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- Title
Severe Cranio-Cervical Stenosis in a Child with Saul-Wilson Syndrome: A Case Report.
- Authors
Koruga, Nenad; Pušeljić, Silvija; Tomac, Višnja; Soldo Koruga, Anamarija; Marjanac, Igor; Biljan, Borna; Šantić, Krešimir; Lenz, Ivana; Pušeljić, Nora
- Abstract
Introduction: Saul Wilson syndrome (SWS) is a rare congenital syndrome characterized by a variety of symptoms, mostly skeletal changes. Saul and Wilson were the first to describe children with extremely short stature and craniofacial dysmorphism. Case report: We present a case of a 15-years-old boy with clinical and radiological characteristics of SWS. Genetic examination identified a pathogenic heterozygous variant in the COG4 gene. Magnetic resonance imaging revealed a critical stenosis of the cranio-cervical junction (CCJ) which required surgical treatment to attempt sufficient neurological decompression. The patient underwent decompression of CCJ under general anesthesia. There was no significant radiological and clinical improvement during the postoperative period. Conclusions: SWS is presented as an extremely rare congenital disease in children. The clinical condition of our patient confined surgical possibilities, therefore further treatment in such patients should be appropriately evaluated.
- Subjects
MUSCULOSKELETAL system abnormalities; SKELETAL muscle; STENOSIS; CRANIOVERTEBRAL junction; DWARFISM
- Publication
Children, 2022, Vol 9, Issue 4, p532
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children9040532