosum 801: 752: 705: 435:Avery's Diseases of the Newborn 331:Children's Hospital Los Angeles 315: 171:, most commonly in the form of 159:Pituitary hormone abnormalities 1941:Hyperimmunoglobulin E syndrome 1346:PHA1AD pseudohypoaldosteronism 765:Journal of Neuro-Ophthalmology 373: 356: 155:developing in the first year. 1: 2203:Atrichia with papular lesions 381:Septo-optic dysplasia.]. 349: 1910:Popliteal pterygium syndrome 1852:Enlarged vestibular aqueduct 1691:Waardenburg syndrome 1&3 1476:(3) Helix-turn-helix domains 1235:relating to deficiencies of 778:10.1097/WNO.0b013e31824442b8 468:(Seventh ed.). London. 291: 278: 183:Mid-line brain abnormalities 131:Optic nerve underdevelopment 7: 2010:Premature ovarian failure 7 1866:Premature ovarian failure 3 1738:Congenital hypothyroidism 2 1041:other reduction deformities 808:Singh A (25 January 2021). 10: 2260: 2157:Transcription coregulators 1927:with minor groove contacts 1314:Thyroid hormone resistance 730:10.1016/j.ejmg.2018.05.010 324: 273:sensorineural hearing loss 238: 218:. Early studies indicated 67:congenital hypopituitarism 2189: 2179:Rubinstein–Taybi syndrome 2164: 2155: 2086: 2059: 2039: 2005:SRY XY gonadal dysgenesis 1975: 1949: 1933: 1924: 1890: 1810:Bamforth–Lazarus syndrome 1762: 1662: 1482: 1475: 1455: 1422:Duane-radial ray syndrome 1400: 1379: 1371:SF1 XY gonadal dysgenesis 1301: 1292: 1272: 1251: 1244: 1169: 1146: 1137: 1014: 966: 957: 832: 759:Borchert M (March 2012). 229: 173:growth hormone deficiency 60: 50: 45: 36: 26: 21: 2047:Cleidocranial dysostosis 1264:Saethre–Chotzen syndrome 1027:Congenital hydrocephalus 222:occurs in 71% of cases, 163:Underdevelopment of the 2024:Waardenburg syndrome 4c 1724:Coloboma of optic nerve 1572:Tooth and nail syndrome 1412:Pallister–Hall syndrome 647:Genetics Home Reference 643:"Septo-Optic Dysplasia" 530:"Septo-optic dysplasia" 220:intellectual disability 216:intellectual disability 1967:Ulnar–mammary syndrome 1925:(4) β-Scaffold factors 1905:Van der Woude syndrome 1437:Townes–Brocks syndrome 1310:Intracellular receptor 149:optic nerve hypoplasia 2141:Limb–mammary syndrome 2129:Rapp–Hodgkin syndrome 2101:Pitt–Hopkins syndrome 1677:Papillorenal syndrome 1652:Mowat–Wilson syndrome 1558:Nail–patella syndrome 1442:Acrocallosal syndrome 1080:Septo-optic dysplasia 1032:Dandy–Walker syndrome 547:10.1038/ejhg.2009.125 79:Septo-optic dysplasia 22:Septo-optic dysplasia 1983:Campomelic dysplasia 1962:Li–Fraumeni syndrome 1447:Myotonic dystrophy 2 1417:Denys–Drash syndrome 1237:transcription factor 137:Developmental delays 1777:Axenfeld syndrome 3 1591:Axenfeld syndrome 1 1530:SPD1 synpolydactyly 1295:DNA-binding domains 1006:Chiari malformation 265:oesophageal atresia 261:developmental delay 87:de Morsier syndrome 31:de Morsier syndrome 2133:Hay–Wells syndrome 1957:Holt–Oram syndrome 1719:Gillespie syndrome 1638:Fuchs' dystrophy 3 1516:Currarino syndrome 1177:Currarino syndrome 1148:Neural tube defect 1090:Hemimegalencephaly 1056:Microlissencephaly 968:Neural tube defect 603:10.2147/EB.S186307 389:. Zurich: 267–292. 338:In popular culture 197:cortical dysplasia 177:panhypopituitarism 175:. In severe cases 123:Signs and symptoms 113:Georges de Morsier 2216: 2215: 2212: 2211: 2082: 2081: 2055: 2054: 1920: 1919: 1497:Ohtahara syndrome 1471: 1470: 1341:Kennedy's disease 1288: 1287: 1259:Feingold syndrome 1245:(1) Basic domains 1233:Genetic disorders 1199: 1198: 1195: 1194: 1133: 1132: 1046:Holoprosencephaly 913: 912: 193:septum pellucidum 109:septum pellucidum 85:), known also as 76: 75: 71:holoprosencephaly 62:Diagnostic method 16:Medical condition 2251: 2162: 2161: 2064: 2063: 1931: 1930: 1502:Lissencephaly X2 1480: 1479: 1387:Barakat syndrome 1299: 1298: 1249: 1248: 1226: 1219: 1212: 1203: 1202: 1182:Diastomatomyelia 1144: 1143: 964: 963: 940: 933: 926: 917: 916: 830: 829: 818: 817: 805: 799: 798: 780: 756: 750: 749: 709: 703: 702: 665: 659: 658: 656: 654: 639: 626: 625: 615: 605: 581: 570: 569: 559: 549: 525: 502: 501: 495: 487: 461: 455: 454: 438: 428: 419: 418: 416: 414: 400: 391: 390: 377: 371: 360: 306:endocrinologists 302:ophthalmologists 167:in SOD leads to 41: 19: 18: 2259: 2258: 2254: 2253: 2252: 2250: 2249: 2248: 2219: 2218: 2217: 2208: 2185: 2151: 2078: 2074:Kabuki syndrome 2051: 2035: 1971: 1945: 1926: 1916: 1886: 1758: 1658: 1467: 1451: 1396: 1375: 1294: 1293:(2) Zinc finger 1284: 1268: 1240: 1239:or coregulators 1230: 1200: 1191: 1165: 1129: 1066:Hydranencephaly 1010: 953: 944: 914: 909: 908: 841: 827: 822: 821: 806: 802: 757: 753: 710: 706: 671:Nature Genetics 666: 662: 652: 650: 641: 640: 629: 582: 573: 526: 505: 489: 488: 476: 462: 458: 451: 429: 422: 412: 410: 402: 401: 394: 378: 374: 361: 357: 352: 340: 327: 318: 294: 281: 241: 232: 189:corpus callosum 185: 169:hypopituitarism 165:pituitary gland 161: 133: 125: 105:pituitary gland 17: 12: 11: 5: 2257: 2247: 2246: 2241: 2236: 2231: 2214: 2213: 2210: 2209: 2207: 2206: 2193: 2191: 2187: 2186: 2184: 2183: 2182: 2181: 2168: 2166: 2159: 2153: 2152: 2150: 2149: 2148: 2147: 2119: 2118: 2117: 2105: 2104: 2103: 2090: 2088: 2084: 2083: 2080: 2079: 2077: 2076: 2070: 2068: 2061: 2057: 2056: 2053: 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449: 420: 392: 372: 354: 353: 351: 348: 339: 336: 326: 323: 317: 314: 293: 290: 280: 277: 253:microphthalmia 240: 237: 231: 228: 224:cerebral palsy 205:schizencephaly 201:polymicrogyria 184: 181: 160: 157: 132: 129: 124: 121: 74: 73: 64: 58: 57: 54: 48: 47: 43: 42: 34: 33: 28: 24: 23: 15: 9: 6: 4: 3: 2: 2256: 2245: 2242: 2240: 2237: 2235: 2232: 2230: 2227: 2226: 2224: 2204: 2200: 2199: 2195: 2194: 2192: 2188: 2180: 2177: 2176: 2175: 2174: 2170: 2169: 2167: 2163: 2160: 2158: 2154: 2146: 2142: 2138: 2134: 2130: 2127: 2126: 2125: 2124: 2120: 2116: 2113: 2112: 2111: 2110: 2106: 2102: 2099: 2098: 2097: 2096: 2092: 2091: 2089: 2085: 2075: 2072: 2071: 2069: 2065: 2062: 2058: 2048: 2045: 2044: 2042: 2038: 2030: 2027: 2025: 2022: 2021: 2020: 2019: 2015: 2011: 2008: 2006: 2003: 2002: 2001: 2000: 1996: 1994: 1991: 1989: 1986: 1984: 1981: 1980: 1978: 1974: 1968: 1965: 1963: 1960: 1958: 1955: 1954: 1952: 1948: 1942: 1939: 1938: 1936: 1932: 1929: 1923: 1911: 1908: 1906: 1903: 1902: 1901: 1900: 1896: 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1019: 1017: 1013: 1007: 1004: 1002: 1001:Encephalocele 999: 995: 992: 990: 987: 985: 982: 979: 978: 977: 974: 973: 971: 969: 965: 962: 960: 956: 952: 948: 941: 936: 934: 929: 927: 922: 921: 918: 905: 901: 900: 896: 894: 890: 889: 885: 883: 879: 878: 874: 872: 868: 867: 863: 859: 857: 853: 852: 848: 844: 843: 840: 835: 831: 815: 814:The Telegraph 811: 804: 796: 792: 788: 784: 779: 774: 770: 766: 762: 755: 747: 743: 739: 735: 731: 727: 723: 719: 715: 708: 700: 696: 692: 688: 684: 680: 677:(2): 125–33. 676: 672: 664: 648: 644: 638: 636: 634: 632: 623: 619: 614: 609: 604: 599: 596:(11): 37–47. 595: 591: 590:Eye and Brain 587: 580: 578: 576: 567: 563: 558: 553: 548: 543: 539: 535: 531: 524: 522: 520: 518: 516: 514: 512: 510: 508: 499: 493: 485: 481: 477: 475:9780323339162 471: 467: 460: 452: 446: 442: 437: 436: 427: 425: 409: 405: 399: 397: 388: 385:(in French). 384: 376: 370: 369:Who Named It? 366: 365: 359: 355: 347: 345: 335: 332: 322: 313: 311: 307: 303: 299: 289: 287: 276: 274: 270: 269:short stature 266: 262: 258: 254: 250: 246: 236: 227: 225: 221: 217: 213: 208: 206: 202: 198: 194: 190: 180: 178: 174: 170: 166: 156: 154: 150: 146: 143:There may be 141: 138: 128: 120: 118: 114: 110: 106: 102: 98: 95: 92: 88: 84: 80: 72: 68: 65: 63: 59: 56:Ophthalmology 55: 53: 49: 44: 40: 35: 32: 29: 25: 20: 2234:Eye diseases 2196: 2190:Corepressor: 2171: 2165:Coactivator: 2121: 2107: 2093: 2016: 1997: 1897: 1872: 1858: 1844: 1830: 1816: 1802: 1788: 1769: 1744: 1730: 1711: 1697: 1683: 1669: 1644: 1625: 1611: 1597: 1583: 1564: 1550: 1536: 1522: 1508: 1489: 1161:Rachischisis 1156:Spina bifida 1104:Porencephaly 1096: 1079: 1040: 1022:Microcephaly 994:Iniencephaly 897: 886: 875: 860: 845: 813: 803: 771:(1): 58–67. 768: 764: 754: 721: 717: 707: 674: 670: 663: 651:. 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Index


Specialty
Diagnostic method
congenital hypopituitarism
holoprosencephaly
congenital
malformation
syndrome
optic nerve
pituitary gland
septum pellucidum
Georges de Morsier
chiasm
Developmental delays
nystagmus
optic nerve hypoplasia
strabismus
pituitary gland
hypopituitarism
growth hormone deficiency
panhypopituitarism
corpus callosum
septum pellucidum
cortical dysplasia
polymicrogyria
schizencephaly
epilepsy
intellectual disability
intellectual disability
cerebral palsy

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