Fetal akinesia deformation sequence

The fetal akinesia/hypokinesia sequence (or Pena-Shokeir syndrome type I) is characterized by multiple joint contractures, facial anomalies and pulmonary hypoplasia. Whatever the cause, the common feature of this sequence is decreased foetal activity.



Input patient's signs and symptoms


Narrow down the case reports



Total: 25 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(57.8%)
25045026
Fetal akinesia deformation sequence: expanding the phenotypic spectrum.
Nayak SS, Kadavigere R, Mathew M, Kumar P, Hall JG, Girisha KM.
Am J Med Genet A. 2014;164A(10):2643-8.
Micrognathia
MSMB
Arthrogryposis Cerebellar Diseases Cleft Palate Females Fetus Homo sapiens Phenotype
1
(57.8%)
11810649
Heterogeneity in fetal akinesia deformation sequence (FADS): autopsy confirmation in three 20-21-week fetuses.
Yfantis H, Nonaka D, Castellani R, Harman C, Sun CC.
Prenat Diagn. 2002;22(1):42-7.
Micrognathia
Adult Amniocentesis Contracture Craniofacial Abnormalities Females Fetal Growth Retardation Gestational Age Homo sapiens Limb Deformities, Congenital Lung Male Polyhydramnios Pregnancy Spinal Cord Ultrasonography, Prenatal
3
(37.8%)
16231307
Early ultrasonographic changes in Fowler syndrome features and review of the literature.
Usta IM, AbuMusa AA, Khoury NG, Nassar AH.
Prenat Diagn. 2005;25(11):1019-23.
Facial edema Pterygium
Abortion, Eugenic Arthrogryposis Females Fetal Diseases Homo sapiens Hydranencephaly Limb Deformities, Congenital Pregnancy Pregnancy Outcome Syndrome Ultrasonography, Prenatal
4
(36.8%)
30719842
Isolated vocal cord paralysis in two siblings with compound heterozygous variants in MUSK: Expanding the phenotypic spectrum.
Murali C, Li D, Grand K, Hakonarson H, Bhoj E.
Am J Med Genet A. 2019;179(4):655-658.
Late-onset proximal muscle weakness Ankyloglossia
MUSK
Child Cholinergic Receptors Heterozygote Homo sapiens Infant Male Mutation Phenotype Receptor Protein-Tyrosine Kinases Sibling Vocal Cord Paralysis
5
(36.3%)
9354846
Fetal akinesia deformation sequence in a highly developed acardius twin.
Konstantinidou AE, Agapitos EV, Pavlopoulos PM, Davaris PS.
Clin Dysmorphol. 1997;6(4):359-63.
Cystic hygroma Pterygium
Adult Diseases in Twins Females Fetal Death Homo sapiens Pregnancy
6
(24.9%)
11332983
Cystic hygroma colli as the first echographic sign of the fetal akinesia sequence.
Witters I, Moerman PH, Van Assche FA, Fryns JP.
Genet Couns. 2001;12(1):91-4.
Cystic hygroma
Arthrogryposis Edema Fetus Homo sapiens Lymphatic System Lymphocele Male Ultrasonography, Prenatal
7
(23.3%)
3278614
Prenatal sonographic diagnosis of Pena-Shokeir syndrome type I, or fetal akinesia deformation sequence.
Ohlsson A, Fong KW, Rose TH, Moore DC.
Am J Med Genet. 1988;29(1):59-65.
Cryptorchidism Kyphosis
Contracture Females Fetal Movement Homo sapiens Infant, Newborn Lung Male Muscle Tissue Pregnancy Syndrome Thymus Hyperplasia Ultrasonography
8
(22.8%)
15192292
Fetal akinesia deformation sequence presenting with increased nuchal translucency in the first trimester of pregnancy.
Makrydimas G, Sotiriadis A, Papapanagiotou G, Tsopelas A, Lolis D.
Fetal Diagn Ther. 2004;19(4):332-5.
Edema Talipes
Adult Females Fetal Diseases Homo sapiens Pregnancy Pregnancy Trimester, First
9
(21.2%)
16147849
Early fetal akinesia deformation sequence: a case report with unusual autoptic features.
Giordano G, Gnetti L, Froio E, Ricci R.
J Matern Fetal Neonatal Med. 2005;17(5):349-52.
Hypertelorism Multiple pterygia
RAPSN
Adult Craniofacial Abnormalities Differential Diagnosis Females Homo sapiens Limb Deformities, Congenital Pregnancy Pregnancy Trimester, Second Syndrome
9
(21.2%)
14968368
Neonatal spinal muscular atrophy with multiple contractures, bone fractures, respiratory insufficiency and 5q13 deletion.
Garcia-Cabezas MA, Garcia-Alix A, Martin Y, Gutierrez M, Hernandez C, Rodriguez JI, Morales C.
Acta Neuropathol. 2004;107(5):475-8.
Respiratory insufficiency Multiple joint contractures
SMN1 SMN2
Chromosomes, Human, Pair 5 Contracture Cyclic AMP-Responsive DNA-Binding Protein DNA Mutational Analysis Gene Deletion Homo sapiens Infant, Newborn Male Nerve Tissue Proteins Polymerase Chain Reaction RNA-Binding Proteins Respiratory Insufficiency SMN Complex Proteins Spinal Cord Spinal Muscular Atrophies of Childhood Survival of Motor Neuron 1 Protein Survival of Motor Neuron 2 Protein
        

Phenotype(s) retrieved from Orphanet

    Total: 24

HPO ID Term Frequency
HP:0000347 Micrognathia Very frequent (99-80%)
HP:0001262 Excessive daytime somnolence Very frequent (99-80%)
HP:0001511 Intrauterine growth retardation Very frequent (99-80%)
HP:0001989 Fetal akinesia sequence Very frequent (99-80%)
HP:0002089 Pulmonary hypoplasia Very frequent (99-80%)
HP:0002093 Respiratory insufficiency Very frequent (99-80%)
HP:0002304 Akinesia Very frequent (99-80%)
HP:0002375 Hypokinesia Very frequent (99-80%)
HP:0002804 Arthrogryposis multiplex congenita Very frequent (99-80%)
HP:0002828 Multiple joint contractures Very frequent (99-80%)
HP:0010489 Absent palmar crease Very frequent (99-80%)
HP:0100490 Camptodactyly of finger Very frequent (99-80%)
HP:0000028 Cryptorchidism Frequent (79-30%)
HP:0000175 Cleft palate Frequent (79-30%)
HP:0000316 Hypertelorism Frequent (79-30%)
HP:0000358 Posteriorly rotated ears Frequent (79-30%)
HP:0000476 Cystic hygroma Frequent (79-30%)
HP:0001561 Polyhydramnios Frequent (79-30%)
HP:0002650 Scoliosis Frequent (79-30%)
HP:0003700 Generalized amyotrophy Frequent (79-30%)
HP:0005280 Depressed nasal bridge Frequent (79-30%)
HP:0001059 Pterygium Occasional (29-5%)
HP:0001305 Dandy-Walker malformation Occasional (29-5%)
HP:0005245 Intestinal hypoplasia Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 13

HPO ID Term # of case reports
HP:0001511 Intrauterine growth retardation 2
HP:0001561 Polyhydramnios 2
HP:0002089 Pulmonary hypoplasia 2
HP:0002093 Respiratory insufficiency 2
HP:0003198 Myopathy 2
HP:0000476 Cystic hygroma 1
HP:0000969 Edema 1
HP:0001196 Short umbilical cord 1
HP:0001558 Decreased fetal movement 1
HP:0002304 Akinesia 1
HP:0003798 Nemaline bodies 1
HP:0004934 Vascular calcification 1
HP:0006515 Interstitial pneumonitis 1


Causative gene(s) retrieved from Orphanet

    Total: 5

Gene Symbol Gene Name Entrez Gene ID
MYOD1 myogenic differentiation 1 4654
RAPSN receptor associated protein of the synapse 5913
DOK7 docking protein 7 285489
MUSK muscle associated receptor tyrosine kinase 4593
NUP88 nucleoporin 88 4927