Christianson syndrome

Christianson syndrome
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Synonyms
Pronounce
Field
Symptoms
Complications
Onset
Duration
Types
Causes	Mutation in SLC9A6 gene
Risks
Diagnosis
Differential diagnosis
Prevention
Treatment
Medication
Prognosis
Frequency
Deaths

Christianson syndrome is an X linked syndrome associated with intellectual disability, microcephaly, seizures, ataxia and absent speech.

Genetics

This condition is caused by mutations in the SLC9A6 gene. This gene is located on the long arm of the X chromosome (Xq26.3).

The gene encodes a sodium/hydrogen exchanger located in the endosomes. Mutations in this gene cause a rise in the pH of the endosomes.

How this causes the clinical features is not known presently.

The inheritance of this condition is X-linked dominant.

Epidemiology

The prevalence is not known but this is considered to be a rare disease.

Clinical features

Onset of symptoms is normally within the first year of life with truncal ataxia and seizures. The head is small (microcephaly). Common facial abnormalities include

• Long narrow face
• Prominent nose
• Prominent jaw
• Large ears
• Open mouth
• Thick eyebrows

Other common features include

• Uncontrolled drooling
• Abnormal eye movements

The associated intellectual disablity is usually in the profound range.

Those affected often have a happy demeanor with frequent smiling and spontaneous laughter.

Diagnosis

The diagnosis may be suspected on clinical grounds.

It is made by sequencing the SLC9A6 gene.

Differential diagnosis

• Angelman syndrome
• Spinocerebellar ataxia type 29

Management

There is presently no curative treatment. Management is supportive.

History

This condition was first described in 1999.<ref name=Christianson1999>Christianson AL, Stevenson RE, van der Meyden CH, Pelser J, Theron FW, van Rensburg PL, Chandler M, Schwartz CE (1999) X linked severe mental retardation, craniofacial dysmorphology, epilepsy, ophthalmoplegia, and cerebellar atrophy in a large South African kindred is localised to Xq24-q27. J Med Genet 36:759–766</ref> The causative mutation was discovered in 2008.<ref name=Gilfillan2008>Gilfillan GD, Selmer KK, Roxrud I, Smith R, Kyllerman M, Eiklid K, Kroken M, Mattingsdal M, Egeland T, Stenmark H, Sjøholm H, Server A, Samuelsson L, Christianson A, Tarpey P, Whibley A, Stratton MR, Futreal PA, Teague J, Edkins S, Gecz J, Turner G, Raymond FL, Schwartz C, Stevenson RE, Undlien DE, Strømme P (2008) SLC9A6 mutations cause X-linked mental retardation, microcephaly, epilepsy, and ataxia, a phenotype mimicking Angelman syndrome. Am J Hum Genet 82:1003–10</ref>

References

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