Apert syndrome is named after the French physician who described the syndrome acrocephalosyndactylia in 1906. Apert syndrome is a rare autosomal dominant disorder characterized by craniosynostosis, craniofacial anomalies, and severe symmetrical syndactyly (cutaneous and bony fusion) of the hands and feet. It probably is the most familiar and best-described type of acrocephalosyndactyly. Prevalence is estimated at 1 in 65,000 (approximately 15.5 in 1,000,000) live births (Cohen and Kreiborg 1992, 1993a). Apert syndrome accounts for 4.5% of all cases of craniosynostosis.
Synonyms and Related Disorders
Acrocephalosyndactyly types 1 and 2; Apert-Crouzon disease; Vogt cephalodactyly
Genetics/Basic Defects
- 1.
Inheritance
- a.
Autosomal dominant
- b.
Sporadic in majority (>98%) of cases, resulting from new mutations with a paternal age effect
- c.
Rarity of familial cases can be explained by reduced genetic fitness of individuals because of severe malformations and the presence of mental...
- a.
References
Allanson, J. E. (1986). Germinal mosaicism in Apert syndrome. Clinical Genetics, 29, 429–433.
Biesecker, L. G. (1998). Lumping and splitting: Molecular biology in the genetics clinic. Clinical Genetics, 54(Suppl 1), 1–5.
Blank, C. E. (1960). Apert’s syndrome (a type of acrocephalosyndactyly): Observations on a British series of thirty-nine cases. Annals of Human Genetics, 24, 151–164.
Buncic, J. R. (1991). Ocular aspects of Apert syndrome. Clinics in Plastic Surgery, 18, 315–319.
Campis, L. B. (1991). Children with Apert syndrome: Developmental and psychologic considerations. Clinics in Plastic Surgery, 18, 409–416.
Chang, C. C., Tsai, F. J., Tsai, H. D., et al. (1998). Prenatal diagnosis of Apert syndrome. Prenatal Diagnosis, 18, 621–625.
Chen, H. (2011). Apert syndrome. eMedicine from WebMD. Retrieved August 11, 2011, from http://emedicine.medscape.com/article/941723-overview.
Cohen, M. M., Jr. (1973). An etiologic and nosologic overview of craniosynostosis syndromes. Birth Defects Original Article Series, XI(2), 137–189.
Cohen, M. M., Jr. (1977). Genetic perspectives on craniosynostosis and syndromes with craniosynostosis. Journal of Neurosurgery, 47, 886–898.
Cohen, M. M., Jr. (Ed.). (1986). Craniosynostosis. Diagnosis, evaluation, and management. New York: Raven.
Cohen, M. M., Jr. (1988). Craniosynostosis update 1987. American Journal of Medical Genetics, 4, 99–148.
Cohen, M. M., Jr. (1995). Craniosynostoses: Phenotypic/molecular correlations. American Journal of Medical Genetics, 56, 334–339.
Cohen, M. M., Jr., & Kreiborg, S. (1990). The central nervous system in the Apert syndrome. American Journal of Medical Genetics, 35, 36–45.
Cohen, M. M., Jr., & Kreiborg, S. (1992). Upper and lower airway compromise in the Apert syndrome. American Journal of Medical Genetics, 44, 90–93.
Cohen, M. M., Jr., & Kreiborg, S. (1993a). An updated pediatric perspective on the Apert syndrome. American Journal of Diseases of Children, 147, 989–993.
Cohen, M. M., Jr., & Kreiborg, S. (1993b). Visceral anomalies in the Apert syndrome. American Journal of Medical Genetics, 45, 758–760.
Cohen, M. M., Jr., & Kreiborg, S. (1993c). Growth pattern in the Apert syndrome. American Journal of Medical Genetics, 47(5), 617–623.
Cohen, M. M., Jr., & Kreiborg, S. (1993d). Skeletal abnormalities in the Apert syndrome. American Journal of Medical Genetics, 47, 624–632.
Cohen, M. M., Jr., & Kreiborg, S. (1995a). Hands and feet in the Apert syndrome. American Journal of Medical Genetics, 57, 82–96.
Cohen, M. M., Jr., & Kreiborg, S. (1995b). Cutaneous manifestations of Apert syndrome. American Journal of Medical Genetics, 58, 94–96.
Cohen, M. M., Jr., & Kreiborg, S. (1996). A clinical study of the craniofacial features in Apert syndrome. International Journal of Oral and Maxillofacial Surgery, 25, 45–53.
Cohen, M. M., Jr., & Kreiborg, S. (1998). Suture formation, premature sutural fusion, and suture default zones in Apert syndrome. American Journal of Medical Genetics, 62, 339–344.
Cohen, M. M., Jr., Kreiborg, S., Lammer, E. J., Cordero, J. F., et al. (1992). Birth prevalence study of the Apert syndrome. American Journal of Medical Genetics, 42, 655–659.
Cohen, M. M., Jr., & MacLean, R. E. (2000). Craniosynostosis: Diagnosis, evaluation, and management (2nd ed.). New York: Oxford University Press.
Ferreira, J. C., Carter, S. M., Bernstein, P. S., et al. (1999). Second-trimester molecular prenatal diagnosis of sporadic Apert syndrome following suspicious ultrasound findings. Ultrasound in Obstetrics and Gynecology, 14, 426–430.
Gould, H. J., & Caldarelli, D. D. (1982). Hearing and otopathology in Apert syndrome. Archives of Otolaryngology, 108, 347–399.
Hill, L. M., et al. (1987). The ultrasound detection of Apert syndrome. Journal of Ultrasound in Medicine, 6, 601–604.
Holten, I. W. R., et al. (1997). Apert syndrome hand: Pathologic anatomy and clinical manifestations. Plastic and Reconstructive Surgery, 99, 1681–1687.
Jabs, E. W. (1998). Toward understanding the pathogenesis of craniosynostosis through clinical and molecular correlates. Clinical Genetics, 54(Suppl 1), 6–13.
Kaufmann, K., Baldinger, S., & Pratt, L. (1997). Ultrasound detection of Apert syndrome: A case report and literature review. American Journal of Perinatology, 14, 427–430.
Kreiborg, S., & Cohen, M. M., Jr. (1990). Characteristics of the infant Apert skull and its subsequent development. Journal of Craniofacial Genetics and Developmental Biology, 10, 399–410.
Kreiborg, S., & Cohen, M. M., Jr. (1992). The oral manifestations of Apert syndrome. Journal of Craniofacial Genetics and Developmental Biology, 12, 41–48.
Kreiborg, A., et al. (1992). Cervical spine in the Apert syndrome. American Journal of Medical Genetics, 43, 704–708.
Lajeunie, E., et al. (1999). Clinical variability in patients with Apert’s syndrome. Journal of Neurosurgery, 90, 443–447.
Leonard, C. O., et al. (1982). Prenatal fetoscopic diagnosis of the Apert syndrome. American Journal of Medical Genetics, 11, 5–9.
Liptak, G. S., & Serletti, J. M. (1998). Pediatric approach to craniosynostosis. Pediatrics in Review, 19, 352. Published erratum appears in Pediatrics Review 1999 Jan;20(1):20.
Lomri, A., Lemonnier, J., Hott, M., et al. (1998). Increased calvaria cell differentiation and bone matrix formation induced by fibroblast growth factor receptor 2 mutations in Apert syndrome. Journal of Clinical Investigation, 101, 1310–1317.
Marsh, J. L., Galic, M., & Vannier, M. W. (1991). Surgical correction of the craniofacial dysmorphology of Apert syndrome. Clinics in Plastic Surgery, 18, 251–275.
Moloney, D. M., Slaney, S. F., Oldridge, M., et al. (1996). Exclusive paternal origin of new mutations in Apert syndrome. Nature Genetics, 13, 48–53.
Oldridge, M., Zackai, E. H., McDonald-McGinn, D. M., et al. (1999). De novo alu-element insertions in FGFR2 identify a distinct pathological basis for Apert syndrome. American Journal of Human Genetics, 64, 446–461.
Park, W. J., Theda, C., Maestri, N. E., et al. (1995). Analysis of phenotypic features and FGFR2 mutations in Apert  syndrome. American Journal of Human Genetics, 57, 321–328.
Patton, M. A., et al. (1988). Intellectual development in Apert’s syndrome: A long term follow up of 29 patients. Journal of Medical Genetics, 25, 164–167.
Peterson-Falzone, S. J., et al. (1981). Nasopharyngeal dysmorphology in the syndromes of Apert and Crouzon. The Cleft Palate Journal, 18, 237–250.
Quintero-Rivera, F., Robson, C. D., Reiss, R. E., et al. (2006). Apert syndrome: What prenatal radiographic findings should prompt its consideration? Prenatal Diagnosis, 26, 966–972.
Renier, D., Arnaud, E., Cinalli, G., et al. (1996). Prognosis for mental function in Apert’s syndrome. Journal of Neurosurgery, 85, 66–72.
Skidmore, D. L., Pai, A. P., Toi, A., et al. (2003). Prenatal diagnosis of Apert syndrome: Report of two cases. Prenatal Diagnosis, 23, 1009–1013.
Slaney, S. F., Oldridge, M., Hurst, J. A., et al. (1996). Differential effects of FGFR2 mutations on syndactyly and cleft palate in Apert syndrome. American Journal of Human Genetics, 58, 923–932.
Thompson, D. N., Slaney, S. F., Hall, C. M., et al. (1996). Congenital cervical spinal fusion: A study in Apert syndrome. Pediatric Neurosurgery, 25, 20–27.
Tolarova, M. M., et al. (1997). Birth prevalence, mutation rate, sex ratio, parents’ age, and ethnicity in Apert syndrome. American Journal of Medical Genetics, 72, 394–398.
Upton, J. (1991). Classification and pathologic anatomy of limb anomalies. Clinics in Plastic Surgery, 18, 321–355.
von Gernat, S., et al. (2000). Genotype-phenotype analysis in Apert syndrome suggests opposite effects of the two recurrent mutations on syndactyly and outcome of craniofacial surgery. Clinical Genetics, 57, 137–139.
Weber, B., Schwabegger, A. H., & Vodopiutz, J. (2010). Prenatal diagnosis of Apert syndrome with cloverleaf skull deformity using ultrasound, fetal magnetic resonance imaging and genetic analysis. Fetal Diagnosis and Therapy, 27, 51–56.
Wilkie, A. O., Slaney, S. F., Oldridge, M., et al. (1995). Apert syndrome results from localized mutations of FGFR2 and is allelic with Crouzon syndrome. Nature Genetics, 9, 165–172.
Witters, I., et al. (2000). Diaphragmatic hernia as the first echographic sign in Apert syndrome. Prenatal Diagnosis, 20, 404–406.
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(2012). Apert Syndrome. In: Chen, H. (eds) Atlas of Genetic Diagnosis and Counseling. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1037-9_14
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