Miller-Dieker syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: MILLER-DIEKER SYNDROME CHROMOSOME REGION, INCLUDED
MDCR, INCLUDED
MDLS
Monosomy 17p13.3
Lissencephaly due to 17p13.3 deletion
Telomeric deletion 17p
MDS CHROMOSOME 17p13.3 DELETION SYNDROME, INCLUDED
Number of Symptoms 73
OrphanetNr: 531
OMIM Id: 247200
ICD-10: Q04.3
UMLs: C0265219
MeSH: D054221
MedDRA: 10068361
Snomed: 253148005

Prevalence, inheritance and age of onset:

Prevalence: 1 of 100 000 [Orphanet]
Inheritance: Autosomal dominant
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Chromosomal anomaly with epilepsy as a major feature
 -Rare neurologic disease
Classic lissencephaly
 -Rare developmental defect during embryogenesis
 -Rare genetic disease
 -Rare neurologic disease
Partial monosomy of the short arm of chromosome 17
 -Rare developmental defect during embryogenesis
 -Rare genetic disease

Symptom Information: Sort by abundance 

1
(HPO:0000028) Cryptorchidism 347 / 7739
2
(HPO:0000800) Cystic renal dysplasia 31 / 7739
3
(HPO:0000125) Pelvic kidney 10 / 7739
4
(HPO:0000113) Polycystic kidney dysplasia 75 / 7739
5
(HPO:0000112) Nephropathy Occasional [Orphanet] 92 / 7739
6
(HPO:0000286) Epicanthus Very frequent [Orphanet] 8/22 [HPO] 1671808 IBIS 371 / 7739
7
(HPO:0000215) Thick upper lip vermilion 25/25 [HPO] 1671808 IBIS 17 / 7739
8
(HPO:0000153) Abnormality of the mouth Very frequent [Orphanet] 60 / 7739
9
(HPO:0000463) Anteverted nares Very frequent [Orphanet] 305 / 7739
10
(HPO:0000347) Micrognathia 26/27 [HPO] 1671808 IBIS 426 / 7739
11
(HPO:0002007) Frontal bossing hallmark [HPO] 12621583 IBIS 366 / 7739
12
(HPO:0003196) Short nose Very frequent [Orphanet] 26/26 [HPO] 1671808 IBIS 264 / 7739
13
(HPO:0000684) Delayed eruption of teeth 117 / 7739
14
(HPO:0000252) Microcephaly 17/25 [HPO] 1671808 IBIS 832 / 7739
15
(HPO:0000431) Wide nasal bridge 24/25 [HPO] 1671808 IBIS 290 / 7739
16
(HPO:0000582) Upslanted palpebral fissure 185 / 7739
17
(HPO:0000219) Thin upper lip vermilion 112 / 7739
18
(HPO:0000348) High forehead Very frequent [Orphanet] 157 / 7739
19
(HPO:0000175) Cleft palate 349 / 7739
20
(HPO:0000518) Cataract 454 / 7739
21
(HPO:0000358) Posteriorly rotated ears hallmark [HPO] 12621583 IBIS 163 / 7739
22
(HPO:0000369) Low-set ears 14/27 [HPO] 1671808 IBIS 372 / 7739
23
(HPO:0001250) Seizures Very frequent [Orphanet] 1245 / 7739
24
(HPO:0007020) Progressive spastic paraplegia 5 / 7739
25
(HPO:0001249) Intellectual disability obligate [HPO] 1089 / 7739
26
(HPO:0002066) Gait ataxia Occasional [Orphanet] 327 / 7739
27
(HPO:0002353) EEG abnormality Very frequent [Orphanet] 188 / 7739
28
(HPO:0001270) Motor delay obligate [HPO] 322 / 7739
29
(HPO:0012469) Infantile spasms 18 / 7739
30
(HPO:0012385) Camptodactyly 113 / 7739
31
(HPO:0007045) Midline brain calcifications 13/24 [HPO] 1671808 IBIS 1 / 7739
32
(HPO:0004209) Clinodactyly of the 5th finger Occasional [Orphanet] 10/24 [HPO] 1671808 IBIS 288 / 7739
33
(HPO:0010442) Polydactyly 69 / 7739
34
(HPO:0010769) Pilonidal sinus Occasional [Orphanet] 35 / 7739
35
(HPO:0000954) Single transverse palmar crease 5/24 [HPO] 1671808 IBIS 162 / 7739
36
(HPO:0000960) Sacral dimple 14/19 [HPO] 29 / 7739
37
(HPO:0006191) Deep palmar crease 14/21 [HPO] 1671808 IBIS 16 / 7739
38
(HPO:0009473) Joint contracture of the hand 6/27 [HPO] 1671808 IBIS 84 / 7739
39
(HPO:0001558) Decreased fetal movement 74 / 7739
40
(HPO:0001561) Polyhydramnios Frequent [Orphanet] 6/20 [HPO] 1671808 IBIS 191 / 7739
41
(HPO:0001539) Omphalocele Occasional [Orphanet] 102 / 7739
42
(HPO:0000023) Inguinal hernia 181 / 7739
43
(HPO:0002247) Duodenal atresia 13 / 7739
44
(HPO:0004325) Decreased body weight Very frequent [Orphanet] 492 / 7739
45
(HPO:0001508) Failure to thrive 454 / 7739
46
(HPO:0001511) Intrauterine growth retardation 8/22 [HPO] 1671808 IBIS 358 / 7739
47
(HPO:0030680) Abnormality of cardiovascular system morphology 355 / 7739
48
(HPO:0001626) Abnormality of the cardiovascular system Frequent [Orphanet] 73 / 7739
49
(HPO:0001939) Abnormality of metabolism/homeostasis 328 / 7739
50
(HPO:0011951) Aspiration pneumonia 6 / 7739
51
(HPO:0002100) Recurrent aspiration pneumonia 6 / 7739
52
(HPO:0008947) Infantile muscular hypotonia 482 / 7739
53
(HPO:0002079) Hypoplasia of the corpus callosum 17/23 [HPO] 1671808 IBIS 161 / 7739
54
(HPO:0002389) Cavum septum pellucidum 17/22 [HPO] 1671808 IBIS 13 / 7739
55
(MedDRA:10058668) Clinodactyly 91 / 7739
56
(OMIM) Cytogenetic deletion of chromosome 17p13.3 1 / 7739
57
(MedDRA:10073345) Decorticate posture 1 / 7739
58
(HPO:0002120) Cerebral cortical atrophy Very frequent [Orphanet] 187 / 7739
59
(OMIM) Upturned nares 4 / 7739
60
(HPO:0001466) Contiguous gene syndrome 8 / 7739
61
(OMIM) Fluorescence in situ hybridization specific probe for MDS critical region 1 / 7739
62
(OMIM) Hypertonia late 3 / 7739
63
(OMIM) Failure of opercularization of the frontal and temporal lobes on CT 1 / 7739
64
(HPO:0002282) Heterotopia 21 / 7739
65
(HPO:0007370) Aplasia/Hypoplasia of the corpus callosum Occasional [Orphanet] 180 / 7739
66
(HPO:0030680) Abnormality of cardiovascular system morphology 6/27 [HPO] 355 / 7739
67
(HPO:0000006) Autosomal dominant inheritance 2518 / 7739
68
(HPO:0001339) Lissencephaly 27/27 [HPO] 1671808 IBIS 30 / 7739
69
(MedDRA:10073346) Decerebrate posture 2 / 7739
70
(HPO:0001302) Pachygyria 60 / 7739
71
(HPO:0002536) Abnormal cortical gyration Very frequent [Orphanet] 72 / 7739
72
(OMIM) Furrowing of forehead 1 / 7739
73
(OMIM) Bitemporal hollowing 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Features of the Miller-Dieker syndrome include classic lissencephaly (pachygyria, incomplete or absent gyration of the cerebrum), microcephaly, wrinkled skin over the glabella and frontal suture, prominent occiput, narrow forehead, downward slanting palpebral fissures, small nose and chin, cardiac ...
Diagnosis OMIM For rapid diagnosis, Batanian et al. (1990) used PCR in connection with probe YNZ22 (D17S5), a highly polymorphic, variable number tandem repeat (VNTR) marker previously shown to be deleted in all patients with MDS, but not in patients ...
Clinical Description OMIM Miller (1963) described this condition in a brother and sister who were the fifth and sixth children of unrelated parents. The features were microcephaly, small mandible, bizarre facies, failure to thrive, retarded motor development, dysphagia, decorticate and decerebrate ...
Molecular genetics OMIM Ledbetter et al. (1988) described 2 variable number tandem repeat (VNTR) probes that revealed a 15-kb region containing HTF islands that are likely to be markers of expressed sequences. Use of these probes showed homology to chromosome 11 ...