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DOI: 10.1055/s-0042-1759539
Age-Related Neurodevelopmental Features in Children with Joubert Syndrome
Authors

Abstract
Joubert syndrome (JS) is a rare inherited disorder of central nervous system with neonatal/infantile onset, mainly affecting cerebellum and brainstem, and clinically characterized by agenesis or dysgenesis of the cerebellar vermis with accompanying brainstem malformations. More than 20 disease-causing genes have been associated with JS but a clear genotype–phenotype correlation has not been assessed yet. Diagnosis is usually confirmed by detection of the JS neuroradiological hallmark, the molar tooth sign. Patients with JS typically present with neurological manifestations, moreover, a heterogeneous spectrum of multisystemic anomalies may be observed. Signs and symptoms onset varies according to the age range and clinical diagnosis might become complicated. Moreover, specific neurodevelopmental disorders can be associated with JS such as autism spectrum disorders, attention deficit with hyperactivity, and a wide range of behavioral disturbances. Here, we examined the main neurological and neurodevelopmental features of JS according to an age-dependent mode of presentation. Furthermore, differential diagnosis with other neurological syndromes was closely reviewed.
Authors' Contributions
Conceptualization: A.S., G.G.; Investigation: A.P., D.D.; Resources: G.S.; Data curation: V.S., F.G., E.P.; Writing-original draft preparation: G.F., G.I.; Writing review and editing: L.Z., G.N., I.C.; Supervision: G.A., L.Z.
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.
Publikationsverlauf
Eingereicht: 23. August 2022
Angenommen: 27. Oktober 2022
Artikel online veröffentlicht:
05. Dezember 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1
Andermann F,
Andermann E,
Ptito A,
Fontaine S,
Joubert M.
History of Joubert syndrome and a 30-year follow-up of the original proband. J Child
Neurol 1999; 14 (09) 565-569
Reference Ris Wihthout Link
- 2
Baker K,
Beales PL.
Making sense of cilia in disease: the human ciliopathies. Am J Med Genet C Semin Med
Genet 2009; 151C (04) 281-295
Reference Ris Wihthout Link
- 3
Vilboux T,
Doherty DA,
Glass IA.
et al;
Nisc Comparative Sequencing Program.
Molecular genetic findings and clinical correlations in 100 patients with Joubert
syndrome and related disorders prospectively evaluated at a single center. Genet Med
2017; 19 (08) 875-882
Reference Ris Wihthout Link
- 4
Nuovo S,
Bacigalupo I,
Ginevrino M.
et al;
JS Italian Study Group.
Age and sex prevalence estimate of Joubert syndrome in Italy. Neurology 2020; 94 (08)
e797-e801
Reference Ris Wihthout Link
- 5
Abdel Razek AA,
Castillo M.
Magnetic resonance imaging of malformations of midbrain-hindbrain. J Comput Assist
Tomogr 2016; 40 (01) 14-25
Reference Ris Wihthout Link
- 6
Satran D,
Pierpont ME,
Dobyns WB.
Cerebello-oculo-renal syndromes including Arima, Senior-Löken and COACH syndromes:
more than just variants of Joubert syndrome. Am J Med Genet 1999; 86 (05) 459-469
Reference Ris Wihthout Link
- 7
Bell S,
Rousseau J,
Peng H.
et al.
Mutations in ACTL6B cause neurodevelopmental deficits and epilepsy and lead to loss
of dendrites in human neurons. Am J Hum Genet 2019; 104 (05) 815-834
Reference Ris Wihthout Link
- 8
Leu C,
Stevelink R,
Smith AW.
et al;
Epi25 Consortium.
Polygenic burden in focal and generalized epilepsies. [published correction appears
in Brain. 2020 Jul 1;143(7):e61] Brain 2019; 142 (11) 3473-3481
Reference Ris Wihthout Link
- 9
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
- 10
Bruno L,
Ceravolo G,
Ceravolo MD.
et al.
Genetic cardiac channelopathies and SIDS. J Biol Regul Homeost Agents 2020; 34 (4,
Suppl. 2): 55-58
Reference Ris Wihthout Link
- 11
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
- 12
Nicita F,
Ruggieri M,
Polizzi A.
et al.
Seizures and epilepsy in Sotos syndrome: analysis of 19 Caucasian patients with long-term
follow-up. Epilepsia 2012; 53 (06) e102-e105
Reference Ris Wihthout Link
- 13
Nicita F,
Di Biasi C,
Sollaku S.
et al.
Evaluation of the basal ganglia in neurofibromatosis type 1. Childs Nerv Syst 2014;
30 (02) 319-325
Reference Ris Wihthout Link
- 14
Pinchefsky EF,
Accogli A,
Shevell MI,
Saint-Martin C,
Srour M.
Developmental outcomes in children with congenital cerebellar malformations. Dev Med
Child Neurol 2019; 61 (03) 350-358
Reference Ris Wihthout Link
- 15
Matricardi S,
Farello G,
Savasta S,
Verrotti A.
Understanding childhood neuroimmune diseases of the central nervous system. Front
Pediatr 2019; 7: 511
Reference Ris Wihthout Link
- 16
Greco M,
Ferrara P,
Farello G,
Striano P,
Verrotti A.
Electroclinical features of epilepsy associated with 1p36 deletion syndrome: a review.
Epilepsy Res 2018; 139: 92-101
Reference Ris Wihthout Link
- 17
Casto C,
Dipasquale V,
Ceravolo I.
et al.
Prominent and regressive brain developmental disorders associated with Nance-Horan
syndrome. Brain Sci 2021; 11 (09) 1150
Reference Ris Wihthout Link
- 18
Coleman J,
Jouannot O,
Ramakrishnan SK.
et al.
PRRT2 regulates synaptic fusion by directly modulating SNARE complex assembly. Cell
Rep 2018; 22 (03) 820-831
Reference Ris Wihthout Link
- 19
Piard J,
Umanah GKE,
Harms FL.
et al.
A homozygous ATAD1 mutation impairs postsynaptic AMPA receptor trafficking and causes
a lethal encephalopathy. Brain 2018; 141 (03) 651-661
Reference Ris Wihthout Link
- 20
Stagi S,
Scalini P,
Farello G,
Verrotti A.
Possible effects of an early diagnosis and treatment in patients with growth hormone
deficiency: the state of art. Ital J Pediatr 2017; 43 (01) 81
Reference Ris Wihthout Link
- 21
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
- 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
Chimenz R,
Manti S,
Fede C.
et al.
Primary nocturnal enuresis in children with allergic rhinitis and severe adenotonsillar
hypertrophy: a single center pilot study. J Biol Regul Homeost Agents 2015; 29 (2,
Suppl 1): 73-79
Reference Ris Wihthout Link
- 24
Accogli A,
Iacomino M,
Pinto F.
et al.
Novel AMPD2 mutation in pontocerebellar hypoplasia, dysmorphisms, and teeth abnormalities. Neurol
Genet 2017; 3 (05) e179
Reference Ris Wihthout Link
- 25
Di Renzo L,
Cioccoloni G,
Bernardini S.
et al.
A hazelnut-enriched diet modulates oxidative stress and inflammation gene expression
without weight gain. Oxid Med Cell Longev 2019; 2019: 4683723
Reference Ris Wihthout Link
- 26
Sheldon CA,
Paley GL,
Xiao R.
et al.
Pediatric idiopathic intracranial hypertension: age, gender, and anthropometric features
at diagnosis in a large, retrospective, multisite cohort. Ophthalmology 2016; 123
(11) 2424-2431
Reference Ris Wihthout Link
- 27
Giacobbe A,
Granese R,
Grasso R.
et al.
Association between maternal serum high mobility group box 1 levels and pregnancy
complicated by gestational diabetes mellitus. Nutr Metab Cardiovasc Dis 2016; 26 (05)
414-418
Reference Ris Wihthout Link
- 28
Ghosh SG,
Becker K,
Huang H.
et al.
Biallelic mutations in ADPRHL2, encoding ADP-ribosylhydrolase 3, lead to a degenerative
pediatric stress-induced epileptic ataxia syndrome. [published correction appears
in Am J Hum Genet. 2018 Nov 1;103(5):826] [published correction appears in Am J Hum
Genet. 2021 Dec 2;108(12):2385] Am J Hum Genet 2018; 103 (03) 431-439
Reference Ris Wihthout Link
- 29
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
- 30
Chirico V,
Lacquaniti A,
Salpietro V,
Buemi M,
Salpietro C,
Arrigo T.
Central precocious puberty: from physiopathological mechanisms to treatment. J Biol
Regul Homeost Agents 2014; 28 (03) 367-375
Reference Ris Wihthout Link
- 31
Salpietro V,
Malintan NT,
Llano-Rivas I.
et al;
Deciphering Developmental Disorders Study,
SYNAPS Study Group.
Mutations in the neuronal vesicular SNARE VAMP2 affect synaptic membrane fusion and
impair human neurodevelopment. Am J Hum Genet 2019; 104 (04) 721-730
Reference Ris Wihthout Link
- 32
Salpietro V,
Perez-Dueñas B,
Nakashima K.
et al.
A homozygous loss-of-function mutation in PDE2A associated to early-onset hereditary
chorea. Mov Disord 2018; 33 (03) 482-488
Reference Ris Wihthout Link
- 33
Salpietro V,
Phadke R,
Saggar A.
et al.
Zellweger syndrome and secondary mitochondrial myopathy. Eur J Pediatr 2015; 174 (04)
557-563
Reference Ris Wihthout Link
- 34
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
- 35
Steel D,
Salpietro V,
Phadke R.
et al.
Whole exome sequencing reveals a MLL de novo mutation associated with mild developmental
delay and without 'hairy elbows': expanding the phenotype of Wiedemann-Steiner syndrome.
J Genet 2015; 94 (04) 755-758
Reference Ris Wihthout Link
- 36
Marseglia L,
D'Angelo G,
Manti S.
et al.
Sudden cardiac arrest in a child with nemaline myopathy. Ital J Pediatr 2015; 41:
20
Reference Ris Wihthout Link
- 37
Pedullà M,
Miraglia Del Giudice M,
Fierro V.
et al.
Atopy as a risk factor for thyroid autoimmunity in children. J Biol Regul Homeost
Agents 2012; 26 (1, Suppl): S9-S14
Reference Ris Wihthout Link
- 38
Salpietro V,
Lin W,
Delle Vedove A.
et al;
SYNAPS Study Group.
Homozygous mutations in VAMP1 cause a presynaptic congenital myasthenic syndrome.
Ann Neurol 2017; 81 (04) 597-603
Reference Ris Wihthout Link
- 39
Salpietro V,
Ruggieri M,
Sancetta F.
et al.
New insights on the relationship between pseudotumor cerebri and secondary hyperaldosteronism
in children. J Hypertens 2012; 30 (03) 629-630
Reference Ris Wihthout Link
- 40
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
- 41
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
- 42
Parisi MA.
The molecular genetics of Joubert syndrome and related ciliopathies: the challenges
of genetic and phenotypic heterogeneity. Transl Sci Rare Dis 2019; 4 (1-2): 25-49
Reference Ris Wihthout Link
- 43
Klein JL,
Lemmon ME,
Northington FJ,
Boltshauser E,
Huisman TA,
Poretti A.
Clinical and neuroimaging features as diagnostic guides in neonatal neurology diseases
with cerebellar involvement. Cerebellum Ataxias 2016; 3: 1
Reference Ris Wihthout Link
- 44
Dekair LH,
Kamel H,
El-Bashir HO.
Joubert syndrome labeled as hypotonic cerebral palsy. Neurosciences (Riyadh) 2014;
19 (03) 233-235
Reference Ris Wihthout Link
- 45
Guerrini R,
Marini C.
Genetic malformations of cortical development. Exp Brain Res 2006; 173 (02) 322-333
Reference Ris Wihthout Link
- 46
Cannavò L,
Rulli I,
Falsaperla R,
Corsello G,
Gitto E.
Ventilation, oxidative stress and risk of brain injury in preterm newborn. Ital J
Pediatr 2020; 46 (01) 100
Reference Ris Wihthout Link
- 47
Manara R,
D'Agata L,
Rocco MC.
et al;
Menkes Working Group in the Italian Neuroimaging Network for Rare Diseases.
Neuroimaging changes in Menkes disease, part 1. AJNR Am J Neuroradiol 2017; 38 (10)
1850-1857
Reference Ris Wihthout Link
- 48
Lott IT.
Neurological phenotypes for Down syndrome across the life span. Prog Brain Res 2012;
197: 101-121
Reference Ris Wihthout Link
- 49
Gurrieri F,
Accadia M.
Genetic imprinting: the paradigm of Prader-Willi and Angelman syndromes. Endocr Dev
2009; 14: 20-28
Reference Ris Wihthout Link
- 50
Sartori S,
Polli R,
Bettella E.
et al.
Pathogenic role of the X-linked cyclin-dependent kinase-like 5 and aristaless-related
homeobox genes in epileptic encephalopathy of unknown etiology with onset in the first
year of life. J Child Neurol 2011; 26 (06) 683-691
Reference Ris Wihthout Link
- 51
Di Rosa G,
Messina S,
D'Amico A.
et al.
A new form of alpha-dystroglycanopathy associated with severe drug-resistant epilepsy
and unusual EEG features. Epileptic Disord 2011; 13 (03) 259-262
Reference Ris Wihthout Link
- 52
Guilmatre A,
Legallic S,
Steel G.
et al.
Type I hyperprolinemia: genotype/phenotype correlations. Hum Mutat 2010; 31 (08) 961-965
Reference Ris Wihthout Link
- 53
Bonsignore M,
Tessa A,
Di Rosa G.
et al.
Novel CLN1 mutation in two Italian sibs with late infantile neuronal ceroid lipofuscinosis.
Eur J Paediatr Neurol 2006; 10 (03) 154-156
Reference Ris Wihthout Link
- 54
Di Rosa G,
Deodato F,
Loupatty FJ.
et al.
Hypertrophic cardiomyopathy, cataract, developmental delay, lactic acidosis: a novel
subtype of 3-methylglutaconic aciduria. J Inherit Metab Dis 2006; 29 (04) 546-550
Reference Ris Wihthout Link
- 55
Kahn A.
European Society for the Study and Prevention of Infant Death.
Recommended clinical evaluation of infants with an apparent life-threatening event.
Consensus document of the European Society for the Study and Prevention of Infant
Death, 2003. Eur J Pediatr 2004; 163 (02) 108-115
Reference Ris Wihthout Link
- 56
Boltshauser E,
Lange B,
Dumermuth G.
Differential diagnosis of syndromes with abnormal respiration (tachypnea-apnea). Brain
Dev 1987; 9 (05) 462-465
Reference Ris Wihthout Link
- 57
Gallego J.
Genetic diseases: congenital central hypoventilation, Rett, and Prader-Willi syndromes.
Compr Physiol 2012; 2 (03) 2255-2279
Reference Ris Wihthout Link
- 58
Pugash D,
Oh T,
Godwin K.
et al.
Sonographic 'molar tooth' sign in the diagnosis of Joubert syndrome. Ultrasound Obstet
Gynecol 2011; 38 (05) 598-602
Reference Ris Wihthout Link
- 59
Fluss J,
Blaser S,
Chitayat D.
et al.
Molar tooth sign in fetal brain magnetic resonance imaging leading to the prenatal
diagnosis of Joubert syndrome and related disorders. J Child Neurol 2006; 21 (04)
320-324
Reference Ris Wihthout Link
- 60
Salman MS,
Ikeda KM.
The syndrome of infantile-onset saccade initiation delay. Can J Neurol Sci 2013; 40
(02) 235-240
Reference Ris Wihthout Link
- 61
Kim JS,
Park SH,
Lee KW.
Spasmus nutans and congenital ocular motor apraxia with cerebellar vermian hypoplasia.
Arch Neurol 2003; 60 (11) 1621-1624
Reference Ris Wihthout Link
- 62
Van De Weghe JC,
Giordano JL,
Mathijssen IB.
et al;
University of Washington Center for Mendelian Genomics.
TMEM218 dysfunction causes ciliopathies, including Joubert and Meckel syndromes. HGG
Adv 2021; 2 (01) 100016
Reference Ris Wihthout Link
- 63
Steinlin M.
Cerebellar disorders in childhood: cognitive problems. Cerebellum 2008; 7 (04) 607-610
Reference Ris Wihthout Link
- 64
Rapoport M,
van Reekum R,
Mayberg H.
The role of the cerebellum in cognition and behavior: a selective review. J Neuropsychiatry
Clin Neurosci 2000; 12 (02) 193-198
Reference Ris Wihthout Link
- 65
Steinlin M,
Schmid M,
Landau K,
Boltshauser E.
Follow-up in children with Joubert syndrome. Neuropediatrics 1997; 28 (04) 204-211
Reference Ris Wihthout Link
- 66
Salman MS,
Chodirker BN.
Neuro-ophthalmological findings in children and adolescents with chronic ataxia. Neuroophthalmology
2015; 39 (03) 125-131
Reference Ris Wihthout Link
- 67
Tusa RJ,
Hove MT.
Ocular and oculomotor signs in Joubert syndrome. J Child Neurol 1999; 14 (10) 621-627
Reference Ris Wihthout Link
- 68
Gill H,
Muthusamy B,
Atan D,
Williams C,
Ellis M.
Joubert syndrome presenting with motor delay and oculomotor apraxia. Case Rep Pediatr
2011; 2011: 262641
Reference Ris Wihthout Link
- 69
Bulgheroni S,
D'Arrigo S,
Signorini S.
et al.
Cognitive, adaptive, and behavioral features in Joubert syndrome. Am J Med Genet A
2016; 170 (12) 3115-3124
Reference Ris Wihthout Link
- 70
Braddock BA,
Farmer JE,
Deidrick KM,
Iverson JM,
Maria BL.
Oromotor and communication findings in Joubert syndrome: further evidence of multisystem
apraxia. J Child Neurol 2006; 21 (02) 160-163
Reference Ris Wihthout Link
- 71
Gitten J,
Dede D,
Fennell E,
Quisling R,
Maria BL.
Neurobehavioral development in Joubert syndrome. J Child Neurol 1998; 13 (08) 391-397
Reference Ris Wihthout Link
- 72
Fennell EB,
Gitten JC,
Dede DE,
Maria BL.
Cognition, behavior, and development in Joubert syndrome. J Child Neurol 1999; 14
(09) 592-596
Reference Ris Wihthout Link
- 73
Summers AC,
Snow J,
Wiggs E.
et al;
NISC Comparative Sequencing Program.
Neuropsychological phenotypes of 76 individuals with Joubert syndrome evaluated at
a single center. Am J Med Genet A 2017; 173 (07) 1796-1812
Reference Ris Wihthout Link
- 74
Farmer JE,
Deidrick KM,
Gitten JC,
Fennell EB,
Maria BL.
Parenting stress and its relationship to the behavior of children with Joubert syndrome.
J Child Neurol 2006; 21 (02) 163-167
Reference Ris Wihthout Link
- 75
Hyman SL,
Levy SE,
Myers SM.
Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics.
Identification, evaluation, and management of children with autism spectrum disorder.
Pediatrics 2020; 145 (01) e20193447
Reference Ris Wihthout Link
- 76
Rogers TD,
McKimm E,
Dickson PE,
Goldowitz D,
Blaha CD,
Mittleman G.
Is autism a disease of the cerebellum? An integration of clinical and pre-clinical
research. Front Syst Neurosci 2013; 7: 15
Reference Ris Wihthout Link
- 77
Basson MA,
Wingate RJ.
Congenital hypoplasia of the cerebellum: developmental causes and behavioral consequences.
Front Neuroanat 2013; 7: 29
Reference Ris Wihthout Link
- 78
Benagiano V,
Rizzi A,
Lorusso L.
et al.
The functional anatomy of the cerebrocerebellar circuit: a review and new concepts.
J Comp Neurol 2018; 526 (05) 769-789
Reference Ris Wihthout Link
- 79
Schmahmann JD,
Pandya DN.
Anatomical investigation of projections to the basis pontis from posterior parietal
association cortices in rhesus monkey. J Comp Neurol 1989; 289 (01) 53-73
Reference Ris Wihthout Link
- 80
Schmahmann JD,
Sherman JC.
The cerebellar cognitive affective syndrome. Brain 1998; 121 (Pt 4): 561-579
Reference Ris Wihthout Link
- 81
Schmahmann JD.
The role of the cerebellum in cognition and emotion: personal reflections since 1982
on the dysmetria of thought hypothesis, and its historical evolution from theory to
therapy. Neuropsychol Rev 2010; 20 (03) 236-260
Reference Ris Wihthout Link
- 82
Raghavan DV,
Doshi VV,
Nambi S.
Joubert syndrome with autism in two siblings: a rare presentation. Indian J Psychiatry
2016; 58 (01) 90-92
Reference Ris Wihthout Link
- 83
Holroyd S,
Reiss AL,
Bryan RN.
Autistic features in Joubert syndrome: a genetic disorder with agenesis of the cerebellar
vermis. Biol Psychiatry 1991; 29 (03) 287-294
Reference Ris Wihthout Link
- 84
Ziegler AL,
Deonna T,
Calame A.
Hidden intelligence of a multiply handicapped child with Joubert syndrome. Dev Med
Child Neurol 1990; 32 (03) 261-266
Reference Ris Wihthout Link
- 85
Ozonoff S,
Williams BJ,
Gale S,
Miller JN.
Autism and autistic behavior in Joubert syndrome. J Child Neurol 1999; 14 (10) 636-641
Reference Ris Wihthout Link
- 86
Takahashi TN,
Farmer JE,
Deidrick KK,
Hsu BS,
Miles JH,
Maria BL.
Joubert syndrome is not a cause of classical autism. Am J Med Genet A 2005; 132A (04)
347-351
Reference Ris Wihthout Link
- 87
Berquin PC,
Giedd JN,
Jacobsen LK.
et al.
Cerebellum in attention-deficit hyperactivity disorder: a morphometric MRI study.
Neurology 1998; 50 (04) 1087-1093
Reference Ris Wihthout Link
- 88
Koshy B,
Oommen SP,
Jasper S,
Danda S,
Surendrababu NR.
Development and dysmorphism in Joubert syndrome–short case series from India. J Trop
Pediatr 2010; 56 (03) 209-212
Reference Ris Wihthout Link
- 89
Eun MY,
Seok HY,
Kwon DY,
Park MH,
So-Hee E,
Kang YS.
Joubert syndrome presenting with young-age onset ischemic stroke: a possible etiologic
association. J Child Neurol 2011; 26 (03) 381-384
Reference Ris Wihthout Link
- 90
Yerdelen D,
Koç F,
Koç Z.
Joubert syndrome associated with new MRI findings and posterior reversible encephalopathy
syndrome. Acta Neurol Belg 2009; 109 (01) 49-52
Reference Ris Wihthout Link
- 91
Suppiej A,
Gentilomo C,
Saracco P.
et al;
Stroke working group of the Italian Registry of Pediatric Thrombosis.
Paediatric arterial ischaemic stroke and cerebral sinovenous thrombosis. First report
from the Italian Registry of Pediatric Thrombosis (R. I. T. I., Registro Italiano
Trombosi Infantili). Thromb Haemost 2015; 113 (06) 1270-1277
Reference Ris Wihthout Link