2002
DOI: 10.1007/s00431-002-0936-6
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Brainstem dysfunction: a possible neuroembryological pathogenesis of isolated Pierre Robin sequence

Abstract: infants with Pierre Robin sequence have early and severe anomalies of orodigestive and cardiorespiratory function which do not appear to be related solely to anatomical features and which require proper medical management. We suggest a prenatal and neonatal brainstem dysfunction as a neuroembryological hypothesis to explain the onset of some cases of Pierre Robin sequence.

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Cited by 76 publications
(49 citation statements)
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“…[25][26][27][28] According to this theory, oral motility required for mandibular growth is disrupted in the early fetal period, and mandibular hypoplasia is a secondary consequence of these neuronal or neuromuscular deficits. 29 This model is supported by experimental findings of cleft palate and mandibular hypoplasia in an induced model of oropharyngeal muscular degeneration. 30 While non-genetic aetiologies for RS have been proposed, 31 32 there are a number of reported cases describing chromosomal abnormalities associated with the non-syndromic or isolated RS [33][34][35][36][37] implicating an underlying genetic component (table 1).…”
mentioning
confidence: 65%
“…[25][26][27][28] According to this theory, oral motility required for mandibular growth is disrupted in the early fetal period, and mandibular hypoplasia is a secondary consequence of these neuronal or neuromuscular deficits. 29 This model is supported by experimental findings of cleft palate and mandibular hypoplasia in an induced model of oropharyngeal muscular degeneration. 30 While non-genetic aetiologies for RS have been proposed, 31 32 there are a number of reported cases describing chromosomal abnormalities associated with the non-syndromic or isolated RS [33][34][35][36][37] implicating an underlying genetic component (table 1).…”
mentioning
confidence: 65%
“…In cases of Pierre-Robin syndrome, patients exhibit feeding and respiratory problems, possibly due to defects in CMN development (Abadie et al, 2002). The Moebius syndrome and some forms of autism are associated with the loss of brainstem motor nuclei (Rodier et al, 1996;Bonanni and Guerrini, 1999).…”
Section: Diseases Manifesting Cranial Motor Neuron Dysfunctionmentioning
confidence: 99%
“…The selective hypoplasia of the temporalis bilaterally can be related to the neuro-embryological hypothesis as poor differentiation of cephalic myogenic mesodermal which are responsive for the future formation of muscles of mastication [8]. Transient dysfunction of the brainstem region from 18th to 24th week of intrauterine life leading to failure of rhythmic fetal reflex of suckling, swallowing and fetal mandibular movements which coincides with the mother's medical history of polyhydramnios [9]. Puche et al [1] documented a case report where the mother diagnosed with polyhydramnios associated with intrauterine growth retardation of the fetus and abnormal deglutition and fetal mandibular movements.…”
Section: Discussionmentioning
confidence: 99%