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April 28, 2026Pediatric and Developmental Pathology0 citations

Fetal Expression of Pontocerebellar Hypoplasia Linked to Pathogenic COASY Variants

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CGCassandre GarnierCMCharles MégierGDGrégoire Dumery

Key Points

  • The research aims to address the severe fetal phenotype associated with PCH12 and the role of COASY variants.
  • Detailed clinical assessment of cases presenting with PCH12 features.
  • Genetic testing to identify pathogenic variants in the COASY gene.
  • Evaluation of consanguinity effects on recurrence risk within families.
  • Identified a significant correlation between COASY variants and the severity of PCH12 phenotype.
  • Highlighted the necessity of early genetic diagnosis, emphasizing its role in preventing recurrence in consanguineous families.

Abstract

These cases highlight the severe fetal phenotype of PCH12, characterized by cerebellar and brainstem hypoplasia, microcephaly, and neurodegeneration. The recurrence of this lethal condition in a consanguineous family underscores the importance of molecular diagnosis for early detection and genetic counseling. Preimplantation genetic testing for future pregnancies and cascade testing of extended family members are essential in such populations. Our antenatal report emphasizes the need for a multidisciplinary approach to the diagnosis and management of PCH12.

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Cite This Study

Garnier et al. (2026) studied this question.

synapsesocial.com/papers/69f04e5b727298f751e72424https://doi.org/10.1177/10935266261434714
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