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Interdisciplinary CompetenceMolecular Diagnostics
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IllnessWalker-Warburg syndrome, differential diagnosis

Summary

Short information

Comprehensive differential diagnostic panel for Walker-Warburg syndrome comprising 12guideline-curated genes and altogether 15 curated genes according to the clinical signs

ID
WP0150
Number of genes
15 Accredited laboratory test
Examined sequence length
23,8 kb (Core-/Core-canditate-Genes)
28,8 kb (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GReferenz-Seq.Heredity
B3GALNT21503NM_152490.5AR
B4GAT11248NM_006876.3AR
CRPPA1356NM_001101426.4AR
DAG12688NM_004393.6AR
FKRP1488NM_024301.5AR
FKTN1386NM_001079802.2AR
GMPPB1164NM_013334.4AR
LARGE12271NM_004737.7AR
POMGNT11983NM_017739.4AR
POMGNT21743NM_032806.6AR
POMK1053NM_032237.5AR
POMT12244NM_007171.4AR
POMT22253NM_013382.7AR
RXYLT11355NM_014254.3AR
COL4A15010NM_001845.6AD, Mult

Informations about the disease

Clinical Comment

Walker-Warburg syndrome affects the development of the muscles, brain and eyes. It is the most severe of the congenital muscular dystrophies with muscle hypotonia, weakness usually immediately after birth or in infancy, and later atrophy. Most affected individuals also have cobblestone lissencephaly as well as hydrocephalus and do not survive past the age of three years. Ocular abnormalities are also characteristic, including microphthalmia or buphthalmos, cataracts and retinal dysplasia. Mutations in genes associated with Walker-Warburg syndrome prevent glycosylation of α-dystroglycan. These so-called dystroglycanopathies are virtually always inherited in an autosomal recessive manner. Currently, definitive and reliable molecular genetic diagnoses are achieved in at least 40-60% of patients, depending on previous clinical findings. Clinical diagnosis cannot be excluded by a negative molecular genetic result.

References: https://www.ncbi.nlm.nih.gov/books/NBK1206/

https://www.ncbi.nlm.nih.gov/books/NBK97333/

 

Synonyms
  • Alias: Congenital muscular dystrophy-dystroglycanopathy with brain + eye anomalies
  • Alias: Dystroglycanopathy
  • Alias: HARD syndrome [Hydrocephalus, Agyria, Retinal Dysplasia, with/-out Encephalocele]
  • Alias: MEB [Muscle Eye Brain disease]
  • Allelic: Angiopathy, hereditary, with nephropathy, aneurysms + muscle cramps (COL4A1)
  • Allelic: Brain small vessel disease with/-out ocular anomalies (COL4A1)
  • Allelic: Cardiomyopathy, dilated, 1X (FKTN)
  • Allelic: Microangiopathy + leukoencephalopathy, pontine, AD (COL4A1)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 1 (POMT1)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 12 (POMK)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 14 (GMPPB)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 2 (POMT2)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 3 (POMGNT1)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 4 (FKTN)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 5 (FKRP)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 7 (CRPPA)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 8 (POMGNT2)
  • Allelic: Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 9 (DAG1)
  • Allelic: Retinitis pigmentosa 76 (POMGNT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 1 (POMT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 10 (RXYLT1/TMEM5)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 11 (B3GALNT2)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 12 (POMK)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 13 (B4GAT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 14 (GMPPB)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 2 (POMT2)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 3 (POMGNT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 4 (FKTN)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 5 (FKRP)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 6 (LARGE1)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 7 (CRPPA)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 8 (POMGNT2)
  • Muscular dystrophy-dystroglycanopathy, cong. with brain + eye anomalies, type A, 9 (DAG1)
  • Muscular dystrophy-dystroglycanopathy, cong. with mental retardation, type B, 1 (POMT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with mental retardation, type B, 14 (GMPPB)
  • Muscular dystrophy-dystroglycanopathy, cong. with mental retardation, type B, 2 (POMT2)
  • Muscular dystrophy-dystroglycanopathy, cong. with mental retardation, type B, 3 (POMGNT1)
  • Muscular dystrophy-dystroglycanopathy, cong. with mental retardation, type B, 6 (LARGE1)
  • Muscular dystrophy-dystroglycanopathy, cong. with/-out mental retardation, type B, 5 (FKRP)
  • Muscular dystrophy-dystroglycanopathy, cong. without mental retardation, type B, 4 (FKTN)
  • Muscular dystrophy-dystroglycanopathy, limb-girdle, type C, 7 (ISPD)
Heredity, heredity patterns etc.
  • AD
  • AR
  • Mult
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code

Bioinformatics and clinical interpretation

No text defined