A Rare Case of Joubert Syndrome with Pigmentary Retinal Degeneration
DOI:
https://doi.org/10.54536/ajmri.v5i2.3578Keywords:
Joubert Syndrome, Molar Tooth Sign, Ocular Abnormalities, Pigmentary Retinal Degeneration, Retinitis PigmentosaAbstract
Joubert syndrome is a rare genetic X-linked recessive disease that is inherited and characterized by hypotonia, ataxia, developmental delay, intellectual disability, a specific midbrain malformation known as the "Molar Tooth sign,". The case report presents a 20-year-old male with Joubert syndrome, characterized by cerebellar hypoplasia, hypotonia, developmental delays, and multiple organ involvement. Diagnostic assessments included neuroimaging, funduscopic examination, and laboratory tests to evaluate the multisystemic effects. The patient underwent multimodal treatment, including hemodialysis for renal failure, regular ophthalmologic evaluations, and genetic counseling to assess the hereditary nature of the condition and provide family planning advice. Retinal degeneration is associated with mutations in AH 11 and CEP290. Joubert syndrome is an uncommon pleiotropic condition that might manifest significantly in the eyes. This report necessitates the need for prompt diagnosis and management and to increase awareness about its complications.
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Alam, S., Khatoon, F., & Khan, N. (2021). Joubert syndrome: a case report. Bulletin of Faculty of Physical Therapy, 26, 1-3.
Amorini, M., Iapadre, G., Mancuso, A., Ceravolo, I., Farello, G., Scardamaglia, A., Gramaglia, S., Ceravolo, A., Salpietro, A., & Cuppari, C. (2023). An overview of genes involved in the pure joubert syndrome and in joubert syndrome-related disorders (JSRD). Journal of Pediatric Neurology, 21(01), 023-032.
Bachmann-Gagescu, R., Dempsey, J. C., Bulgheroni, S., Chen, M. L., D'Arrigo, S., Glass, I. A., Heller, T., Héon, E., Hildebrandt, F., & Joshi, N. (2020). Healthcare recommendations for Joubert syndrome. American journal of medical genetics Part A, 182(1), 229-249.
Carullo, G., Federico, S., Relitti, N., Gemma, S., Butini, S., & Campiani, G. (2020). Retinitis pigmentosa and retinal degenerations: Deciphering pathways and targets for drug discovery and development. ACS chemical neuroscience, 11(15), 2173-2191.
Devi, A. R. R., Naushad, S. M., & Lingappa, L. (2020). Clinical and molecular diagnosis of Joubert syndrome and related disorders. Pediatric neurology, 106, 43-49.
Fang, L., Wang, L., Yang, L., Xu, X., Pei, S., & Wu, D. (2023). Novel variants identified in five Chinese families with Joubert Syndrome: a case report. BMC Medical Genomics, 16(1), 221.
Fenner, B. J., Tan, T.-E., Barathi, A. V., Tun, S. B. B., Yeo, S. W., Tsai, A. S., Lee, S. Y., Cheung, C. M. G., Chan, C. M., & Mehta, J. S. (2022). Gene-based therapeutics for inherited retinal diseases. Frontiers in genetics, 12, 794805.
Gana, S., Serpieri, V., & Valente, E. M. (2022). Genotype–phenotype correlates in Joubert syndrome: A review. American Journal of Medical Genetics Part C: Seminars in Medical Genetics,
Mandura, R. A., & Arishi, N. A. (2022). Joubert Syndrome Presenting With Oculomotor Apraxia and Motor Developmental Delay: A Case Report From a Neuro-Ophthalmology Clinic in Saudi Arabia. Cureus, 14(1).
Menghini, M., Cehajic-Kapetanovic, J., & MacLaren, R. E. (2020). Monitoring progression of retinitis pigmentosa: current recommendations and recent advances. Expert opinion on orphan drugs, 8(2-3), 67-78.
Merlini, L., & Poncet, A. (2013). DTI measurements of non-decussating fibers in defective axon guidance disorders (Horizontal gaze palsy and progressive scoliosis and Joubert syndrome). Journal of Pediatric Neuroradiology, 2(02), 131-139.
Merritt, L. (2003). Recognition of the clinical signs and symptoms of Joubert syndrome. Advances in Neonatal Care, 3(4), 178-188.
Moos, W. H., Faller, D. V., Glavas, I. P., Harpp, D. N., Kamperi, N., Kanara, I., Kodukula, K., Mavrakis, A. N., Pernokas, J., & Pernokas, M. (2022). Treatment and prevention of pathological mitochondrial dysfunction in retinal degeneration and in photoreceptor injury. Biochemical pharmacology, 203, 115168.
Padungkiatsagul, T., Leung, L.-S., & Moss, H. E. (2020). Retinal diseases that can masquerade as neurological causes of vision loss. Current neurology and neuroscience reports, 20, 1-14.
Sattar, S., & Gleeson, J. G. (2011). The ciliopathies in neuronal development: a clinical approach to investigation of Joubert syndrome and Joubert syndrome-related disorders. Developmental Medicine & Child Neurology, 53(9), 793-798.
Spahiu, L., Behluli, E., Grajçevci-Uka, V., Liehr, T., & Temaj, G. (2022). Joubert syndrome: Molecular basis and treatment. Journal of Mother and Child, 26(1), 118-123.
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Copyright (c) 2026 Mohammad Ali Imtiaz, Amar Salman Dalol, Omar Al Qahtani, Devendra Kumar, Zamzam Al Baker, Rana Sabah Ismail

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