Occipital horn syndrome

Occipital horn syndrome
Occipital horn syndrome
Classification and external resources
OMIM 304150
DiseasesDB 33413

Occipital horn syndrome (OHS), formerly considered a variant of Ehlers-Danlos syndrome,[1] is an X-linked recessive connective tissue disorder. It is caused by a deficiency in the transport of the essential mineral copper, associated with mutations in the ATP7A gene.[2] Only about 2/3 of children with OHS are thought to have genetically inherited the disorder; the other 1/3 do not have the disease in their family history. Since the disorder is X-linked recessive the disease affects more males. This is because they do not have a second X chromosome, unlike females, so essentially are lacking a 'backup' of the correct genetic information. Females are much more likely to be carriers only. For a female to be affected they must carry two defective X chromosomes, not just one.[3] The disorder is considered a milder variant of Menkes disease.[4]



It is characterized by a deficiency in biliary copper excretion that causes deformations in the skeleton. These include projections on the back of the skull (parasagittal bone exostoses arising from the occipital bone—the so-called "occipital horns") as well as deformities of the elbow, radial head dislocation, hammer-shaped lateral ends of the clavicles, and abnormalities of the hips and pelvis.[1] OHS presents in early to middle childhood.[3] Children may present with features such as:

  • Normal/slightly delayed intelligence
  • Long neck, high arched palate, long face, high forehead
  • Looseness of skin and “double jointed”
  • Inguinal Hernias
  • Twisting of blood vessels
  • Bladder diverticula
  • Dysautonomia—inability to regulate parts of the nervous system
  • Chronic Diarrhea
  • Coarse hair


Courses of treatment for children with is dependent upon the severity of their case. Children with OHS often receive physical and occupational therapy.[3] They may require a feeding tube to supplement nourishment if they are not growing enough. In an attempt to improve the neurological condition (seizures) copper histidine or copper chloride injections can be given early in the child’s life. However, copper histidine injections have been shown ineffective in studies of copper metabolic-connective tissue disorders such as OHS.[5]

See also


External links

Wikimedia Foundation. 2010.

Нужна курсовая?

Look at other dictionaries:

  • occipital horn syndrome — a mild allelic variant of Menkes disease, characterized by hyperelastic and bruisable skin, hernias, bladder diverticula and dysfunction, hyperextensible joints, varicosities, multiple skeletal abnormalities, and relatively normal intelligence.… …   Medical dictionary

  • syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… …   Medical dictionary

  • Androgen insensitivity syndrome — Classification and external resources AIS results when the function of the androgen receptor (AR) is impaired. The AR protein (pictured) mediates the effects of androgens in the human body. ICD 10 E …   Wikipedia

  • Rett syndrome — Classification and external resources ICD 10 F84.2 ICD 9 330.8 …   Wikipedia

  • Fragile X syndrome — Classification and external resources Location of FMR1 gene ICD 10 Q99.2 …   Wikipedia

  • Oculocerebrorenal syndrome — Classification and external resources ICD 10 E72.0 ICD 9 270.8 …   Wikipedia

  • Hunter syndrome — Classification and external resources ICD 10 E76.1 ICD 9 277.5 …   Wikipedia

  • Conradi–Hünermann syndrome — Conradi Hünermann syndrome Classification and external resources ICD 10 Q77.3 ICD 9 756.59 …   Wikipedia

  • Lesch–Nyhan syndrome — Lesch Nyhan syndrome Classification and external resources ICD 10 E79.1 ICD 9 277.2 …   Wikipedia

  • Coffin–Lowry syndrome — Coffin Lowry syndrome Classification and external resources ICD 9 759.89 OMIM 303600 DiseasesDB …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”