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Oculocerebrocutaneous syndrome(OCCS)

MedGen UID:
163214
Concept ID:
C0796092
Disease or Syndrome
Synonyms: Delleman syndrome; OCC Syndrome; OCCS; Orbital cyst with cerebral and focal dermal malformations
SNOMED CT: Delleman-Oorthuys syndrome (403554008); Oculocerebrocutaneous syndrome (403554008)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0008108
OMIM®: 164180
Orphanet: ORPHA1647

Definition

A rare neurologic disease typically characterized by the triad of eye, central nervous system and skin malformations, and often associated with an intellectual disability. [from ORDO]

Clinical features

From HPO
Cryptorchidism
MedGen UID:
8192
Concept ID:
C0010417
Congenital Abnormality
Cryptorchidism, or failure of testicular descent, is a common human congenital abnormality with a multifactorial etiology that likely reflects the involvement of endocrine, environmental, and hereditary factors. Cryptorchidism can result in infertility and increases risk for testicular tumors. Testicular descent from abdomen to scrotum occurs in 2 distinct phases: the transabdominal phase and the inguinoscrotal phase (summary by Gorlov et al., 2002).
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterized by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Corpus callosum, agenesis of
MedGen UID:
104498
Concept ID:
C0175754
Congenital Abnormality
The corpus callosum is the largest fiber tract in the central nervous system and the major interhemispheric fiber bundle in the brain. Formation of the corpus callosum begins as early as 6 weeks' gestation, with the first fibers crossing the midline at 11 to 12 weeks' gestation, and completion of the basic shape by age 18 to 20 weeks (Schell-Apacik et al., 2008). Agenesis of the corpus callosum (ACC) is one of the most frequent malformations in brain with a reported incidence ranging between 0.5 and 70 in 10,000 births. ACC is a clinically and genetically heterogeneous condition, which can be observed either as an isolated condition or as a manifestation in the context of a congenital syndrome (see MOLECULAR GENETICS and Dobyns, 1996). Also see mirror movements-1 and/or agenesis of the corpus callosum (MRMV1; 157600). Schell-Apacik et al. (2008) noted that there is confusion in the literature regarding radiologic terminology concerning partial absence of the corpus callosum, where various designations have been used, including hypogenesis, hypoplasia, partial agenesis, or dysgenesis.
Gray matter heterotopia
MedGen UID:
452349
Concept ID:
C0266491
Finding
Heterotopia or neuronal heterotopia are macroscopic clusters of misplaced neurons (gray matter), most often situated along the ventricular walls or within the subcortical white matter.
Naso-orbital encephalocele
MedGen UID:
82875
Concept ID:
C0271330
Congenital Abnormality
A type of encephalocele that occurs along the medial orbit wall at the level of the frontal process of the maxilla and the ethmoid-lacrimal bone junction.
Hypoplasia of the corpus callosum
MedGen UID:
138005
Concept ID:
C0344482
Congenital Abnormality
Underdevelopment of the corpus callosum.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Intellectual disability, previously referred to as mental retardation, is characterized by subnormal intellectual functioning that occurs during the developmental period. It is defined by an IQ score below 70.
Congenital hip dislocation
MedGen UID:
9258
Concept ID:
C0019555
Disease or Syndrome
Dandy-Walker malformation
MedGen UID:
419183
Concept ID:
C2931867
Congenital Abnormality
A congenital brain malformation typically characterized by incomplete formation of the cerebellar vermis, dilation of the fourth ventricle, and enlargement of the posterior fossa. In layman's terms, Dandy Walker malformation is a cyst in the cerebellum (typically symmetrical) that is involved with the fourth ventricle. This may interfere with the ability to drain cerebrospinal fluid from the brain, resulting in hydrocephalus. Dandy Walker cysts are formed during early embryonic development, while the brain forms. The cyst in the cerebellum typically has several blood vessels running through it connecting to the brain, thereby prohibiting surgical removal.
Abnormal thorax morphology
MedGen UID:
867424
Concept ID:
C4021797
Anatomical Abnormality
Any abnormality of the thorax (the region of the body formed by the sternum, the thoracic vertebrae and the ribs).
Orbital cyst
MedGen UID:
56359
Concept ID:
C0155285
Finding
Presence of a cyst in the region of the periorbital tissues. Orbital cysts can be derived from epithelial or glandular tissue within or surrounding the orbit (lacrimal glands, salivary glands, conjunctival, oral, nasal, or sinus epithelium).
Eyelid coloboma
MedGen UID:
141737
Concept ID:
C0521573
Congenital Abnormality
A short discontinuity of the margin of the lower or upper eyelid.
Facial asymmetry
MedGen UID:
266298
Concept ID:
C1306710
Finding
An abnormal difference between the left and right sides of the face.
Cleft ala nasi
MedGen UID:
336715
Concept ID:
C1844537
Finding
The presence of a notch in the margin of the ala nasi.
Cleft palate
MedGen UID:
756015
Concept ID:
C2981150
Congenital Abnormality
Cleft palate is a developmental defect of the palate resulting from a failure of fusion of the palatine processes and manifesting as a separation of the roof of the mouth (soft and hard palate).
Alopecia
MedGen UID:
7982
Concept ID:
C0002170
Finding
A noncongenital process of hair loss, which may progress to partial or complete baldness.
Focal dermal aplasia/hypoplasia
MedGen UID:
371726
Concept ID:
C1834069
Finding
Anophthalmia
MedGen UID:
314
Concept ID:
C0003119
Congenital Abnormality
Absence of the globe or eyeball.
Microphthalmia
MedGen UID:
10033
Concept ID:
C0026010
Congenital Abnormality
Microphthalmia is an eye abnormality that arises before birth. In this condition, one or both eyeballs are abnormally small. In some affected individuals, the eyeball may appear to be completely missing; however, even in these cases some remaining eye tissue is generally present. Such severe microphthalmia should be distinguished from another condition called anophthalmia, in which no eyeball forms at all. However, the terms anophthalmia and severe microphthalmia are often used interchangeably. Microphthalmia may or may not result in significant vision loss.\n\nPeople with microphthalmia may also have a condition called coloboma. Colobomas are missing pieces of tissue in structures that form the eye. They may appear as notches or gaps in the colored part of the eye called the iris; the retina, which is the specialized light-sensitive tissue that lines the back of the eye; the blood vessel layer under the retina called the choroid; or in the optic nerves, which carry information from the eyes to the brain. Colobomas may be present in one or both eyes and, depending on their size and location, can affect a person's vision.\n\nPeople with microphthalmia may also have other eye abnormalities, including clouding of the lens of the eye (cataract) and a narrowed opening of the eye (narrowed palpebral fissure). Additionally, affected individuals may have an abnormality called microcornea, in which the clear front covering of the eye (cornea) is small and abnormally curved.\n\nBetween one-third and one-half of affected individuals have microphthalmia as part of a syndrome that affects other organs and tissues in the body. These forms of the condition are described as syndromic. When microphthalmia occurs by itself, it is described as nonsyndromic or isolated.
Nystagmus
MedGen UID:
45166
Concept ID:
C0028738
Disease or Syndrome
Rhythmic, involuntary oscillations of one or both eyes related to abnormality in fixation, conjugate gaze, or vestibular mechanisms.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVOculocerebrocutaneous syndrome
Follow this link to review classifications for Oculocerebrocutaneous syndrome in Orphanet.

Recent clinical studies

Etiology

Arora V, Kim UR, Khazei HM
Indian J Ophthalmol 2009 Sep-Oct;57(5):387-9. doi: 10.4103/0301-4738.55074. PMID: 19700879Free PMC Article
Brown KE, Goldstein SM, Douglas RS, Katowitz JA
J AAPOS 2003 Apr;7(2):148-9. doi: 10.1016/mpa.2003.S1091853103000120. PMID: 12736631
Tambe KA, Ambekar SV, Bafna PN
Eur J Paediatr Neurol 2003;7(2):77-80. doi: 10.1016/s1090-3798(03)00017-5. PMID: 12697431
Cambiaghi S, Levet PS, Guala G, Baldini D, Gianotti R
Eur J Dermatol 2000 Dec;10(8):623-6. PMID: 11125327
Moog U, Krüger G, Stengel B, De Die-Smulders C, Dykstra S, Bleeker-Wagemakers E
Genet Couns 1996;7(4):257-65. PMID: 8985729

Diagnosis

Sprenger F, de Oliveira Salvador GL, Vinholi G, Bertholdo DB, de Almeida Teixeira BC
Childs Nerv Syst 2022 Jun;38(6):1189-1193. Epub 2021 Sep 29 doi: 10.1007/s00381-021-05366-7. PMID: 34586492
Jamjoom H, Osman M, AlMoallem B, Osman EA
Eur J Ophthalmol 2022 Jan;32(1):NP66-NP70. Epub 2020 Nov 4 doi: 10.1177/1120672120964696. PMID: 33147988
Rizvi SW, Siddiqui MA, Khan AA, Siddiqui Z
Middle East Afr J Ophthalmol 2015 Jan-Mar;22(1):122-4. doi: 10.4103/0974-9233.148363. PMID: 25624688Free PMC Article
Saatci AO, Arikan G, Saatci P, Saatci Y, Kavukcu S
J Pediatr Ophthalmol Strabismus 2008 May-Jun;45(3):181-3. doi: 10.3928/01913913-20080501-19. PMID: 18524200
Hunter AG
Am J Med Genet A 2006 Apr 1;140(7):709-26. doi: 10.1002/ajmg.a.31149. PMID: 16523517

Prognosis

Arora V, Kim UR, Khazei HM
Indian J Ophthalmol 2009 Sep-Oct;57(5):387-9. doi: 10.4103/0301-4738.55074. PMID: 19700879Free PMC Article
Hunter AG
Am J Med Genet A 2006 Apr 1;140(7):709-26. doi: 10.1002/ajmg.a.31149. PMID: 16523517
Scholz TA, Vanderhooft SL, Meyer LJ
Pediatr Dermatol 1999 Sep-Oct;16(5):403-5. doi: 10.1046/j.1525-1470.1999.00107.x. PMID: 10571846
Moog U, Krüger G, Stengel B, De Die-Smulders C, Dykstra S, Bleeker-Wagemakers E
Genet Couns 1996;7(4):257-65. PMID: 8985729
Loggers HE, Oosterwijk JC, Overweg-Plandsoen WC, van Wilsem A, Bleeker-Wagemakers EM, Bijlsma JB
Ophthalmic Paediatr Genet 1992 Sep;13(3):171-7. doi: 10.3109/13816819209046486. PMID: 1484695

Clinical prediction guides

Sprenger F, de Oliveira Salvador GL, Vinholi G, Bertholdo DB, de Almeida Teixeira BC
Childs Nerv Syst 2022 Jun;38(6):1189-1193. Epub 2021 Sep 29 doi: 10.1007/s00381-021-05366-7. PMID: 34586492
Giampietro PF, Babu D, Koehn MA, Jacobson DM, Mueller-Schrader KA, Moretti C, Patten SF, Shaffer LG, Gorlin RJ, Dobyns WB
Am J Med Genet A 2004 Jan 15;124A(2):202-8. doi: 10.1002/ajmg.a.20377. PMID: 14699622
Romiti R, Rengifo JA, Arnone M, Sotto MN, Valente NY, Jansen T
J Dermatol 1999 Dec;26(12):808-12. doi: 10.1111/j.1346-8138.1999.tb02097.x. PMID: 10659502

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