Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 23;12(4):e229016.
doi: 10.1136/bcr-2018-229016.

Joubert syndrome with multiple pituitary hormone deficiency

Affiliations
Case Reports

Joubert syndrome with multiple pituitary hormone deficiency

Nese Akcan et al. BMJ Case Rep. .

Abstract

Joubert syndrome (JS) and JS-related disorders are a group of developmental delay, multiple congenital anomalies and complex midbrain-hindbrain malformations. A few cases of JS with multiple pituitary hormone deficiency (MPHD) have been reported in literature. Here, we presented an unusual presentation of JS in a newborn with MPHD. This case is intended to draw attention to the rare association of JS and MDPH by increasing the awareness of this syndrome.

Keywords: neuroendocrinology; neuroimaging; pituitary disorders.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Postaxial polydactyly of right hand and right foot.
Figure 2
Figure 2
Molar tooth sign. Axial Fluid Attenuated Inversion Recovery (FLAIR) MRI of the brain showed elongated superior cerebellar peduncles giving the appearance of MTS to midbrain and superior peduncles with cerebellar vermis hypoplasia. MTS, molar tooth sign.
Figure 3
Figure 3
Sagittal T1-weighted MRI showed pituitary agenesis.

References

    1. Romani M, Micalizzi A, Valente EM. Joubert syndrome: congenital cerebellar ataxia with the molar tooth. Lancet Neurol 2013;12:894–905. 10.1016/S1474-4422(13)70136-4 - DOI - PMC - PubMed
    1. Brancati F, Dallapiccola B, Valente EM. Joubert Syndrome and related disorders. Orphanet J Rare Dis 2010;5:20 10.1186/1750-1172-5-20 - DOI - PMC - PubMed
    1. Rehman I, Bett Z, Husen Y, et al. The ’molar tooth sign' in Joubert syndrome. J Pak Med Assoc 2009;59:851–3. - PubMed
    1. Parisi MA. Clinical and molecular features of Joubert syndrome and related disorders. Am J Med Genet C Semin Med Genet 2009;151C:326–40. 10.1002/ajmg.c.30229 - DOI - PMC - PubMed
    1. Delous M, Baala L, Salomon R, et al. The ciliary gene RPGRIP1L is mutated in cerebello-oculo-renal syndrome (Joubert syndrome type B) and Meckel syndrome. Nat Genet 2007;39:875–81. 10.1038/ng2039 - DOI - PubMed

Publication types

MeSH terms

Supplementary concepts