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Macrocephaly
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==Causes== [[File:Macrocephalic idiot.jpg|thumb|Normocephaly (left) vs. macrocephaly (right))]] Many people with abnormally large heads or large skulls are healthy, but macrocephaly may be pathological. Pathologic macrocephaly may be due to [[megalencephaly]] (enlarged brain), [[hydrocephalus]] (abnormally increased [[cerebrospinal fluid]]), cranial [[hyperostosis]] (bone overgrowth), and other conditions. Pathologic macrocephaly is called "syndromic", when it is associated with any other noteworthy condition, and "nonsyndromic" otherwise. Pathologic macrocephaly may be caused by [[congenital]] anatomic abnormalities, genetic conditions, or by environmental events.<ref name=Williams/> Many genetic conditions are associated with macrocephaly, including familial macrocephaly related to the holgate gene, [[autism]], [[PTEN (gene)|''PTEN'']] mutations such as [[Cowden disease]], [[neurofibromatosis]] type 1, and [[tuberous sclerosis]]; overgrowth syndromes such as [[Sotos syndrome]] (cerebral gigantism), [[Weaver syndrome]], [[Simpson–Golabi–Behmel syndrome]] (bulldog syndrome), and [[macrocephaly-capillary malformation]] (M-CMTC) syndrome; neurocardiofacial-cutaneous syndromes such as [[Noonan syndrome]], [[Costello syndrome]], [[Gorlin syndrome]],<ref>{{Cite web |url=http://www.gorlinsyndrome.org/EduDocs/General/Nevoid%20Basal%20Cell%20Carcinoma%20Syndrome.pdf |title=Archived copy |access-date=2015-05-04 |archive-url=https://web.archive.org/web/20151009061914/http://www.gorlinsyndrome.org/EduDocs/General/Nevoid%20Basal%20Cell%20Carcinoma%20Syndrome.pdf |archive-date=2015-10-09 |url-status=dead }}</ref> (also known as basal cell nevus syndrome) and [[cardiofaciocutaneous syndrome]]; [[Fragile X syndrome]]; [[leukodystrophies]] (brain [[white matter]] degeneration) such as [[Alexander disease]], [[Canavan disease]], and [[megalencephalic leukoencephalopathy with subcortical cysts]]; and [[glutaric aciduria type 1]] and [[D-2-hydroxyglutaric aciduria]].<ref name=Williams/> At one end of the genetic spectrum, duplications of chromosomes have been found to be related to autism and macrocephaly; at the other end, deletions of chromosomes have been found to be related to [[schizophrenia]] and [[microcephaly]].<ref>{{cite journal|author=Crespi|display-authors=etal|year=2010|title=Comparative genomics of autism and schizophrenia|journal=PNAS|volume=107|issue=Suppl 1 |pages=1736–1741|doi=10.1073/pnas.0906080106|pmc=2868282|pmid=19955444|doi-access=free}}</ref><ref>{{cite journal | title = Rare chromosomal deletions and duplications increase risk of schizophrenia; The International Schizophrenia Consortium; | journal = Nature | volume = 455| issue = 7210| pages = 237–241 | doi = 10.1038/nature07239 | pmid=18668038 | date=September 2008 | pmc=3912847| author1 = International Schizophrenia Consortium }}</ref><ref>{{cite journal | author = Dumas L. | author2 = Sikela J.M. | year = 2009 | title = DUF1220 Domains, Cognitive Disease, and Human Brain Evolution | journal = Cold Spring Harb. Symp. Quant. Biol.| volume = 74| pages = 375–82| doi = 10.1101/sqb.2009.74.025 | pmid=19850849 | pmc=2902282}}</ref> Environmental events associated with macrocephaly include infection, neonatal [[intraventricular hemorrhage]] (bleeding within the infant brain), [[subdural hematoma]] (bleeding beneath the outer lining of the brain), [[subdural effusion]] (collection of fluid beneath the outer lining of the brain), and [[arachnoid cyst]]s (cysts on the brain surface).<ref name=Williams/> In research, cranial height or brain imaging may be used to determine intracranial volume more accurately.<ref name=Williams>{{cite journal |journal= Am J Med Genet A |date=2008 |volume=146A |issue=16 |pages=2023–37 |title= Genetic disorders associated with macrocephaly |vauthors= Williams CA, Dagli A, Battaglia A |doi=10.1002/ajmg.a.32434 |pmid=18629877|s2cid=205309800 |doi-access=free }}</ref> Below is a list of conditions featuring macrocephaly from [[NCBI]]'s MedGen:<ref>{{Cite web |title=Macrocephaly (Concept Id: C2243051) - MedGen - NCBI |url=https://www.ncbi.nlm.nih.gov/medgen/745757 |access-date=2023-06-30 |website=www.ncbi.nlm.nih.gov |language=en}}</ref> * [[Achondroplasia]] * [[Acrocallosal syndrome]] * [[Adams-Oliver syndrome]] * [[Adenosine kinase]] deficiency * [[Antley-Bixler syndrome]] * Autosomal dominant [[Kenny-Caffey syndrome]] * [[Malignant infantile osteopetrosis|Autosomal recessive osteopetrosis]] * [[Axenfeld-Rieger anomaly]] * [[B4GALT1]]-[[congenital disorder of glycosylation]] * [[Bardet-Biedl syndrome]] * [[Brittle cornea syndrome]] * [[Camptomelic dysplasia]] * [[Cardio-facio-cutaneous syndrome]] * [[Cobblestone lissencephaly]] without muscular or ocular involvement * [[Coffin-Siris syndrome]] * [[Cohen-Gibson syndrome]] * [[Cole-Carpenter syndrome]] * [[Congenital disorder of glycosylation]], type Iw, autosomal dominant * [[Agenesis of corpus callosum|Corpus callosum, agenesis of]] * [[Costello syndrome]] * [[Cowden syndrome]] * [[Craniodiaphyseal dysplasia]], autosomal dominant * [[Cranioectodermal dysplasia]] * [[Craniometaphyseal dysplasia]] * [[Craniosynostosis]] * [[D-2-hydroxyglutaric aciduria]] * Deficiency of [[alpha-mannosidase]] * [[Desmosterolosis]] * [[Donnai-Barrow syndrome]] * [[Early-onset parkinsonism-intellectual disability syndrome]] * [[Ehlers-Danlos syndrome]], spondylodysplastic type * [[Epidermolysis bullosa simplex]] * [[Fragile X syndrome]] * [[Giant axonal neuropathy]] * [[Glutaric aciduria]], type 1 * [[Gorlin syndrome]] * [[Greenberg dysplasia]] * [[Greig cephalopolysyndactyly syndrome]] * [[Hamartoma]] of [[hypothalamus]] * [[Holoprosencephaly]] * [[Hurler syndrome]] [[File:Peterson 283.jpg|thumb|Macrocephaly from hydrocephalus]] * [[Hydrocephalus]], nonsyndromic, autosomal recessive * [[Hypochondroplasia]] * [[Hypophosphatemic rickets]] and [[hyperparathyroidism]] * [[Hypothyroidism]], congenital, nongoitrous * Ito [[hypomelanosis]] * [[Joubert syndrome]] * [[Keipert syndrome]] * [[Legius syndrome]] * [[LEOPARD syndrome]] * [[Lethal congenital contracture syndrome]] * [[MASA syndrome]] [[File:Stoddart 79.jpg|thumb|Macrocephaly from megalencephaly]] * [[Megalencephaly]], autosomal dominant * [[Megalocornea-intellectual disability syndrome]] * [[MGAT2]]-[[congenital disorder of glycosylation]] * [[MOMO syndrome]] * [[Mucopolysaccharidosis type 6]] * [[Sly syndrome|Mucopolysaccharidosis type 7]] * [[Mucopolysaccharidosis II|Mucopolysaccharidosis, MPS-II]] * [[Mucopolysaccharidosis III|Mucopolysaccharidosis, MPS-III-D]] * [[Muenke syndrome]] * [[Multiple acyl-CoA dehydrogenase deficiency]] * [[Multiple congenital anomalies-hypotonia-seizures syndrome]] * [[Multiple epiphyseal dysplasia]], Al-Gazali type * [[Myhre syndrome]] * [[Neurofibromatosis type 1|Neurofibromatosis, type 1]] * [[Neurofibromatosis-Noonan syndrome]] * [[Niemann-Pick disease]], type A * [[Noonan syndrome]] * [[Opsismodysplasia]] * [[Optic atrophy]] * [[Osteopathia striata]] with cranial [[Sclerosis (medicine)|sclerosis]] * [[Pallister-Killian syndrome]] * [[Parietal foramina]] * Parietal foramina with [[cleidocranial dysplasia]] * [[Pelger-Huët anomaly]] * [[Zellweger syndrome|Peroxisome biogenesis disorder 1A (Zellweger)]] * [[Peroxisome biogenesis disorder]] 4B * [[Phelan-McDermid syndrome]] * [[Plasminogen]] deficiency, type I * [[Primrose syndrome]] * [[Proteus syndrome]] * [[Ritscher-Schinzel syndrome]] * [[Robinow syndrome]] * [[Sandhoff disease]] * [[Schneckenbecken dysplasia]] * [[Sclerosteosis]] * Severe [[X-linked myotubular myopathy]] * [[Sialuria]] * [[Simpson-Golabi-Behmel syndrome]] * [[Snijders Blok-Campeau syndrome]] * [[Sotos syndrome]] * [[Sturge-Weber syndrome]] * [[Sulfite oxidase deficiency]] due to [[molybdenum cofactor deficiency]] * [[Symphalangism]] with multiple anomalies of hands and feet * Syndromic [[X-linked intellectual disability]] * [[Thanatophoric dysplasia]] type 1 * [[Vanishing white matter disease]] * [[Weaver syndrome]] * X-linked dominant [[chondrodysplasia]], Chassaing-Lacombe type * X-linked hydrocephalus syndrome * [[X-linked intellectual disability]] with [[marfanoid habitus]] * [[Zimmermann-Laband syndrome]] * [[ZTTK syndrome]]
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