Gomez-Lopez-Hernandez Syndrome. A case report from the state of Amazonas and literature review
DOI:
https://doi.org/10.60104/revhugv11758Keywords:
Gomez-Lopez-Hernandez syndrome, rhombencephalosynapse, neurocutaneous syndrome, alopecia, trigeminal anesthesiaAbstract
The Gomez-Lopez-Hernandez syndrome (GLHS) also known as cerebellar-trigemino-dermal dysplasia is a rare neurocutaneous syndrome, with no known etiology and likely to be underdiagnosed. It has as diagnostic criteria a triad composed of rhombencephalosynapse, parieto-occipital alopecia and trigeminal anesthesia. Patients with the syndrome have specific phenotypic characteristics that make up the diagnostic picture of GLHS. We report a case of a 14-year-old female patient, with convergent strabismus, bilateral partial fronto-parietal alopecia, brachyturcephaly, with imaging studies showing rhombencephalosynapse in addition to findings that prove hydrocephalus. Our case includes the clinical and imaging diagnostic criteria, in addition to a phenotype common to other cases compatible with Gomez-Lopez-Hernandez Syndrome. We have included a literature review to further elucidate the syndromic picture.
Downloads
References
Sullo F, Praticò AD, Polizzi A, Catanzaro S, Mantegna S, Lacarrubba F, et al. Cerebellotrigeminal Dermal Dysplasia (Gómez-López-Hernández Syndrome). Journal of Pediatric Neurology [Internet]. 2018 [citado 23 de outubro de 2022];16(5):362–8. https://doi.org/10.1055/s-0038-1667021.
Gomez MR. Cerebellotrigeminal and focal dermal dysplasia: A newly recognized neurocutaneous syndrome. Brain Dev. 1979;1(4):253–6. https://doi.org/10.1016/S0387-7604(79)80039-X.
Lopez-Hernandez A. Craniosynostosis, ataxia, trigeminal anaesthesia and parietal alopecia with pons-vermis fusion anomaly (atresia of the fourth ventricle). Report of two cases. Neuropediatrics [Internet]. 1982 [citado 7 de outubro de 2022];13(2):99–102. https://doi.org/10.1055/s-2008-1059606.
Poretti A, Bartholdi D, Gobara S, Alber D, Boltshauser E. GomezeLopez-Hernandez syndrome: An easily missed diagnosis. Eur J Med Genet [Internet]. 2008 [citado 22 de outubro de 2022]; 51:197–208. https://doi.org/10.1016/j.ejmg.2008.01.004.
Ishak GE, Dempsey JC, Shaw DWW, Tully H, Adam MP, Sanchez-Lara PA, et al. Rhombencephalosynapsis: a hindbrain malformation associated with incomplete separation of midbrain and forebrain, hydrocephalus and a broad spectrum of severity. Brain [Internet]. maio de 2012 [citado 5 de outubro de 2022];135(5):1370–86. https://doi.org/10.1093/brain/aws065.
Muñoz R. MV, Santos AC, Graziadio C, Pina-Neto JM. Cerebello-trigeminal-dermal dysplasia (Gómez-López-Hernández syndrome): Description of three new cases and review. Am J Med Genet [Internet]. 3 de outubro de 1997 [citado 23 de outubro de 2022];72(1):34–9. https://doi.org/10.1002/(sici)1096-8628(19971003)72:1<34::aid-ajmg7>3.0.co;2-v
Schell-Apacik CC, Cohen M, Vojta S, Ertl-Wagner B, Klopocki E, Heinrich U, et al. Gomez-Lopez-Hernandez syndrome (cerebello-trigeminal-dermal dysplasia): description of an additional case and review of the literature. European Journal of Pediatrics. janeiro de 2007;167(1):123–6. https://doi.org/10.1007/s00431-007-0478-z
Perrone E, Perez ABA, D’Almeida V, Mello CB, Jacobina MAA, Loureiro RM, et al. Clinical and molecular evaluation of 13 Brazilian patients with Gomez‐López‐Hernández syndrome. Am J Med Genet A [Internet]. 31 de abril de 2021;185(4):1047–58. https://doi.org/10.1002/ajmg.a.62059.
Zaldívar-Pascua G, Dávila-Gutiérrez G, Hortencia Fernández-Álvarez D. Síndrome de Gómez-López-Hernández (displasia cerebelo-trigéminodérmica). Informe de un caso. Acta Pediátrica de México [Internet]. 9 de julho de 2014 [citado 13 de outubro de 2022];32(5):292–6. https://doi.org/10.18233/APM32NO5PP292-296.
Aldinger KA, Dempsey JC, Tully HM, Grout ME, Mehaffey MG, Dobyns WB, et al. Rhombencephalosynapsis: Fused cerebellum, confused geneticists. Am J Med Genet C Semin Med Genet [Internet]. 1o de dezembro de 2018 [citado 11 de outubro de 2022];178(4):432–9. https://doi.org/10.1002/ajmg.c.31666.
Montenegro, M. A.; Guerreiro, Marilisa Mantovani; Cendes F. Malformações do Sistema Nervoso Central. Em: Revinter, organizador. Neuropediatria Ilustrada - Imagens clínico-radiológicas. 1a Edição. Rio de Janeiro; 2010. p. 1–28. ISBN: 9788537203262.
Choudhary A, Minocha P, Sitaraman S. Gomez-Lopez-Hernández syndrome: First reported case from the Indian subcon-tinent. Intractable Rare Dis Res [Internet]. 2017 [citado 2 de outubro de 2022];6(1):58–60. https://doi.org/10.5582/irdr.2016.01074.
Perrone E, D’Almeida V, Macena Sobreira NL, Mello CB, Oliveira AC, Burlin S, et al. Gomez–López–Hernández syndrome: A case report with clinical and molecular evaluation and literature review. Am J Med Genet A [Internet]. 17 de julho de 2020 [citado 2 de outubro de 2022];182(7):1761–6. https://doi.org/10.1002/ajmg.a.61594.