Preferred Label : Sacral defect with anterior meningocele;
CISMeF acronym : SDAM;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : SDAM;
Included titles and symbols : Caudal dysgenesis syndrome; Caudal regression syndrome; Sacral agenesis; Sirenomelia;
Description : Sacral defect with anterior meningocele (SDAM) is a form of caudal dysgenesis. It
is present at birth and becomes symptomatic later in life, usually because of obstructive
labor in females, chronic constipation, or meningitis. Inheritance is autosomal dominant
(Chatkupt et al., 1994). Welch and Aterman (1984) gave a population frequency of 0.14%.
Caudal dysgenesis syndrome and caudal regression syndrome are broad terms that refer
to a heterogeneous constellation of congenital caudal anomalies affecting the caudal
spine and spinal cord, the hindgut, the urogenital system, and the lower limbs. Approximately
15 to 25% of mothers of children with caudal dysgenesis have insulin-dependent diabetes
mellitus (222100) (Lynch et al., 2000). See also Currarino syndrome (176450), a similar
disorder caused by mutation in the HLXB9 gene (142994) on chromosome 7q36. Currarino
syndrome classically comprises the triad of hemisacrum, anorectal malformation, and
presacral mass. However, Currarino syndrome also shows phenotypic variability: Lynch
et al. (2000) stated that there is variable expressivity of clinical features and
that some patients with Currarino syndrome are asymptomatic. Kochling et al. (2001)
found the complete triad of Currarino syndrome in only 8 of 23 patients with mutations
in the HLXB9 gene, These reports suggest that some patients previously reported as
having forms of sacral agenesis, including SDAM, may have had Currarino syndrome and
vice versa. See also spina bifida (182940), which can be seen in some patients with
sacral agenesis or caudal regression syndrome and may be etiologically related.;
Inheritance : Autosomal dominant;
Prefixed ID : #600145;
Origin ID : 600145;
UMLS CUI : C1838568;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
Genes related to phenotype
HPO term(s)
Narrower ORDO disease(s)
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Related ORDO disease(s)
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UMLS correspondences (same concept)