Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome

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ORPHA:1970OMIM:220219Q87.8
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Overview

Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome is an extremely rare genetic condition that affects multiple body systems, particularly the brain, face, and eyes. The syndrome is sometimes referred to by its Orphanet designation (ORPHA:1970) and is characterized by a combination of unusual facial features (facial dysmorphism), an abnormally large head (macrocephaly), severe nearsightedness (myopia), and a brain malformation known as Dandy-Walker malformation, which involves abnormal development of the cerebellum (the part of the brain that controls balance and coordination) and fluid-filled spaces in the brain. Children born with this condition typically show distinctive facial features that may include a broad forehead, widely spaced eyes, a flat nasal bridge, and other subtle differences in facial structure. The Dandy-Walker malformation can lead to increased pressure in the brain due to fluid buildup (hydrocephalus), which may cause developmental delays and problems with movement and coordination. Myopia in this syndrome can be quite significant and may require early and ongoing eye care. Because this syndrome is so rare, there is no specific cure or targeted treatment. Management focuses on addressing each symptom individually. This may include surgical intervention for hydrocephalus (such as placement of a shunt to drain excess fluid), corrective lenses or other treatments for severe myopia, physical therapy for motor delays, and special education support for any intellectual or developmental challenges. A team of specialists working together is essential for the best possible outcomes.

Key symptoms:

Abnormally large head size (macrocephaly)Unusual facial features such as broad forehead and widely spaced eyesSevere nearsightedness (myopia)Dandy-Walker brain malformationBuildup of fluid in the brain (hydrocephalus)Developmental delaysProblems with balance and coordinationIntellectual disability (variable severity)Low muscle tone (hypotonia)Delayed motor milestones such as sitting and walkingFlat nasal bridgePossible seizuresShort stature

Clinical phenotype terms (29)— hover any for plain English
Atrophic fundus lesionHP:0001099Broad nailHP:0001821
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome.

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No actively recruiting trials found for Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome at this time.

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Search ClinicalTrials.gov ↗Join the Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome community →

No specialists are currently listed for Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome.

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Community

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Latest news about Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome

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Caregiver Resources

NORD Caregiver Resources

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Family & Caregiver Grants

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Social Security Disability

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Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is the Dandy-Walker malformation in my child, and is hydrocephalus present?,Will my child need surgery for fluid buildup in the brain?,How often should my child have eye exams, and what complications should we watch for?,What therapies (physical, occupational, speech) do you recommend, and how often?,What developmental milestones should we be tracking, and when should we be concerned?,Is genetic testing recommended for our family, and could this condition affect future pregnancies?,Are there any clinical trials or research studies we should know about?

Common questions about Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome

What is Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome?

Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome is an extremely rare genetic condition that affects multiple body systems, particularly the brain, face, and eyes. The syndrome is sometimes referred to by its Orphanet designation (ORPHA:1970) and is characterized by a combination of unusual facial features (facial dysmorphism), an abnormally large head (macrocephaly), severe nearsightedness (myopia), and a brain malformation known as Dandy-Walker malformation, which involves abnormal development of the cerebellum (the part of the brain that controls balance and coordin

How is Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome inherited?

Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome typically begin?

Typical onset of Facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome is neonatal. Age of onset can vary across affected individuals.