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Apert syndrome


Apert Syndrome (Acrocephalosyndactylism Syndrome; Acrocranio-dysphalangia; Acrodysplasia; Sphenoacrocranio-syndactyly; Absent-Digits-Cranial-Defects Syndrome)

General: Inherited; most often rece 424b14e ssive, sometimes dominant; an extreme form of Apert syndrome has been described as Carpenter syndrome, with the latter being familial and transmitted as an autosomal recessive.

Ocular: Shallow orbit; exophthalmos; hypertelorism; ptosis; strabismus; nystagmus; ophthalmoplegia; hyperopia; exposure keratitis; cataracts; ectopia lentis; medullated nerve fibers; retinal detachment; papilledema with subsequent optic atrophy; keratoconus.

Clinical: Oxycephaly ('tower skull'); syndactyly (symmetrically); synostoses and synarthroses of shoulder and elbows frequent; agenesis of spinal bones and limbs; headaches; hypertelorism; hypoplastic maxilla; acrocephaly; abnormality of sutures.

Apert E. Acrocephalosyndactylia. Bull Soc Med Hop Paris 1906; 23: 1310.

Buncic JR. Ocular aspects of Apert syndrome. Clin Plast Surg 1991; 18:315-319.

Ferraro NF. Dental, orthodontic, and oral/maxillofacial evaluation and treatment in Apert syndrome. Clin Plast Surg 1991; 18:291-307.

Fraunfelder FT, Roy FH. Current Ocular Therapy. 5th ed. Philadelphia: WB Saunders, 2000.

Heeckt P, et al. Early treatment of pan craniofacial synostosis. Ann Plast Surg 1993; 30:312-319.

Ka LC. Clinical assessment and multispecialty management of Apert syndrome. Clin Plast Surg 1991; 18: 217-225.

Krueger JL, Ide CH. Acrocephalosyndactyly (Apert's syndrome). Ann Ophthalmol 1974; 6:787.

Magalini SI, Scrascia E. Dictionary of Medical Syndromes, 2nd ed. Philadelphia: JB Lippincott, 1981.

Mah J, Kasser J, Upton J. The foot in Apert syndrome. Clin Plast Surg 1991; 18:391-397.

Marchac D, Renier D. Craniosynostosis. World J Surg 1989; 13:358-365.

Marchac D, Renier D, Broumand S. Timing of treatment for craniosynostosis and facio-craniosynostosis: a 20 year experience. Br J Plast Surg 1994; 47:211-222.

Margolis S, et al. Oculocutaneous albinism associated with Apert's syndrome. Am J Ophthalmol 1977; 84:830-839.

Margolis S. Structural alterations of extraocular muscle associated with Apert's syndrome. Br J Ophthalmol 1977; 61:683-689.

McGill T. Otolaryngologic aspects of Apert syndrome. Clin Plast Surg 1991; 18:309-313.

Parker TL, Roth JC, Esterly NB. Isotretinoin for acne in Apert syndrome. Pediatr Dermatol

Suparta N, Hartono, Sunartini. Apert syndrome. Paediatr Indones 1991; 31:319-324.

Thompson D, et al. Assessment and treatment of craniosynostosis. Br J Hosp Med 1994; 52: 17-24.

Thompson DN, et al. Subdural intracranial pressure monitoring in craniosynostosis: its role in surgical management. Childs Nerv Syst 1995; 11:269-275.





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