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Interdisciplinary CompetenceMolecular Diagnostics
Know how in the analysis of genetic material.
For the benefit of patients.

IllnessCraniosynostosis, differential diagnostics

Summary

Short information

Comprehensive differential diagnostic panel for Craniosynostosis containing 7guideline-curated core genes, 10 core candidate genes and altogether 69 curated genes according to the clinical signs

ID
KP0840
Number of genes
56 Accredited laboratory test
Examined sequence length
33,1 kb (Core-/Core-canditate-Genes)
162,2 kb (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

[Sanger]

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GReferenz-Seq.Heredity
ALX41236NM_021926.4AD, AR, Sus
EFNB11041NM_004429.5XL
ERF1647NM_006494.4AD
FGFR12469NM_023110.3AD
FGFR22466NM_000141.5AD
FGFR32421NM_000142.5AD
GLI34743NM_000168.6AD
MSX2804NM_002449.5AD
POR2043NM_001395413.1AR
RAB23714NM_183227.3AR
RECQL43628NM_004260.4AR
SKI2187NM_003036.4AD
TCF122121NM_207036.2AD
TWIST1609NM_000474.4AD
WDR353546NM_001006657.2AR
ZIC11344NM_003412.4AD
ALPL1575NM_000478.6AD, AR
ARSB1602NM_000046.5AR
ASXL14626NM_015338.6AD
BRAF2301NM_004333.6AD
CD961710NM_198196.3AD
CDC451819NM_001178010.2AR
CHD78994NM_017780.4AD
COLEC11744NM_024027.5AR
CTSK990NM_000396.4AR
CYP26B11314NM_019885.4AR
FAM20C1755NM_020223.4AR
FLNA7920NM_001456.4XL
GNAS1185NM_000516.7AD
GNPTAB3771NM_024312.5AR
HUWE113125NM_031407.7XL
IDS1653NM_000202.8XLR
IDUA1962NM_000203.5AR
IFT1223879NM_052985.4AR
IHH1236NM_002181.4AD
IL11RA1269NM_001142784.3AR
JAG13657NM_000214.3AD
KAT6A6015NM_006766.5AD
KMT2D16614NM_003482.4AD
KRAS567NM_004985.5AD
MEGF88337NM_001410.3AR
PHEX2250NM_000444.6XL
PTPN111782NM_002834.5AD
RUNX21566NM_001024630.4AD
SLC25A241650NM_013386.5AD
SMAD61491NM_005585.5AD, digenisch
SMO2364NM_005631.5AD
SOX62406NM_033326.3AD
SPECC1L3354NM_015330.6AD
STAT32313NM_139276.3AD
TFAP2B1383NM_003221.4AD
TGFBR11512NM_004612.4AD
TGFBR21704NM_003242.6AD
TLK22372NM_006852.6AD
TMCO1720NM_019026.6AR
ZEB23645NM_014795.4AD

Informations about the disease

Clinical Comment

Craniosynostosis is a birth defect of the skull characterized by premature closure of one or more of the fibrous connections between the cranial sutures before brain growth is complete. Closure of a single suture is more common. Normally, the skull expands uniformly, according to the growth of the brain; premature closure of a single suture restricts growth in that area of the skull and promotes growth in other parts where the sutures remain open. This results in a misshapen skull, but does not prevent the brain from expanding to a normal volume. When multiple sutures close prematurely, the skull cannot expand appropriately, resulting in increased pressure in the skull and disturbed brain development. The cause of craniosynostosis is often unknown, and there is usually no family history of the condition. In cases where prematurely closed sutures are inherited in the family, other health problems such as seizures, blindness, increased intracranial pressure, microcephaly, hydrocephalus, developmental delays or impaired cognitive development may occur. Genetic disorders commonly associated with craniosynostosis include a wide range of different syndromes that account for at least a quarter of cases. Mutations in a large number of other genes cause monogenic forms of craniosynostosis, and all the classic inheritance patterns are observed in syndromic and non-syndromic cases. With appropriate clinical effort, among syndromal craniosynostoses, genetic causes can be clarified in up to >80 of cases using extensive DNA sequence analysis. Mutations in the FGFR2/-3 genes are by far the most common. A negative molecular genetic finding by no means excludes the clinical diagnosis.

https://www.ncbi.nlm.nih.gov/books/NBK1455/

 

Synonyms
  • Alias: Fontanelle - craniosynostosis
  • Alias: Koronarnaht-Synostose
  • Alias: Plagiocephaly, scaphocephaly
  • Alias: Premature closure of sutures
  • Alias: Synostosis
  • Allelic: ACTH-independent macronodular adrenal hyperplasia (GNAS)
  • Allelic: Achondroplasia (FGFR3)
  • Allelic: Aortic valve disease 2 (SMAD6)
  • Allelic: Apert syndrome (FGFR2)
  • Allelic: Basal cell carcinoma, somatic (SMO)
  • Allelic: Beare-Stevenson cutis gyrata syndrome (FGFR2)
  • Allelic: Bent bone dysplasia syndrome (FGFR2)
  • Allelic: Bladder cancer, somatic (FGFR3)
  • Allelic: Brachydactyly, type A1 (IHH)
  • Allelic: CATSHL syndrome (FGFR3)
  • Allelic: Cardiac valvular dysplasia, XL (FLNA)
  • Allelic: Chitayat syndrome (ERF)
  • Allelic: Cleidocranial dysplasia, forme fruste, dental anomalies only (RUNX2)
  • Allelic: Colorectal cancer, hereditary nonpolyposis, type 6 (TGFBR2)
  • Allelic: Colorectal cancer, somatic (FGFR3)
  • Allelic: Congenital short bowel syndrome (FLNA)
  • Allelic: Craniofacial-skeletal-dermatologic dysplasia (FGFR2)
  • Allelic: Crouzon syndrome (FGFR2)
  • Allelic: Crouzon syndrome with acanthosis nigricans (FGFR3)
  • Allelic: Curry-Jones syndrome, somatic mosaic (SMO)
  • Allelic: Deafness, AD 20/26 (ACTG1)
  • Allelic: Deafness, AD 23 (SIX1)
  • Allelic: Deafness, congenital heart defects + posterior embryotoxon (JAG1)
  • Allelic: Disordered steroidogenesis due to cytochrome P450 oxidoreductase (POR)
  • Allelic: Dystonia, juvenile-onset (ACTB)
  • Allelic: Encephalocraniocutaneous lipomatosis, somatic mosaic (FGFR1)
  • Allelic: Esophageal cancer, somatic (TGFBR2)
  • Allelic: FG syndrome 2 (FLNA)
  • Allelic: Facial clefting, oblique, 1 (SPECC1L)
  • Allelic: Gastric cancer, somatic (FGFR2)
  • Allelic: Hartsfield syndrome (FGFR1)
  • Allelic: Heterotopia, periventricular, 1 (FLNA)
  • Allelic: Hypogonadotropic hypogonadism 2 with/-out anosmia (FGFR1)
  • Allelic: Hypogonadotropic hypogonadism 5 with/-out anosmia (CHD7)
  • Allelic: Hypothalamic hamartomas, somatic (GLI3)
  • Allelic: Intestinal pseudoobstruction, neuronal (FLNA)
  • Allelic: LEOPARD syndrome 3 (BRAF)
  • Allelic: Lacrimoauriculodentodigital [LADD] syndrome (FGFR2, FGFR3)
  • Allelic: Leukemia, juvenile myelomonocytic, somatic (PTPN11)
  • Allelic: Melnick-Needles syndrome (FLNA)
  • Allelic: Metachondromatosis (PTPN11)
  • Allelic: Metaphyseal dysplasia with maxillary hypoplasia with/-out brachydactyly (RUNX2)
  • Allelic: Muenke syndrome (FGFR3)
  • Allelic: Myelodysplastic syndrome, somatic (ASXL1)
  • Allelic: Naevus, epidermal, somatic (FGFR3)
  • Allelic: Odontohypophosphatasia (ALPL)
  • Allelic: Osseous heteroplasia, progressive (GNAS)
  • Allelic: Osteoglophonic dysplasia (FGFR1)
  • Allelic: Otopalatodigital syndrome, type I + II (FLNA)
  • Allelic: Parietal foramina 1 (MSX2)
  • Allelic: Parietal foramina 2 (ALX4)
  • Allelic: Patent ductus arteriosus 2 (TFAP2B)
  • Allelic: Pituitary adenoma 3, multiple types, somatic (GNAS)
  • Allelic: Polydactyly, postaxial, types A1, B (GLI3)
  • Allelic: Polydactyly, preaxial, type IV (GLI3)
  • Allelic: Pseudohypoparathyroidism Ia, Ib, Ic (GNAS)
  • Allelic: Pseudopseudohypoparathyroidism (GNAS)
  • Allelic: RAPADILINO syndrome (RECQL4)
  • Allelic: RAS-associated autoimmune leukoproliferative disorder (KRAS)
  • Allelic: Radioulnar synostosis, nonsyndromic (SMAD6)
  • Allelic: Rothmund-Thomson syndrome, type 2 (RECQL4)
  • Allelic: Scaphocephaly, maxillary retrusion, and mental retardation (FGFR2)
  • Allelic: Schimmelpenning-Feuerstein-Mims syndrome, somatic mosaic (KRAS)
  • Allelic: Short-rib thoracic dysplasia 7 with/-out polydactyly (WDR35)
  • Allelic: Spermatocytic seminoma, somatic (FGFR3)
  • Allelic: Sweeney-Cox syndrome (TWIST1)
  • Allelic: Terminal osseous dysplasia (FLNA)
  • Allelic: Tetralogy of Fallot (JAG1)
  • Allelic: Thanatophoric dysplasia, type I, II (FGFR3)
  • 3MC syndrome 1 (MASP1)
  • 3MC syndrome 2 (COLEC11)
  • ACTH-independent macronodular adrenal hyperplasia (GNAS)
  • Acrocapitofemoral dysplasia (IHH)
  • Alagille syndrome 1 (JAG1)
  • Allelic: Developmental and epileptic encephalopathy 91 (PPP3CA)
  • Antley-Bixler syndrome with genital anomalies + disordered steroidogenesis (POR)
  • Antley-Bixler syndrome without genital anomalies or disordered steroidogenesis (FGFR2)
  • Arboleda-Tham syndrome (KAT6A)
  • Arthrogryposis, cleft palate, craniosynostosis,, impaired intellectual development (PPP3CA)
  • Au-Kline syndrome (HNRNPK)
  • Baller-Gerold syndrome (RECQL4)
  • Baraitser-Winter syndrome 1 (ACTB)
  • Baraitser-Winter syndrome 2 (ACTG1)
  • Basal cell nevus syndrome (PTCH1)
  • Bohring-Opitz syndrome (ASXL1)
  • Branchiootic syndrome 3 (SIX1)
  • C syndrome (CD96)
  • CHARGE syndrome (CHD7)
  • Cardiac, facial + digital anomalies with developmental delay (TRAF7)
  • Cardiofaciocutaneous syndrome (BRAF)
  • Cardiofaciocutaneous syndrome 2 (KRAS)
  • Carpenter syndrome (RAB23)
  • Carpenter syndrome 2 (MEGF8)
  • Char syndrome (TFAP2B)
  • Cleidocranial dysplasia (RUNX2)
  • Cleidocranial dysplasia, forme fruste, with brachydactyly (RUNX2)
  • Cole-Carpenter syndrome 1 (P4HB)
  • Cranioectodermal dysplasia 1 (IFT122)
  • Cranioectodermal dysplasia 2 (WDR35)
  • Craniofacial dysmorphism, skeletal anomalies + mental retardation syndrome (TMCO1)
  • Craniofrontonasal dysplasia (EFNB1)
  • Craniosynostosis + dental anomalies (IL11RA)
  • Craniosynostosis 1 (TWIST1)
  • Craniosynostosis 2 (MSX2)
  • Craniosynostosis 3 (TCF12)
  • Craniosynostosis 4 (ERF)
  • Craniosynostosis 5, susceptibility to (ALX4)
  • Craniosynostosis 6 (ZIC1)
  • Craniosynostosis 7, susceptibility to (SMAD6)
  • Craniosynostosis with radiohumeral fusions + other skeletal + craniofacial anomalies (CYP26B1)
  • Craniosynostosis, nonspecific (FGFR2)
  • Craniosynostosis-midfacial hypoplasia-foot abnormalities syndrome (FGFR1, FGFR2)
  • Cutis laxa, AR, type IIE (LTBP1)
  • Fontaine progeroid syndrome (SLC25A24)
  • Frontometaphyseal dysplasia 1 (FLNA)
  • Frontonasal dysplasia 2 (ALX4)
  • Greig cephalopolysyndactyly syndrome (GLI3)
  • Holoprosencephaly 7 (PTCH1)
  • Hyper-IgE recurrent infection syndrome (STAT3)
  • Hypophosphatasia, adult, childhood, infantile (ALPL)
  • Hypophosphatemic rickets, XLD (PHEX)
  • Jackson-Weiss syndrome (FGFR1, FGFR2 [FGFR3])
  • Kabuki syndrome 1 (KMT2D)
  • LEOPARD syndrome 1 (PTPN11)
  • Loeys-Dietz syndrome 1 (TGFBR1)
  • Loeys-Dietz syndrome 2 (TGFBR2)
  • McCune-Albright syndrome, somatic, mosaic (GNAS)
  • Meier-Gorlin syndrome 7 (CDC45)
  • Mental retardation, AD 57 (TLK2)
  • Mental retardation, XL syndromic, Turner type (HUWE1)
  • Mowat-Wilson syndrome (ZEB2)
  • Mucolipidosis II + III alpha/beta (GNPTAB)
  • Mucopolysaccharidosis II (IDS)
  • Mucopolysaccharidosis Ih, Ih/s, Is (IDUA)
  • Mucopolysaccharidosis type VI [Maroteaux-Lamy] (ARSB)
  • Multiple joint dislocations, short stature, craniofacial dysmorph., +/- cong. heart defects (B3GAT3)
  • Noonan syndrome 1 (PTPN11)
  • Noonan syndrome 3 (KRAS)
  • Noonan syndrome 7 (BRAF)
  • Oculoectodermal syndrome, somatic (KRAS)
  • Opitz GBBB syndrome, type II (SPECC1L)
  • Osseous heteroplasia, progressive (GNAS)
  • Pallister-Hall syndrome (GLI3)
  • Pallister-Hall-like syndrome (SMO)
  • Parietal foramina with cleidocranial dysplasia (MSX2)
  • Pfeiffer syndome (FGFR1, FGFR2)
  • Pseudohypoparathyroidism Ia, Ib, Ic (GNAS)
  • Pseudopseudohypoparathyroidism (GNAS)
  • Pycnodysostosis (CTSK)
  • Raine syndrome (FAM20C)
  • Robinow-Sorauf syndrome (TWIST1)
  • Saethre-Chotzen syndrome [Acrocephalosyndactyly, type III] (FGFR2)
  • Saethre-Chotzen syndrome with or without eyelid anomalies (TWIST1)
  • Scaphocephaly and Axenfeld-Rieger anomaly (FGFR2)
  • Shprintzen-Goldberg syndrome (SKI)
  • Spondyloepimetaphyseal dysplasia, Faden-Alkuraya type (RSPRY1)
  • Structural brain anomalies with impaired intellectual development + craniosynostosis (ZIC1)
  • Teebi hypertelorism syndrome (SPECC1L)
  • Tolchin-Le Caignec syndrome (SOX6)
  • Trigonocephaly 1 (FGFR1)
  • Weiss-Kruszka syndrome (ZNF462)
Heredity, heredity patterns etc.
  • AD
  • AR
  • Sus
  • XL
  • XLR
  • digenisch
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code

Bioinformatics and clinical interpretation

No text defined