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Gaze palsy, familial horizontal, with progressive scoliosis, 2(HGPPS2)

MedGen UID:
1393733
Concept ID:
C4479640
Disease or Syndrome
Synonyms: DEVELOPMENTAL SPLIT-BRAIN SYNDROME; GAZE PALSY, FAMILIAL HORIZONTAL, WITH PROGRESSIVE SCOLIOSIS 2, WITH IMPAIRED INTELLECTUAL DEVELOPMENT
 
Gene (location): DCC (18q21.2)
 
Monarch Initiative: MONDO:0054602
OMIM®: 617542

Clinical features

From HPO
Hemiparesis
MedGen UID:
6783
Concept ID:
C0018989
Finding
Loss of strength in the arm, leg, and sometimes face on one side of the body. Hemiplegia refers to a complete loss of strength, whereas hemiparesis refers to an incomplete loss of strength.
Hydrocephalus
MedGen UID:
9335
Concept ID:
C0020255
Disease or Syndrome
Hydrocephalus is an active distension of the ventricular system of the brain resulting from inadequate passage of CSF from its point of production within the cerebral ventricles to its point of absorption into the systemic circulation.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterized by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Hyperreflexia
MedGen UID:
57738
Concept ID:
C0151889
Finding
Hyperreflexia is the presence of hyperactive stretch reflexes of the muscles.
Corpus callosum, agenesis of
MedGen UID:
104498
Concept ID:
C0175754
Congenital Abnormality
The corpus callosum is the largest fiber tract in the central nervous system and the major interhemispheric fiber bundle in the brain. Formation of the corpus callosum begins as early as 6 weeks' gestation, with the first fibers crossing the midline at 11 to 12 weeks' gestation, and completion of the basic shape by age 18 to 20 weeks (Schell-Apacik et al., 2008). Agenesis of the corpus callosum (ACC) is one of the most frequent malformations in brain with a reported incidence ranging between 0.5 and 70 in 10,000 births. ACC is a clinically and genetically heterogeneous condition, which can be observed either as an isolated condition or as a manifestation in the context of a congenital syndrome (see MOLECULAR GENETICS and Dobyns, 1996). Also see mirror movements-1 and/or agenesis of the corpus callosum (MRMV1; 157600). Schell-Apacik et al. (2008) noted that there is confusion in the literature regarding radiologic terminology concerning partial absence of the corpus callosum, where various designations have been used, including hypogenesis, hypoplasia, partial agenesis, or dysgenesis.
Unsteady gait
MedGen UID:
68544
Concept ID:
C0231686
Finding
A shaky or wobbly manner of walking.
Bimanual synkinesia
MedGen UID:
473166
Concept ID:
C0454455
Disease or Syndrome
Involuntary movements of one hand that accompany and mirror intentional movements of the opposite hand.
Delayed speech and language development
MedGen UID:
105318
Concept ID:
C0454644
Finding
A degree of language development that is significantly below the norm for a child of a specified age.
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
Fusion of the left and right thalami
MedGen UID:
331859
Concept ID:
C1834930
Finding
A developmental defect characterized by fusion of the left and right halves of the thalamus.
Hypoplasia of the pons
MedGen UID:
341246
Concept ID:
C1848529
Finding
Underdevelopment of the pons.
Interhemispheric cyst
MedGen UID:
339924
Concept ID:
C1853188
Disease or Syndrome
Cystic collection (sac-like, fluid containing pocket of membranous tissue) located in the interhemispheric fissure, with or without communication with the ventricular system.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Abnormality of the anterior commissure
MedGen UID:
868134
Concept ID:
C4022525
Anatomical Abnormality
An anomaly of the anterior commissure, a bundle of nerve fibers that connect the two cerebral hemispheres across the midline. The anterior commissure plays a role in pain sensation and contains decussating fibers from the olfactory tracts.
Absent hippocampal commissure
MedGen UID:
1380796
Concept ID:
C4479643
Finding
Absence of the fibers that connect the contralateral hippocampi via the crura of the fornix and run beneath the posterior portion of the corpus callosum.
Midline cervical cleft
MedGen UID:
1374384
Concept ID:
C4479645
Congenital Abnormality
A developmental defect characterized by an abnormal cleft (V-shaped indentation of the stalklike part of the brain consisting of the medulla oblongata, the midbrain, and the pons.
Hypotonia
MedGen UID:
10133
Concept ID:
C0026827
Finding
Hypotonia is an abnormally low muscle tone (the amount of tension or resistance to movement in a muscle). Even when relaxed, muscles have a continuous and passive partial contraction which provides some resistance to passive stretching. Hypotonia thus manifests as diminished resistance to passive stretching. Hypotonia is not the same as muscle weakness, although the two conditions can co-exist.
Scoliosis
MedGen UID:
11348
Concept ID:
C0036439
Disease or Syndrome
The presence of an abnormal lateral curvature of the spine.
Horizontal supranuclear gaze palsy
MedGen UID:
870350
Concept ID:
C4024794
Disease or Syndrome
A supranuclear gaze palsy is an inability to look in a horizontal direction as a result of cerebral impairment. There is a loss of the voluntary aspect of eye movements, but, as the brainstem is still intact, all the reflex conjugate eye movements are normal.

Recent clinical studies

Diagnosis

Xavier C, Vieira M, Duarte AF, Xavier A, Silva ED
J Binocul Vis Ocul Motil 2022 Apr-Jun;72(2):105-110. Epub 2022 Mar 7 PMID: 35254960
Mendes Marques NBPS, Barros SR, Miranda AF, Nobre Cardoso J, Parreira S, Fonseca T, Donaire NM, Campos N
J Neuroophthalmol 2017 Jun;37(2):162-165. doi: 10.1097/WNO.0000000000000455. PMID: 27749773
Choudhary AK, Maller VG
Del Med J 2014 Feb;86(2):45-8. PMID: 24783716
Handor H, Laghmari M, Hafidi Z, Daoudi R
Orthop Traumatol Surg Res 2014 Apr;100(2):255-7. Epub 2014 Feb 20 doi: 10.1016/j.otsr.2013.08.012. PMID: 24559884

Prognosis

Zaka A, Shahzad S, Rao HZ, Hashim Y, Basit S
Am J Med Genet A 2021 Feb;185(2):355-361. Epub 2020 Nov 3 doi: 10.1002/ajmg.a.61952. PMID: 33141514

Clinical prediction guides

Zaka A, Shahzad S, Rao HZ, Hashim Y, Basit S
Am J Med Genet A 2021 Feb;185(2):355-361. Epub 2020 Nov 3 doi: 10.1002/ajmg.a.61952. PMID: 33141514
Handor H, Laghmari M, Hafidi Z, Daoudi R
Orthop Traumatol Surg Res 2014 Apr;100(2):255-7. Epub 2014 Feb 20 doi: 10.1016/j.otsr.2013.08.012. PMID: 24559884

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