Presentation
[…] keratoderma Progressive Mild-to-severe hearing loss with childhood onset m.1555A>G variant Stable Severe-to-profound hearing loss with variable age of onset May have predisposition to aminoglycoside ototoxicity No other anatomic defects are typically present [arupconsult.com]
Fifty-three loci have presently been reported. The 17 deafness forms for which the genes have been identified are presented. [ommbid.mhmedical.com]
On the other hand, a negative result substantially reduces the likelihood that a syndrome is present, alleviating concerns about the future development of these features. [personalizedmedicine.partners.org]
Flat SNHL was present in 148 ears out of 200 ears (74.0%). High-frequency SNHL was present in 15 ears (7.5%), steeply sloping SNHL was found in 13 ears (6.5%), and left corner SNHL was also found in 13 ears (6.5%). [ejo.eg.net]
As hearing loss may be caused by multiple mutations in multiple genes, the test(s) to be chosen presents a challenge for the geneticist. [audiologyonline.com]
Ears
- Hearing Impairment
[…] recessive 1A Deafness, digenic, GJB2/GJB6 not provided Hearing impairment Nonsyndromic hearing loss and deafness Deafness, autosomal dominant 3a Bilateral sensorineural hearing impairment Severe sensorineural hearing impairment Bilateral conductive hearing [snpedia.com]
Introduction The Hereditary Hearing loss Homepage aims to give an up-to-date overview of the genetics of hereditary hearing impairment for researchers and clinicians working in the field. [hereditaryhearingloss.org]
(II) The characteristics of the hearing impairments in the children studied were ho-mogeneous, regardless of the presence or absence of a connexin 26 mutation: the hearing impairment was pre-lingual bilateral sensorineural, the impairment often involved [vdocuments.site]
Percent Hearing Impairment % Impairment Pure Tone Average (dB) 1 % Residual Hearing 100% 91 dB 0% 80% 78 dB 20% 60% 65 dB 40% 30% 45 dB 70% 1. [ncbi.nlm.nih.gov]
Psychological wellbeing of adults with acquired hearing impairment. Disabil Rehabil 2006;28:535-45. 3 Espmark AK, Rosenhall U, Erlandsson S, Steen B. The two faces of presbyacusis: hearing impairment and psychosocial consequences. [zdoc.site]
Workup
For example if a KNCQ1 mutation is found, additional cardiac workup may be warranted since mutations in this gene are also associated with cardiac rhythm abnormalities. [bcidaho.com]
Workup Laboratory Studies Routine series of laboratory tests are not recommended in the evaluation of a hearing impaired patient. [emedicine.medscape.com]
Treatment
Case 1 Case 2 Father Mother Blood thiamine level (16–48) ng/ml before treatment 52 ng/ml 66 ng/ml 44 ng/ml 21 ng/ml during treatment 50 ng/ml 60 ng/ml Blood transketolase (0.75–1.30) IU/gHb before treatment 1.24 IU/gHb 1.19 IU/gHb 0.89 IU/gHb 1.08 IU/ [annsaudimed.net]
You can help by adding to it. ( December 2017 ) Treatment [ edit ] Treatment is supportive and consists of management of manifestations. User of hearing aids and/or cochlear implant, suitable educational programs can be offered. [en.wikipedia.org]
Confirmation of a clinical diagnosis through genetic testing of non-syndromic sensorineural deafness can allow for genetic counseling and may direct medical management and treatment options. [centogene.com]
To prevent metabolic coma, initiate diet & treatment ASAP. [ncbi.nlm.nih.gov]
In addition, there are not treatment guidelines that recommend genetic testing as part of the decision to perform a cochlear implant. [bcidaho.com]
Prognosis
Determining the etiology of hearing loss is important in determining prognosis (e.g. whether the severity of hearing impairment will worsen), optimal therapeutic interventions (e.g. hearing aids, cochlear implant, sign language) and recurrence risks to [personalizedmedicine.partners.org]
These factors lend credence to the theory that patients with GJB2 and GJB6 mutations may have a favorable prognosis following cochlear implantation, and that patients with other mutations or without a documented mutation may have a less favorable prognosis [bcidaho.com]
The effect of initial treatment on hearing prognosis in idiopathic sudden sensorineural hearing loss: a nationwide survey in Japan. [soar-rd.shinshu-u.ac.jp]
Acquired causes should be differentiated from genetic causes to inform the evaluation and required ancillary testing (i.e., CT, MRI, and consultation with specialists) and to inform prognosis and treatment recommendations. Figure 2. [ncbi.nlm.nih.gov]
[citation needed] Prognosis[edit] Although HSP is a progressive condition, the prognosis for individuals with HSP varies greatly. It primarily affects the legs although there can be some upperbody involvement in some individuals. [en.wikipedia.org]
Etiology
An important benefit of genetic testing is etiologic diagnosis of hearing loss (JCIH, 2007; ACMG, 2002). [audiologyonline.com]
Background Hearing loss has an incidence of 1 in 250 births and over half of isolated childhood hearing loss has a genetic etiology, with many genes involved. [personalizedmedicine.partners.org]
Single-gene testing may be warranted in cases in which the medical or family history, or presentation of the hearing loss, suggests a specific etiology. [bcidaho.com]
Thus, it is practical in terms of cost and effort to screen GJB2 even without significant a priori evidence for a genetic etiology. [medicine.umich.edu]
Lafon, Etiologies rares de surdites congenitales. Arch.Fr.Pediat. 42 (1986) 503–506. Google Scholar Hu, D.-N., W.-Q. Qiu, B.-T. Wu et al., Genetic aspects of antibiotic induced deafness: Mitochondrial inheritance. J. Med.Genet. 28 (1991) 79–83. [link.springer.com]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]
(BOR syndrome) Treacher Collins syndrome Stickler syndrome X-linked pattern Mohr-Tranebjaerg syndrome Mitochondrial syndromes (eg, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS]) Autoimmune hearing loss Background Epidemiology [arupconsult.com]
From the molecular data presently available, three main epidemiologic results emerge: (a) Mutations in the gene encoding a gap junction protein, connexin 26, account for about half of the cases of prelingual isolated deafness in Caucasian populations; [ommbid.mhmedical.com]
Genetic epidemiology of hearing impairment, Ann NY Acad Sci 630 (1991) 16–31. http://dx.doi.org/10.1111/j.1749-6632.1991.tb19572.x. M.L. Marazita, L.M.Ploughman, B.Rawlings. [sciencepubco.com]
Relevant External Links for PCDH15 Genetic Association Database (GAD) PCDH15 Human Genome Epidemiology (HuGE) Navigator PCDH15 Atlas of Genetics and Cytogenetics in Oncology and Haematology: PCDH15 No data available for Genatlas for PCDH15 Gene Characterization [genecards.org]
Pathophysiology
[…] recessive; resulting from either two GJB6 deletions (rare) or one GJB6 deletion and one GJB2 variant on opposite chromosome Mitochondrial DNA – dominant maternal inheritance Hearing loss in some individuals with 1555A>G variant is induced by aminoglycosides Pathophysiology [arupconsult.com]
Each form is introduced by a brief history of how the gene was discovered, followed by the description of its clinical features and the established or putative role of the encoded protein, as well as the current hypotheses concerning the associated pathophysiological [ommbid.mhmedical.com]
An increasing awareness of AN as a hereditary trait will highlight the importance of using clinical testing to identify the site of the deafness-causing lesion at the OHC, IHC, synapses, or auditory nerve to improve our understanding of the pathophysiology [medicine.umich.edu]
POLR3A 10q22.3 Autosomal recessive Pathophysiology[edit] The major feature of HSP is a length-dependent axonal degeneration.[19] These include the crossed and uncrossed corticospinal tracts to the legs and fasciculus gracilis. [en.wikipedia.org]
Prevention
See the video Genetic Screening: The Ultimate Preventive Medicine (KCTS/Seattle, 1980). [www2.loras.edu]
[…] as early as possible to prevent irreversible sequelae. [ncbi.nlm.nih.gov]
Other exclusion criteria were not understanding the Italian language and major medical disorders and/or handicap that prevented the participants from regular work. [zdoc.site]
Preventive Services Task Force Recommendations Genetic testing is not a preventive service under normal circumstances. Medicare National Coverage There is no national coverage determination (NCD). [bcidaho.com]
With timely diagnosis, medical management for the cardiac issues can begin and prevent sudden death, which in most cases is the first sign of this condition (Schwartz et al., 2006). [audiologyonline.com]