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CLEIDOCRANIAL DYSOSTOSIS WITH PSYCHOSIS

CLEIDOCRANIAL DYSOSTOSIS WITH PSYCHOSIS Abstract THERE was recently admitted to and treated at Duke Hospital a patient with cleidocranial dysostosis and a psychosis. The case was of especial interest because of the concatenation of the rare anatomic anomaly and schizophrenia. Particularly noteworthy in this case was the absence of psychotic manifestations in the patient's father, who possessed essentially the same physical defects to an even greater degree. The rarity of cleidocranial dysostosis, the constancy of the physical manifestations of the syndrome and the autosomal mendelian dominant mode of inheritance of the trait in at least the majority of instances1 make it worth while to redescribe this condition and to report an additional case even if it were not for the unusual psychiatric implications. Cleidocranial dysostosis is a rare syndrome, affecting persons of both sexes and of all ages, and occurs in diverse racial and national groups. In 1760 Meckel2 reported the case of References 1. Lasker, G. W.: The Inheritance of Cleidocranial Dysostosis , Human Biol. , to be published. 2. Meckel: Mém. de Paris , 1760 3. Terry, R. J.: Rudimentary Clavicles and Other Abnormalities of the Skeleton of a White Woman , J. Anat. & Physiol. 33:413-422, 1899. 4. Martin: Sur un déplacement naturel de la clavicule , J. de méd., chir., pharm. 23:456-460, 1765. 5. Marie, P., and Sainton, P.: Observation d'hydrocéphalie héréditaire (père et fils) par vice de dévelopment du crâne et du cerveau , Bull. et mém. Soc. méd. d. hôp. de Paris 14:706-712, 1897. 6. Marie, P., and Sainton, P.: La dysostose cléido-crânienne héréditaire (hydrocéphalie héréditaire) , Bull. et mém. Soc. méd. d. hôp. de Paris 15:436-437, 1898. 7. Hultkrantz, J. W.: Ueber Dysostosis cleido-cranialis: kongenitale kombinierte Schädel- und Schlüsselbeinanomalien , Ztschr. f. Morphol. u. Anthropol. 11:385-528, 1908. 8. Eldridge, W. W.; Simon, A., and Ramos, R.: Cleidocranial Dysostosis: A Case Report , Am. J. Roentgenol. 34:41-49, 1935. 9. Carrière, G.; Huriez, C., and Décamps, G.: La dysostose cléidocrânienne (maladie de Pierre Marie et Sainton) , Gaz. d. hôp. 110:701-707, 733-741 and 765, 1937. 10. Fitchet, S. M.: Cleidocranial Dysostosis: Hereditary and Familial , J. Bone & Joint Surg. 11:838-866, 1929. 11. Engel, E.: Dysostosis Cleidocranialis , Helvet. med. acta 4:158-174, 1937. 12. A complete bibliography will be found in conjunction with Lasker's article.1 13. Dr. Angus McBryde has permitted us to examine the records, photographs and roentgenograms in a case of cleidocranial dysostosis in a 12 year old white boy, who had typical cranial and clavicular anomalies and pronounced pelvic changes, including a very wide pubic symphysis. This boy was of normal intelligence and the only child of normal parents. 14. Rhinehart, B. A.: Cleidocranial Dysostosis (Mutational Dysostosis) with a Case Report , Radiology 26:741-748, 1936. 15. Russo-Frattasi, G.: Rara anomalia dell'orecchio medio in disostosi cleido-cranica , Oto-rino-laring. ital. 4:484-502, 1934. 16. Stahl, F. C.: Neue Beiträge zur Physiognomik und pathologischen Anatomie der Idiotia endemica (genannt Cretinismus) , Erlangen, Ferdinand Enke, 1848, pp. 53-57. 17. Miles, P. W.: Cleidocranial Dysostosis: Survey of Six New Cases and One Hundred and Twenty-Six from the Liturature , J. Kansas M. Soc. 41:462-468, 1940. 18. Still: A Case of Cleidocranial Dysostosis , Tr. M. Soc. London 31:350-352, 1908. 19. Jansen, M.: Feebleness of Growth and Congenital Dwarfism, with Special Reference to Dysostosis Cleido-Cranialis , London, Oxford University Press, 1921. 20. Morand: Observations anatomiques , Hist. Acad. roy. d. sc. 4:476, 1776 21. Fitchet.9 22. van Neck, M.: Autopsie d'un cas de dysostose cléido-crânienne , Rev. d' orthop. 21:323-332, 1934. 23. Scheuthauer, G.: Combination rudimentärer Schlüsselbeine mit Anomalien des Schädels beim erwachsenen Menschen , Allg. Wien. med. Ztg. 16:293-295, 1871. 24. Roussy, G., and Ameuille: Présentation de pièces provenant de l'autopsie d'un cas de dysostose cléido-crânienne héréditaire , Rev. neurol. 17:815-816, 1909. 25. Voisin, R.; de Lépinay, M., and Infroit: Étude clinique et radiographique d'un cas de dysostose cléido-crânienne , Nouv. iconog. de la Salpêtrière 20:227-237, 1907. 26. Léri, A., and Trètiakoff: Autopsie d'une dysostose cléido-crânienne; grosses lésions inflammatoires et hémorragiques méningo-encéphaliques , Bull. et mém. Soc. méd. d. hôp. de Paris 47:1091-1099, 1923. 27. Stewart, R. M.: The Nervous System in Cleidocranial Dysostosis: Report of a Case , J. Neurol. & Psychopath. 9:217-221, 1929. 28. McCurdy, I. J., and Baer, R. W.: Hereditary Cleidocranial Dysostosis , J. A. M. A. 81:9-11 ( (July 7) ) 1923.Crossref 29. Heinecke, P.: Ueber kongenitale Schlüsselbeindefekte , Ztschr. f. orthop. Chir. 21:553-571, 1908. 30. Kahler, O. H.: Beitrag zur Erbpathologie der Dysostosis cleidocranialis , Ztschr. f. menschl. Vererb.- u. Konstitutionslehre 23:216-234, 1939. 31. Spota, B. B., and Gonzales, E.: Disostosis cleidocraneana hereditaria y familiar; enfermedad de P. Marie-Sainton , Rev. Asoc. méd. argent. 57:930-933, 1943. 32. Lopez Rodriguez, C.: Contribución al estudio de la disostosis cleidocraneana (con un caso personal) , Actual. méd., Granada 20:110-120, 1944. 33. Molteni, M.: Contributo allo studio ed alla casistica della diostosi, cleido-cranica , Arch. di chir. inf. 1:345-364, 1934. 34. Crouzon and Bouttier: Sur une forme particulière de la dysostose cléido-crânienne de Pierre Marie et Sainton (forme cléido-crânio-pelvienne) , Bull. et mém. Soc. méd. d. hôp. de Paris 45:972-982 and 1099-1100, 1921. 35. Massee, J. C.: Hereditary Cleidocranial Dysostosis: Report of Two Cases , J. M. A. Georgia 24:423-425, 1935. 36. Klinke, K., and Pahlke, H.: Dysostosis cleidocranialis: Bericht über zwei Fälle , Arch. f. Kinderh. 91:46-54, 1930. 37. Muldavin, L. F.: Craniocleidodysostosis in a Boy of Seven , Brit. M. J. 2:13, 1937.Crossref 38. Steel, J. P., and Whitaker, P. H.: Case of Cleidocranial Dysostosis , Brit. J. Radiol. 10:613-618, 1937.Crossref 39. Dowse, T. S.: Congenital Deformity of Clavicles , Tr. Path. Soc. London 26:166-168, 1875. 40. Lechelle, P.; Thévenard, A., and Mignot, H.: Dysostose cléido-crânienne avec malformations vertébrales multiples et troubles nerveux: caractère familial des malformations , Bull. et mém. Soc. méd. d. hôp. de Paris 52:1526-1530, 1936. 41. Lyons, C. G., and Sawyer, J. G.: Cleidocranial Dysostosis , Am. J. Roentgenol. 51:215-219, 1944. 42. Abram, J. H.: Cleido-Cranial Dysostosis , Lancet 2:429-431, 1907.Crossref 43. Barber, W. W., and Buchanan, L. D.: Congenital Absence of Both Clavicles and Malformation of Cranium (Cleidocranial Dysostosis) , Colorado Med. 29:196-201, 1932. 44. Villaret, M., and Francoz, L.: Une famille de quatre sujets atteints de dysostose cléido-crânienne héréditaire , Nouv. iconog. de la Salpêtrière 18:302-343, 1905. 45. Thoma, K. H., and Kalil, F. H.: Clinic of Dental Department of Massachusetts General Hospital and Department of Oral Surgery, Harvard School of Dental Medicine , Am. J. Orthodontics (Oral Surg. Sect.) 29:513-588, 1943.Crossref 46. Boland, M.: A Case of Rudimentary Clavicles , J. A. M. A. 58:1442 ( (May 11) ) 1912.Crossref 47. Hamilton, W. F.: A Case of Congenital Deficiency of Both Clavicles , Philadelphia M. J. 4:720-721, 1899. 48. Marchante, R. F., and Ruiz Cestero, G.: Congenital Cleido-Cranial Dysostosis: Report of Case , Bol. Asoc. méd. de Puerto Rico 36:103-108, 1944. 49. Krabbe, K. H.: Dysostosis Cleidocranialis with Metabolic Disturbances , J. Nerv. & Ment. Dis. 61:18-30, 1925. 50. Cavanagh, J. R.: Cleidocranial Dysostosis: Report of Case , M. Ann. District of Columbia 3:11-13, 1934. 51. Laverty, S. J.: Cleidocranial Dysostosis (Anosteoplasia) , in Annual Report of the Metropolitan Asylum Board, London, 1924-1925, vol. 27, pp. 261-262. 52. Frets, G. P.: Two Cases of Hereditary Dysostosis Cleidocranialis , Genetica 12:513-530, 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

CLEIDOCRANIAL DYSOSTOSIS WITH PSYCHOSIS

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American Medical Association
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Copyright © 1946 American Medical Association. All Rights Reserved.
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0096-6754
DOI
10.1001/archneurpsyc.1946.02300210045003
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Abstract

Abstract THERE was recently admitted to and treated at Duke Hospital a patient with cleidocranial dysostosis and a psychosis. The case was of especial interest because of the concatenation of the rare anatomic anomaly and schizophrenia. Particularly noteworthy in this case was the absence of psychotic manifestations in the patient's father, who possessed essentially the same physical defects to an even greater degree. The rarity of cleidocranial dysostosis, the constancy of the physical manifestations of the syndrome and the autosomal mendelian dominant mode of inheritance of the trait in at least the majority of instances1 make it worth while to redescribe this condition and to report an additional case even if it were not for the unusual psychiatric implications. Cleidocranial dysostosis is a rare syndrome, affecting persons of both sexes and of all ages, and occurs in diverse racial and national groups. In 1760 Meckel2 reported the case of References 1. Lasker, G. W.: The Inheritance of Cleidocranial Dysostosis , Human Biol. , to be published. 2. Meckel: Mém. de Paris , 1760 3. Terry, R. J.: Rudimentary Clavicles and Other Abnormalities of the Skeleton of a White Woman , J. Anat. & Physiol. 33:413-422, 1899. 4. Martin: Sur un déplacement naturel de la clavicule , J. de méd., chir., pharm. 23:456-460, 1765. 5. Marie, P., and Sainton, P.: Observation d'hydrocéphalie héréditaire (père et fils) par vice de dévelopment du crâne et du cerveau , Bull. et mém. Soc. méd. d. hôp. de Paris 14:706-712, 1897. 6. Marie, P., and Sainton, P.: La dysostose cléido-crânienne héréditaire (hydrocéphalie héréditaire) , Bull. et mém. Soc. méd. d. hôp. de Paris 15:436-437, 1898. 7. Hultkrantz, J. W.: Ueber Dysostosis cleido-cranialis: kongenitale kombinierte Schädel- und Schlüsselbeinanomalien , Ztschr. f. Morphol. u. Anthropol. 11:385-528, 1908. 8. Eldridge, W. W.; Simon, A., and Ramos, R.: Cleidocranial Dysostosis: A Case Report , Am. J. Roentgenol. 34:41-49, 1935. 9. Carrière, G.; Huriez, C., and Décamps, G.: La dysostose cléidocrânienne (maladie de Pierre Marie et Sainton) , Gaz. d. hôp. 110:701-707, 733-741 and 765, 1937. 10. Fitchet, S. M.: Cleidocranial Dysostosis: Hereditary and Familial , J. Bone & Joint Surg. 11:838-866, 1929. 11. Engel, E.: Dysostosis Cleidocranialis , Helvet. med. acta 4:158-174, 1937. 12. A complete bibliography will be found in conjunction with Lasker's article.1 13. Dr. Angus McBryde has permitted us to examine the records, photographs and roentgenograms in a case of cleidocranial dysostosis in a 12 year old white boy, who had typical cranial and clavicular anomalies and pronounced pelvic changes, including a very wide pubic symphysis. This boy was of normal intelligence and the only child of normal parents. 14. Rhinehart, B. A.: Cleidocranial Dysostosis (Mutational Dysostosis) with a Case Report , Radiology 26:741-748, 1936. 15. Russo-Frattasi, G.: Rara anomalia dell'orecchio medio in disostosi cleido-cranica , Oto-rino-laring. ital. 4:484-502, 1934. 16. Stahl, F. C.: Neue Beiträge zur Physiognomik und pathologischen Anatomie der Idiotia endemica (genannt Cretinismus) , Erlangen, Ferdinand Enke, 1848, pp. 53-57. 17. Miles, P. W.: Cleidocranial Dysostosis: Survey of Six New Cases and One Hundred and Twenty-Six from the Liturature , J. Kansas M. Soc. 41:462-468, 1940. 18. Still: A Case of Cleidocranial Dysostosis , Tr. M. Soc. London 31:350-352, 1908. 19. Jansen, M.: Feebleness of Growth and Congenital Dwarfism, with Special Reference to Dysostosis Cleido-Cranialis , London, Oxford University Press, 1921. 20. Morand: Observations anatomiques , Hist. Acad. roy. d. sc. 4:476, 1776 21. Fitchet.9 22. van Neck, M.: Autopsie d'un cas de dysostose cléido-crânienne , Rev. d' orthop. 21:323-332, 1934. 23. Scheuthauer, G.: Combination rudimentärer Schlüsselbeine mit Anomalien des Schädels beim erwachsenen Menschen , Allg. Wien. med. Ztg. 16:293-295, 1871. 24. Roussy, G., and Ameuille: Présentation de pièces provenant de l'autopsie d'un cas de dysostose cléido-crânienne héréditaire , Rev. neurol. 17:815-816, 1909. 25. Voisin, R.; de Lépinay, M., and Infroit: Étude clinique et radiographique d'un cas de dysostose cléido-crânienne , Nouv. iconog. de la Salpêtrière 20:227-237, 1907. 26. Léri, A., and Trètiakoff: Autopsie d'une dysostose cléido-crânienne; grosses lésions inflammatoires et hémorragiques méningo-encéphaliques , Bull. et mém. Soc. méd. d. hôp. de Paris 47:1091-1099, 1923. 27. Stewart, R. M.: The Nervous System in Cleidocranial Dysostosis: Report of a Case , J. Neurol. & Psychopath. 9:217-221, 1929. 28. McCurdy, I. J., and Baer, R. W.: Hereditary Cleidocranial Dysostosis , J. A. M. A. 81:9-11 ( (July 7) ) 1923.Crossref 29. Heinecke, P.: Ueber kongenitale Schlüsselbeindefekte , Ztschr. f. orthop. Chir. 21:553-571, 1908. 30. Kahler, O. H.: Beitrag zur Erbpathologie der Dysostosis cleidocranialis , Ztschr. f. menschl. Vererb.- u. Konstitutionslehre 23:216-234, 1939. 31. Spota, B. B., and Gonzales, E.: Disostosis cleidocraneana hereditaria y familiar; enfermedad de P. Marie-Sainton , Rev. Asoc. méd. argent. 57:930-933, 1943. 32. Lopez Rodriguez, C.: Contribución al estudio de la disostosis cleidocraneana (con un caso personal) , Actual. méd., Granada 20:110-120, 1944. 33. Molteni, M.: Contributo allo studio ed alla casistica della diostosi, cleido-cranica , Arch. di chir. inf. 1:345-364, 1934. 34. Crouzon and Bouttier: Sur une forme particulière de la dysostose cléido-crânienne de Pierre Marie et Sainton (forme cléido-crânio-pelvienne) , Bull. et mém. Soc. méd. d. hôp. de Paris 45:972-982 and 1099-1100, 1921. 35. Massee, J. C.: Hereditary Cleidocranial Dysostosis: Report of Two Cases , J. M. A. Georgia 24:423-425, 1935. 36. Klinke, K., and Pahlke, H.: Dysostosis cleidocranialis: Bericht über zwei Fälle , Arch. f. Kinderh. 91:46-54, 1930. 37. Muldavin, L. F.: Craniocleidodysostosis in a Boy of Seven , Brit. M. J. 2:13, 1937.Crossref 38. Steel, J. P., and Whitaker, P. H.: Case of Cleidocranial Dysostosis , Brit. J. Radiol. 10:613-618, 1937.Crossref 39. Dowse, T. S.: Congenital Deformity of Clavicles , Tr. Path. Soc. London 26:166-168, 1875. 40. Lechelle, P.; Thévenard, A., and Mignot, H.: Dysostose cléido-crânienne avec malformations vertébrales multiples et troubles nerveux: caractère familial des malformations , Bull. et mém. Soc. méd. d. hôp. de Paris 52:1526-1530, 1936. 41. Lyons, C. G., and Sawyer, J. G.: Cleidocranial Dysostosis , Am. J. Roentgenol. 51:215-219, 1944. 42. Abram, J. H.: Cleido-Cranial Dysostosis , Lancet 2:429-431, 1907.Crossref 43. Barber, W. W., and Buchanan, L. D.: Congenital Absence of Both Clavicles and Malformation of Cranium (Cleidocranial Dysostosis) , Colorado Med. 29:196-201, 1932. 44. Villaret, M., and Francoz, L.: Une famille de quatre sujets atteints de dysostose cléido-crânienne héréditaire , Nouv. iconog. de la Salpêtrière 18:302-343, 1905. 45. Thoma, K. H., and Kalil, F. H.: Clinic of Dental Department of Massachusetts General Hospital and Department of Oral Surgery, Harvard School of Dental Medicine , Am. J. Orthodontics (Oral Surg. Sect.) 29:513-588, 1943.Crossref 46. Boland, M.: A Case of Rudimentary Clavicles , J. A. M. A. 58:1442 ( (May 11) ) 1912.Crossref 47. Hamilton, W. F.: A Case of Congenital Deficiency of Both Clavicles , Philadelphia M. J. 4:720-721, 1899. 48. Marchante, R. F., and Ruiz Cestero, G.: Congenital Cleido-Cranial Dysostosis: Report of Case , Bol. Asoc. méd. de Puerto Rico 36:103-108, 1944. 49. Krabbe, K. H.: Dysostosis Cleidocranialis with Metabolic Disturbances , J. Nerv. & Ment. Dis. 61:18-30, 1925. 50. Cavanagh, J. R.: Cleidocranial Dysostosis: Report of Case , M. Ann. District of Columbia 3:11-13, 1934. 51. Laverty, S. J.: Cleidocranial Dysostosis (Anosteoplasia) , in Annual Report of the Metropolitan Asylum Board, London, 1924-1925, vol. 27, pp. 261-262. 52. Frets, G. P.: Two Cases of Hereditary Dysostosis Cleidocranialis , Genetica 12:513-530, 1930.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1946

References