Abstract
The clinical, electron microscopic and radiographic data of 9 patients with dyskinetic cilia syndrome (DCS) are presented. Scintigraphic evaluation of mucociliary dynamics in six patients showed evidence of dyskinesia. Ventilation and perfusion studies were performed to evaluate obstructive lung disease. Retrospectively, bronchiectasis could be detected in 77% of the patients by analysis of the chest radiograph and lung scintigraphy, and bronchography potentially avoided in the seven patients who underwent this procedure.
Similar content being viewed by others
References
Eliasson R, Mossberg B, Cammer P (1979) The immotile cilia syndrome: A congenital ciliary abnormality as an etiologic factor in chronic airway infections and male sterility. N Engl J Med 297: 1
Corbeel L, Cornillie F, Lauweryns J (1981) Ultrastructural abnormalities of bronchial cilia in children with recurrent airways infection and bronchiectasis. Arch Dis Child 56: 929
Pedersen M, Mygind N (1975) Absence of axonemal arms in nasal mucosa cilia in Kartagener's syndrome. Nature 262: 494
Afzelius BA (1976) A human syndrome caused by immotile cilia. Science 193: 317
Rossman CM, Forrest JB, Newhouse MT (1980) Motile cilia in immotile cilia syndrome. Lancet 1: 1360
Rossman CM, Forrest JB, Lee RMKW (1980) The dyskinetic cilia syndrome: Ciliary motility in immotile cilia syndrome. Chest 18: 580
Van As A (1982) Immotile cilia syndrome? Am Rev Respir Dis 125: 2
Afzelius BA (1979) The immotile cilia syndrome and other ciliary diseases. Int Rev Exp Pathol 19: 1
Sturgess JM, Chao J, Wong J, Aspin N, Turner JAP (1979) Cilia with defective radial spokes: A cause of human respiratory disease. N Engl J Med 300: 53
Sturgess JM, Chao J, Turner JAP (1977) Transposition of ciliary microtubules: Another cause of impaired ciliary motility. N Engl J Med 303: 318
Herzon FS, Murphy S (1980) Normal ciliary ultrastructure in children with Kartagener's syndrome. Ann Otol Rhinol Laryngol 89: 81
Gordon RE, Kattan M (1984) Absence of cilia and basal bodies with predominance of brush cells in the respiratory mucosa from a patient with immotile cilia syndrome. Ultrastruct Pathol 6: 45
Sturgess JM, Turner JAP (1984) Ultrastructural pathology of cilia in the immotile cilia syndrome. Perspect Pediatr Pathol 8: 133
Waring WW, Wilkinson RW, Wiebe RA, Faul BC, Hilman BC (1971) Quantitation of digital clubbing in children: Measurements of casts of the index finger. Am Rev Respir Dis 104: 166
Boat TF, Wood RE, Tandler B, Stern RC, Orenstein DM, Doershuk CF (1979) A screening test for the immotile cilia syndrome. Pediatr Res [Abstr] 13: 531
Karja J, Nuutinen J, Karjalainen P (1982) Radioisotopic method for measurement of nasal mucociliary activity. Arch Otolaryngol 108: 99
Turner JAP, Christopher WB, Corkey MB, Lee JYC, Levison H, Sturgess JM (1981) Clinical expressions of immotile cilia syndrome. Pediatric 67: 805
Corkey CWB, Levison H, Turner JAP (1981) The immotile cilia syndrome: A longitudinal survery. Am Rev Respir Dis 124: 544
Chao J, Turner JAP, Sturgess JM (1982) Genetic heterogeneity of dynein deficiency in cilia from patients with respiratory disease. Am Rev Respir Dis 126: 302
Afzelius BA (1981) “Immotile cilia” syndrome and ciliary abnormalities induced by infection or injury. Am Rev Respir Dis 124: 107
Goldman AS, Schochet SS, Howell JT (1980) The discovery of defects in respiratory cilia in the immotile cilia syndrome. J Pediatr 96: 244
Nadel HR, Stringer DA, Levison H, Turner JAP, Sturgess JM (1985) The immotile cilia syndrome: Radiological manifestations. Radiology 154: 651
Shwachman H, Kulczycki L (1968) Long term study of one hundred and five patients with cystic fibrosis. Am J Child 96: 6
Vermess M, Waldmann TA, Pearson KD (1973) Radiographic manifestations of primary acquired hypogammaglobulinemia. Radiology 107: 63
Wilson AF, Surprenant EL, Beall GN, Siegel SC, Simmons DH, Bennett LR (1970) The significance of regional pulmonary function changes in acute asthma. Am J Med 48: 416
Robinson AE, Goodrich JK, Spock A (1969) Inhalation and perfusion radionuclide studies of pediatric chest diseases. Radiology 93: 1123
Piepsz A, Wetzburger C, Spehl M, Machin D, Dab I, Ham HR, Van de Vivere J, Baran D (1980) Critical evaluation of lung scintigraphy in cystic fibrosis: Study of 113 patients. J Nucl Med 21: 909
Vandevivere J, Spehl M, Dab I, Baran D, Piepsza (1980) Bronchiectasis in childhood: Comparison of chest roentgenograms, bronchography and lung scintigraphy. Pediatr Radiol 9: 193
Sutherland JB, Palser RF, Pagtakhan RD, McCarthy DS (1980) Xenon-133 ventilation and perfusion studies in bronchiectasis. J Can Assoc Radiol 31: 242
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Reyes de la Rocha, S., Pysher, T.J. & Leonard, J.C. Dyskinetic cilia syndrome: clinical, radiographic and scintigraphic findings. Pediatr Radiol 17, 97–103 (1987). https://doi.org/10.1007/BF02388082
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02388082