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Laboratory studies includes;

Cytogenetics
 Imaging studies
 Pulmonary function tests
 Sleep study

DNA testing
 Plasma analysis for FGFR3 mutation

Radiographs of skull, spine and extremities
reveal the characteristic features like;
Image courtesy: Asian spine journal
Image courtesy: Upright doctors’ press
Image courtesy: Wayne H.Riser, Hip dysplasia- Chapter 83
Geneva foundation foe Medical and Education research
Image courtesy: scoop web- Ulnar styloid process
Image courtesy:
Image courtesy:
CT scanning
 MRI (Magnetic Resonance Imaging)
 Prenatal ultrasonography
 Ultrasonography of brain





Size of foramen
magnum can be
measured most
accurately by CT
It can be used to
develop a 3-D
image
Image courtesy:
A baseline MRI is strongly recommended
in infancy
 Used to establish cause of neurocranial
enlargement
 Recommended for preoperative
evaluation of lumbar spinal stenosis

Ultrasonography is not useful for
diagnosis in 1st half of pregnancy
 Later, it can detect short-limb dysplasia



Can be used in
neonates to detect
ventricle size

Image courtesy:
Pulmonary function test
 Sleep study

Somatotropin(a recombinant human
growth hormone)
 Augments heights of achondroplasiac
patients
 Best recommended age for maximum
results= 1-6 years

Surgical care is opted in following
conditions..
Image courtesy: The science of spinal health
Limb lengthening
 Neurosurgery(foramen magnum
decompression)

Orthodontist
 Speech therapist
 Otolaryngologist
 Geneticist
 Pulmonologist
 Pediatrician

Nutritional counseling: Must be adapted in
early years


Standardized mortality ratio is increased
for all age groups by a factor of 2.27
over that of general population
For better understanding of the details, I
have consulted
Dr.Aqeela Sadia
PGR
Deptt. of interventional radiology
LGH- Lahore
Dr.Tariq Imran
Consultant neurosurgen
Deptt. of neurosugery
LGH- Lahore
Books
1.
2.

Radiology review manual, Wolfgang Danhert, 6th edition, Vol.1, Page
42
Radiology, Skeletol system and soft tissues, David Sutton, Vol.5, Page
126, 118, 152, 74

Web references
Medscape.com
Wikipedia.org
Genome.gov
Patient.co.uk
Medicinenet.com
Achondroplasia.co.uk
Pubmed.com
nlm.nih.gov
Laboratory Studies and Imaging in Achondroplasia

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