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Polyhydramnios and cerebellar atrophy: a prenatal presentation of mitochondrial encephalomyopathy caused by mutations in the FBXL4 gene

  • Maartje C. van Rij*
  • , Fenna A. R. Jansen
  • , Debby M. E. I. Hellebrekers
  • , W. Onkenhout
  • , Bert Smeets
  • , Alexandra T. Hendrickx
  • , Ralph W. H. Gottschalk
  • , Sylke J. Steggerda
  • , Cacha M. P. C. D. Peeters-Scholte
  • , Monique C. Haak
  • , Yvonne Hilhorst-Hofstee
  • *Corresponding author for this work

Research output: Contribution to journalEditorialAcademicpeer-review

Abstract

Key Clinical Message Severe recessive mitochondrial myopathy caused by FBXL4 gene mutations may present prenatally with polyhydramnios and cerebellar hypoplasia. Characteristic dysmorphic features are: high and arched eyebrows, triangular face, a slight upslant of palpebral fissures, and a prominent pointed chin. Metabolic investigations invariably show increased serum lactate and pyruvate levels.
Original languageEnglish
Pages (from-to)425-428
Number of pages4
JournalClinical Case Reports
Volume4
Issue number4
DOIs
Publication statusPublished - Apr 2016

Keywords

  • Cerebellar atrophy
  • encephalomyopathy
  • FBXL4 gene
  • lactate
  • mitochondrial encephalopathy
  • polyhydramnios
  • pyruvate

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