Malan syndrome

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Clinical Features

  • tall stature
  • stereotypical craniofacial features, such as tall forehead, long or triangular face, deeply set eyes, down-slanting eyes, low set ears, small mouth that is often held open, thin upper lip, dental crowding
  • intellectual disability- ranging from mild to severe
  • macrocephaly (large head circumference)
  • hypotonia (low muscle tone)
  • vision impairment- strabismus, optic nerve atrophy, optic nerve hypoplasia, limited fields of vision, cortical visual impairment (CVI), lack of depth perception
  • hearing impairment
  • speech delay/inability to speak
  • delayed gross and fine motor skills
  • enlarged aorta- the main blood vessel that carries blood from the heart to the rest of the body
  • structural abnormalities in the brain, such as enlarged ventricles and underdeveloped corpus callosum
  • chiari malformation (brain tissue protrudes into spinal canal)
  • seizures or EEG abnormalities
  • skeletal anomalies, such as advanced bone age, scoliosis, sternum malformations
  • joint hypermobility (increase in the range of movement of which a joint is capable)
  • autistic-like traits
  • behavioral challenges- anxiety and mood swings