Charge Syndrome

Dr. Hartshorne has been interested in CHARGE Syndrome since 1989 when his son was born with the syndrome. When it became increasingly clear in the mid-1990s that many children with CHARGE develop severe behavioral problems, he began to devote most of his research to this problem. In addition to his publications on CHARGE, he has presented at every U.S. CHARGE conference, every Australasian conference, the European conference, Scandinavian conference, and conferences in several other countries. In 2005 he was awarded the Star in CHARGE by the CHARGE Syndrome Foundation. Margaret Hefner is a Genetic Counselor and Associate Professor in the Division of Medical Genetics, Department of Pediatrics at Saint Louis University School of Medicine. Ms. Hefner first became interested in CHARGE syndrome in 1982 when working with Dr. Sandra Davenport at the University of Missouri, Columbia. In addition to writing journal articles on CHARGE syndrome, Ms. Hefner has written and edited numerous materials for families and professionals, including the CHARGE Syndrome Management Manual for Parents, the New Parent Packet, and Professional Packet. One of the founders of the CHARGE Syndrome Foundation, Ms. Hefner served on the Board of Directors for 12 years and is now a Special Advisor to the Board, as well as chair of the Research Committee. Sandra L.H. Davenport, M.D., C.M. got her undergraduate degree from Barnard College in New York City, her basic medical science degree from Dartmouth Medical School in Hanover, New Hampshire, and her M.D. from McGill University Faculty of Medicine in Montreal. Dr. Davenport completed her pediatric residency at the University of Washington in Seattle, along with two fellowships in the Comprehensive Care of Handicapped Children and in Abnormal Biologic Development. The focus of the Abnormal Biologic Development fellowship was deafness and was divided between genetics and the study of deafness from both a medical and cultural perspective, including taking a didactic course for ENT residents, spending time in the ENT clinic, beginning sign language, and learning about deaf culture. It was at this time that Dr. Davenport developed a life-long interest in deafblindness. James Thelin, Ph.D. began his career practicing audiology, teaching medical students and resident physicians, and conducting research in the medical schools at the Universities of Cincinnati and Missouri. He now teaches graduate students in audiology and conducts research at the University of Tennessee. His research has focused on hearing, balance, and communication in CHARGE syndrome. He is a founding member and currently serves on the Board of the CHARGE Syndrome Foundation.

Introduction Part I: Overview of Sensory Deficits and Their Effects Specific Anomalies That Affect Sensory Function Eyes and Vision Auditory System and Hearing Smell Taste Touch, Pain, and Pressure Vestibular Mechanism, Balance, and Mobility Other Physical Issues Facial Palsy Fatigue Part II: Describing and Evaluating Sensory and Other Medical Issues Otorhinolaryngologic Issues Otologic Issues: Anomalies and Disease PE Tubes, Chronic Middle Ear Infections, Otologic Issues: Cochlear Implantation Rhinologic Issues Smell: The Olfactory System Audiologic Issues Overview Audiologic Assessment Obstacles to Audiologic Assessment and Modification of Audiologic Procedures Common and Distinctive Audiologic Findings Amplification Ophthalmologic Issues: Coloboma and Visual Issues Balance and the Vestibular System Airway Choanal atresia TEF/EA Cleft lip & palate Cranial nerves 9 & 10 Laryngotracheomalacia Feeding Cranial nerves 9 & 10; 7 & 12 Swallow studies and sedation Nissen and reflux Feeding tubes or buttons Constipation Heart Neurological Seizures Brain anomalies: frequency Other neurological findings Other Physical Issues Renal and Urinary Anomalies Endocrine Immune problems Skeletal anomalies Teenage and Adulthood Part III: Communication Systems and Language Development Overview Forms and functions in the language of children with CHARGE with significant language delays Prelinguistic assessment strategies and indicators of linguistic development Part IV: Developmental Issues Changes During the Life Cycle Infancy Childhood Teenage Adulthood Physical Locomotion Cognitive Social/Emotional Part V: Psychological Issues Behavioral Phenotype Neurological issues and pain Toileting Sleep Psychiatric issues and medication Parenting Attachment and Bonding Stress Part VI: Questions for Future Research Smell Adult medical issues Adult psychological issues Sensory receptors Autonomic nervous system Index