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DOI: 10.1055/s-0042-1759516
Joubert Syndrome with Oral-Facial-Digital Defect (JS-OFD): A Brief Overview on Clinics and Genetics
Authors

Abstract
Joubert's syndrome with digital facial oral defects represents a rare subgroup of Joubert's syndrome with related disorders. There are 11 forms of oral-facial-digital syndromes and are characterized by having neurological signs of JS associated with orofacial anomalies and often polydactyly. The most severe variant is the OFD type VI (Varadi-Papp syndrome) in which there are tongue hamartomas, multiple frenula, midline notch of the upper lip, mesoaxial polydactyly, and hypothalamic hamartomas. Treatments are symptomatic and supportive with reconstructive surgery for correctable malformation and physical therapy, occupational therapy, speech therapy, and infant stimulation for mental delay.
Authors' Contributions
Conceptualization: A.S., G.I.; Investigation: C.C., L.C.; Resources: E.G., A.M.; Data curation: M.F., C.R., A.S.; Writing-original draft preparation: I.C.; Writing review and editing: G.F., M.D.C.; Supervision: A.M. All authors have read and agreed to the published version of the manuscript.
Data Availability Statement
The data presented in this study are available on re-quest from the corresponding author.
Publication History
Received: 22 August 2022
Accepted: 27 October 2022
Article published online:
05 December 2022
© 2022. Thieme. All rights reserved.
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References
- 1
Váradi V,
Szabó L,
Papp Z.
Syndrome of polydactyly, cleft lip/palate or lingual lump, and psychomotor retardation
in endogamic gypsies. J Med Genet 1980; 17 (02) 119-122
Reference Ris Wihthout Link
- 2
Al-Gazali LI,
Sztriha L,
Punnose J,
Shather W,
Nork M.
Absent pituitary gland and hypoplasia of the cerebellar vermis associated with partial
ophthalmoplegia and postaxial polydactyly: a variant of orofaciodigital syndrome VI
or a new syndrome?. J Med Genet 1999; 36 (02) 161-166
Reference Ris Wihthout Link
- 3
Takanashi J,
Tada H,
Ozaki H,
Barkovich AJ.
Malformations of cerebral cortical development in oral-facial-digital syndrome type
VI. AJNR Am J Neuroradiol 2009; 30 (02) E22-E23
Reference Ris Wihthout Link
- 4
McPherson E,
Zaleski C,
Mascola M.
Prenatal diagnosis of episodic tachypnea in an infant with OFD VI. Am J Med Genet
A 2006; 140 (19) 2146-2149
Reference Ris Wihthout Link
- 5
Gleeson JG,
Keeler LC,
Parisi MA.
et al.
Molar tooth sign of the midbrain-hindbrain junction: occurrence in multiple distinct
syndromes. Am J Med Genet A 2004; 125A (02) 125-134 , discussion 117
Reference Ris Wihthout Link
- 6
Briguglio M,
Pinelli L,
Giordano L.
et al;
CBCD Study Group.
Pontine tegmental cap dysplasia: developmental and cognitive outcome in three adolescent
patients. Orphanet J Rare Dis 2011; 6: 36
Reference Ris Wihthout Link
- 7
Hayes LL,
Simoneaux SF,
Palasis S,
Niyazov DM.
Laryngeal and tracheal anomalies in an infant with oral-facial-digital syndrome type
VI (Váradi-Papp): report of a transitional type. Pediatr Radiol 2008; 38 (09) 994-998
Reference Ris Wihthout Link
- 8
Salpietro CD,
Briuglia S,
Rigoli L,
Merlino MV,
Dallapiccola B.
Confirmation of Nablus mask-like facial syndrome. Am J Med Genet A 2003; 121A (03)
283-285
Reference Ris Wihthout Link
- 9
Wey PD,
Neidich JA,
Hoffman LA,
LaTrenta GS.
Midline defects of the orofaciodigital syndrome type VI (Váradi syndrome). Cleft Palate
Craniofac J 1994; 31 (05) 397-400
Reference Ris Wihthout Link
- 10
Münke M,
McDonald DM,
Cronister A,
Stewart JM,
Gorlin RJ,
Zackai EH.
Oral-facial-digital syndrome type VI (Váradi syndrome): further clinical delineation.
Am J Med Genet 1990; 35 (03) 360-369
Reference Ris Wihthout Link
- 11
Miraglia Del Giudice M,
Maiello N,
Decimo F.
et al.
Airways allergic inflammation and L. reuterii treatment in asthmatic children. J Biol
Regul Homeost Agents 2012; 26 (1, Suppl): S35-S40
Reference Ris Wihthout Link
- 12
Zollo M,
Ahmed M,
Ferrucci V.
et al.
PRUNE is crucial for normal brain development and mutated in microcephaly with neurodevelopmental
impairment. Brain 2017; 140 (04) 940-952
Reference Ris Wihthout Link
- 13
Salpietro V,
Chimenz R,
Arrigo T,
Ruggieri M.
Pediatric idiopathic intracranial hypertension and extreme childhood obesity: a role
for weight gain. J Pediatr 2013; 162 (05) 1084
Reference Ris Wihthout Link
- 14
Lionetti E,
Francavilla R,
Castellazzi AM.
et al.
Probiotics and Helicobacter pylori infection in children. J Biol Regul Homeost Agents
2012; 26 (1, Suppl): S69-S76
Reference Ris Wihthout Link
- 15
Ruggieri M,
Polizzi A,
Strano S.
et al.
Mixed vascular nevus syndrome: a report of four new cases and a literature review.
Quant Imaging Med Surg 2016; 6 (05) 515-524
Reference Ris Wihthout Link
- 16
Niccolini F,
Mencacci NE,
Yousaf T.
et al.
PDE10A and ADCY5 mutations linked to molecular and microstructural basal ganglia pathology.
Mov Disord 2018; 33 (12) 1961-1965
Reference Ris Wihthout Link
- 17
Chirico V,
Rigoli L,
Lacquaniti A.
et al.
Endocrinopathies, metabolic disorders, and iron overload in major and intermedia thalassemia:
serum ferritin as diagnostic and predictive marker associated with liver and cardiac
T2* MRI assessment. Eur J Haematol 2015; 94 (05) 404-412
Reference Ris Wihthout Link
- 18
Salpietro V,
Ruggieri M.
Pseudotumor cerebri pathophysiology: the likely role of aldosterone. Headache 2014;
54 (07) 1229
Reference Ris Wihthout Link
- 19
Chelban V,
Wilson MP,
Warman Chardon J.
et al;
Care4Rare Canada Consortium and the SYNaPS Study Group.
PDXK mutations cause polyneuropathy responsive to pyridoxal 5′-phosphate supplementation.
Ann Neurol 2019; 86 (02) 225-240
Reference Ris Wihthout Link
- 20
Pavone P,
Briuglia S,
Falsaperla R.
et al.
Wide spectrum of congenital anomalies including choanal atresia, malformed extremities,
and brain and spinal malformations in a girl with a de novo 5.6-Mb deletion of 13q12.11-13q12.13.
Am J Med Genet A 2014; 164A (07) 1734-1743
Reference Ris Wihthout Link
- 21
Pavlidou E,
Salpietro V,
Phadke R.
et al.
Pontocerebellar hypoplasia type 2D and optic nerve atrophy further expand the spectrum
associated with selenoprotein biosynthesis deficiency. Eur J Paediatr Neurol 2016;
20 (03) 483-488
Reference Ris Wihthout Link
- 22
Ruggieri M,
Polizzi A,
Schepis C.
et al.
Cutis tricolor: a literature review and report of five new cases. Quant Imaging Med
Surg 2016; 6 (05) 525-534
Reference Ris Wihthout Link
- 23
Salpietro V,
Zollo M,
Vandrovcova J.
et al;
SYNAPS Study Group.
The phenotypic and molecular spectrum of PEHO syndrome and PEHO-like disorders. Brain
2017; 140 (08) e49
Reference Ris Wihthout Link
- 24
Salpietro V,
Efthymiou S,
Manole A.
et al.
A loss-of-function homozygous mutation in DDX59 implicates a conserved DEAD-box RNA
helicase in nervous system development and function. Hum Mutat 2018; 39 (02) 187-192
Reference Ris Wihthout Link
- 25
Efthymiou S,
Salpietro V,
Malintan N.
et al;
SYNAPS Study Group.
Biallelic mutations in neurofascin cause neurodevelopmental impairment and peripheral
demyelination. Brain 2019; 142 (10) 2948-2964
Reference Ris Wihthout Link
- 26
Granata F,
Morabito R,
Mormina E.
et al.
3T double inversion recovery magnetic resonance imaging: diagnostic advantages in
the evaluation of cortical development anomalies. Eur J Radiol 2016; 85 (05) 906-914
Reference Ris Wihthout Link
- 27
Lopez E,
Thauvin-Robinet C,
Reversade B.
et al.
C5orf42 is the major gene responsible for OFD syndrome type VI. Hum Genet 2014; 133
(03) 367-377
Reference Ris Wihthout Link
- 28
Valente EM,
Logan CV,
Mougou-Zerelli S.
et al.
Mutations in TMEM216 perturb ciliogenesis and cause Joubert, Meckel and related syndromes.
Nat Genet 2010; 42 (07) 619-625
Reference Ris Wihthout Link
- 29
Poretti A,
Brehmer U,
Scheer I,
Bernet V,
Boltshauser E.
Prenatal and neonatal MR imaging findings in oral-facial-digital syndrome type VI.
AJNR Am J Neuroradiol 2008; 29 (06) 1090-1091
Reference Ris Wihthout Link