Achalasia microcephaly

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Achalasia microcephaly
Synonyms	Achalasia with microcephaly
Pronounce	N/A
Specialty	Gastroenterology, Neurology, Genetics
Symptoms	Dysphagia, regurgitation, microcephaly, developmental delay
Complications	N/A
Onset	Childhood
Duration	Lifelong
Types	N/A
Causes	Genetic mutations
Risks	Family history
Diagnosis	Esophageal manometry, genetic testing
Differential diagnosis	Esophageal stricture, esophageal cancer, Chagas disease
Prevention	N/A
Treatment	Pneumatic dilation, Heller myotomy, Botulinum toxin
Medication	Calcium channel blockers, nitrates
Prognosis	Variable, depends on severity and treatment
Frequency	Rare
Deaths	N/A

Comparison of normal and microcephalic head sizes

Animation of a normal barium swallow

Achalasia microcephaly is a rare genetic disorder characterized by the combination of achalasia and microcephaly. This condition is part of a group of disorders known as neurodegenerative diseases with brain malformations.

Achalasia

Achalasia is a disorder of the esophagus where there is a failure of the lower esophageal sphincter to relax, leading to difficulty in swallowing, regurgitation, and sometimes chest pain. It is a result of the degeneration of the myenteric plexus, which is responsible for the coordinated movement of the esophagus.

Symptoms

The primary symptoms of achalasia include:

• Dysphagia (difficulty swallowing)
• Regurgitation of undigested food
• Chest pain
• Weight loss

Diagnosis

Achalasia is typically diagnosed using:

• Esophageal manometry
• Barium swallow
• Endoscopy

Microcephaly

Microcephaly is a medical condition where the head circumference is significantly smaller than normal for the person's age and sex. It often indicates that the brain has not developed properly or has stopped growing.

Causes

Microcephaly can be caused by a variety of factors, including:

• Genetic mutations
• Infections during pregnancy
• Severe malnutrition
• Exposure to harmful substances

Symptoms

Symptoms of microcephaly can vary but often include:

• Developmental delays
• Intellectual disability
• Seizures
• Problems with movement and balance

Genetic Basis

Achalasia microcephaly is believed to be caused by mutations in specific genes that affect both the development of the nervous system and the function of the esophagus. Research is ongoing to identify the exact genetic mutations responsible for this condition.

Management

Management of achalasia microcephaly involves addressing both the esophageal and neurological symptoms. Treatment options may include:

• Pneumatic dilation or Heller myotomy for achalasia
• Supportive therapies for developmental delays and neurological symptoms

Prognosis

The prognosis for individuals with achalasia microcephaly varies depending on the severity of the symptoms and the effectiveness of the treatments. Early intervention and supportive care can improve quality of life.

See also

• Esophageal motility disorder
• Congenital disorder
• Neurodevelopmental disorder