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Research ArticlePediatrics

Re-Examining the Cochlea in Branchio-Oto-Renal Syndrome: Genotype-Phenotype Correlation

J. Pao, F. D’Arco, E. Clement, S. Picariello, G. Moonis, C.D. Robson and A.F. Juliano
American Journal of Neuroradiology February 2022, 43 (2) 309-314; DOI: https://doi.org/10.3174/ajnr.A7396
J. Pao
aFrom the Department of Radiology (J.P.), Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
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F. D’Arco
bDepartment of Radiology (F.D.)
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E. Clement
cDepartment of Clinical Genetics (E.C.), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
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S. Picariello
dDepartment of Women, Child and General and Specialized Surgery (S.P.), University of Campania “Luigi Vanvitelli,” Naples, Italy
eDepartment of Paediatric Oncology (S.P.), Neuro-Oncology Unit, Santobono-Pausilipon Children’s Hospital, Naples, Italy
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G. Moonis
fDepartment of Radiology (G.M.), Columbia University Irving Medical Center, New York, New York
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C.D. Robson
gDepartment of Radiology (C.D.R.), Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts
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A.F. Juliano
hDepartment of Radiology (A.F.J.), Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts
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  • FIG 1.
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    FIG 1.

    Temporal bone imaging appearance in a patient with EYA1-BOR. A, Axial CT image in bone algorithm shows an offset cochlea; the middle turn (arrow) is aligned more anteromedially than usual relative to the basal turn (arrowhead). The cochlea is, overall, small with a hypoplastic apical turn. B, Axial CT image in bone algorithm at a more superior level shows a medialized and widened labyrinthine facial nerve canal (arrow). The PSCC is anomalous, appearing as a blind-ending tubular structure (arrowhead).

  • FIG 2.
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    FIG 2.

    Temporal bone imaging appearance in a patient with SIX1-BOR. A, Axial CT image in bone algorithm shows absence of the cochlear offset; the middle turn (long arrow) is normally aligned relative to the basal turn (arrowhead) without anteromedial displacement. The thorny apical turn can also be appreciated (short arrow). B, Axial CT image in bone algorithm at a more superior level shows a normal course of the labyrinthine facial nerve canal (arrow) without medialization or widening.

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    FIG 3.

    Thorny apical turn of the SIX1-BOR cochlea. Axial heavily T2-weighted MR image (A) and 3D reconstruction of the cochlea (B) show a short, thin, protuberant projection forming the apical turn, imparting upon it a thorny morphology (arrows in A and B). Contrast it with the normal apical turn morphology in a patient with normal hearing and no history of BOR or sensorineural hearing loss (C and D), which is longer with a smooth flat appearance and rounded end (arrows in C and D).

Tables

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  • Diagnostic criteria for BOR syndrome (Chang et al9)a

    Major CriteriaMinor Criteria
    Branchial anomaliesExternal ear anomalies
    DeafnessMiddle ear anomalies
    Preauricular pitsInner ear anomalies
    Renal anomaliesPreauricular tags
    Other: facial asymmetry, palate abnormalities
    • ↵a To meet the criteria for BOR, an individual must meet 3 major criteria, 2 major and at least 2 minor criteria, or 1 major criterion with an affected first-degree relative who meets criteria for BOR.

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American Journal of Neuroradiology: 43 (2)
American Journal of Neuroradiology
Vol. 43, Issue 2
1 Feb 2022
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Cite this article
J. Pao, F. D’Arco, E. Clement, S. Picariello, G. Moonis, C.D. Robson, A.F. Juliano
Re-Examining the Cochlea in Branchio-Oto-Renal Syndrome: Genotype-Phenotype Correlation
American Journal of Neuroradiology Feb 2022, 43 (2) 309-314; DOI: 10.3174/ajnr.A7396

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Re-Examining the Cochlea in Branchio-Oto-Renal Syndrome: Genotype-Phenotype Correlation
J. Pao, F. D’Arco, E. Clement, S. Picariello, G. Moonis, C.D. Robson, A.F. Juliano
American Journal of Neuroradiology Feb 2022, 43 (2) 309-314; DOI: 10.3174/ajnr.A7396
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  • Subtle Malformation of the Cochlear Apex and Genetic Abnormalities: Beyond the "Thorny" Cochlea
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This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

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  • Subtle Malformation of the Cochlear Apex and Genetic Abnormalities: Beyond the “Thorny” Cochlea
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    American Journal of Neuroradiology 2023 44 1
  • The Cochlea in Branchio-Oto-Renal Syndrome: An Objective Method for the Diagnosis of Offset Cochlear Turns
    A.F. Juliano, F. D’Arco, J. Pao, S. Picariello, E. Clement, G. Moonis, C.D. Robson
    American Journal of Neuroradiology 2022 43 11

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