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Table 1 Common Syndromic Forms of Hearing Loss
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Syndrome
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Inheritance
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Features
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Waardenburg
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autosomal dominant with variable expression
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white forelock, moderate to profound unilateral or bilateral sensorineural deafness, vitiligo, hypopigmentation, and/or differently colored eyes or bright blue eyes
Type I includes the appearance of widely spaced eyes (dystopia canthorum)
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Treacher-Collins
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autosomal dominant with variable expression
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downward sloping eye openings, flattened cheek bones, malformed or absent outer ears, small chin, coloboma (notch) of the lower eyelid, and conductive hearing loss
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Branchio-oto-renal (BOR)
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autosomal dominant with variable expression
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sensorineural, conductive or mixed hearing loss with ear pits, fistulas or cysts of the neck; altered ear shape, and/or structural or functional changes in the kidney
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Usher
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autosomal recessive
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sensorineural deafness with retinitis pigmentosa (a progressive disease of the rod cells in the retina resulting in visual impairment); vestibular dysfunction in some types
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Jervell and Lange-Nielsen (JLN)
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autosomal recessive
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congenital sensorineural hearing loss associated with a heart defect, specifically a prolonged QT interval on EKG placing these individuals at risk for sudden death
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Pendred
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autosomal recessive
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sensorineural hearing loss (may be progressive), goiter (usually euthyroid), enlarged vestibular aqueduct and/or Mondini dysplasia
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