Description

Lurie and Wulfsberg defined criteria for the diagnosis of the Holoprosencephaly-Polydactyly Syndrome. The authors are from the University of Maryland in Baltimore.


 

Types:

(1) sporadic: The patient has a normal karyotype.

(2) familial: At least one of the affected siblings has a normal karyotype.

 

Parameters:

(1) holoprosencephaly

(2) postaxial polydactyly

(3) brain defects

(4) other findings

Holopros-encephaly

Postaxial Polydactyly

Brain Defect

Other Findings

Pattern

present

present

NA

NA

a

present

absent

may be present

present

b

absent

present

present

present

c

 

Brain defects:

(1) holoprosencephaly or arhinencephaly

(2) hydrocephaly

(3) microcephaly

(4) abnormal cerebellum

(5) occipital encephalocele

(6) micro(an)ophthalmia

 

Other findings:

(1) cleft lip and/or palate

(2) abnormal ears

(3) micrognathia

(4) abnormal tongue

(5) congenital heart defect

(6) abnormal lobulation of lung

(7) anal atresia

(8) omphalocele

(9) club foot

(10) abnormal kidney (horseshoe, agenesis, hypoplasia)

(11) ambiguous genitalia

 


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