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Megalencephaly‐capillary malformation (MCAP) and megalencephaly‐polydactyly‐polymicrogyria‐hydrocephalus (MPPH) syndromes: Two closely related disorders of brain overgrowth and abnormal brain and body morphogenesis
Author(s) -
Mirzaa Ghayda M.,
Conway Robert L.,
Gripp Karen W.,
LermanSagie Tally,
Siegel Dawn H.,
deVries Linda S.,
Lev Dorit,
Kramer Nancy,
Hopkins Elizabeth,
Graham John M.,
Dobyns William B.
Publication year - 2012
Publication title -
american journal of medical genetics part a
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.064
H-Index - 112
eISSN - 1552-4833
pISSN - 1552-4825
DOI - 10.1002/ajmg.a.34402
Subject(s) - polymicrogyria , megalencephaly , polydactyly , syndactyly , macrocephaly , hemimegalencephaly , joubert syndrome , schizencephaly , pathology , lissencephaly , anatomy , cortical dysplasia , medicine , biology , neuroscience , epilepsy , cilium , microbiology and biotechnology , biochemistry , gene
The macrocephaly‐capillary malformation syndrome (M‐CM), which we here propose to rename the megalencephaly‐capillary malformation syndrome (MCAP; alternatively the megalencephaly‐capillary malformation‐ polymicrogyria syndrome), and the more recently described megalencephaly‐polymicrogyria‐polydactyly‐hydrocephalus syndrome (MPPH) are two megalencephaly (MEG) disorders that involve a unique constellation of physical and neuroimaging anomalies. We compare the features in 42 patients evaluated for physical and neuroimaging characteristics of MCAP and MPPH and propose a more global view of these syndromes based on classes of developmental abnormalities that include primary MEG and growth dysregulation, developmental vascular anomalies (primarily capillary malformations), distal limb anomalies (such as syndactyly and polydactyly), cortical brain malformations (most distinctively polymicrogyria, PMG), and variable connective tissue dysplasia. Based on these classes of developmental abnormalities, we propose that MCAP diagnostic criteria include progressive MEG with either vascular anomalies or syndactyly. In parallel, we propose that MPPH diagnostic criteria include progressive MEG and PMG, absence of the vascular anomalies and syndactyly characteristic of MCAP, and absence of brain heterotopia. © 2012 Wiley Periodicals, Inc.