Table 1

Summary of clinical details of 41 cases of Hirschsprung’s disease–congenital hypoventilation syndrome association

AuthorSexGest ageHSCR diagn Age vent Length affectedEye/ear/neurological/ autonomicNeuroblastoma/otherFamily historyOutcomeRef
HaddadF37 wk7 dHoursDC +?NoSib Died 2 months 2
HaddadF37 wk5 d3 hTCAHypotonia; fits; GOR1-150 NoSibDied 5 months 2
HaddadFTerm10 d +MinutesIlealHypotonia; fitsGanglioneuroblastoma NoDied 2 months 2
BowerMTerm3 dDay 2Sigmoid or  lessEpisodes diaphoresisNeuroblastoma?Died 9 months 41
SternMTerm3 dDay 1IlealNoNoNoDied 15  months 42
GuilleminaultMTerm4 d4 dTCAHypotoniaNo?Died 24 days 6
GuilleminaultMTerm2 d2 dTCAFitsNoNoAlive at 24  months 6
PettersonM???TCA?No?Died 4 weeks 7
O’DellMTerm21 dBirthIleal?No?Alive 5 months 8
PocetaFTerm14 d<1 hPJ†† Ocular; BAER; hypotonia; fits??Died 40 days 9
PocetaMTerm2 dBirthTCAHypotonia; fits??Died 30  months 9
SatoM???Trans colonNoNo?Alive 8 months 10
RoshkowMTerm??MJNoNoNoDied 3 months 11
RoshkowM34 wk??IlealNoNoStillborn  sibsAlive at 13  months 11
RoshkowMTerm??PJNoNo?Died 15 days 11
Weese-Mayer????TCA????? 12
Weese-Mayer????TCA????? 12
LevardF???Trans colon?Ganglioneublastoma?? 13
LevardM???TCA?Ganglioneublastoma?? 13
HamiltonFTerm7 d6 hRectumEsotropia?Half sibAlive 54  months 3
HamiltonMTerm4 dBirthRectum?NoHalf sibAlive 30  months 3
MinutilloF39 wk3 d8 hIlealOcularFacial dysmorphismNoDied 19 days 14
GaisieMTerm5 dBirth??Neuroblastoma?Died 7 months 15
FodstadFTerm3 mo20 moRectumNoNoNoAlive 16
FodstadF?1 moBirthRSHypotonia, fitsNoNoAlive 16
FodstadM36 wk3 dDay 1DuodenumNoNoNoDied 1 months 16
MukhopadhyayF35 wkDaysBirth?A-V malformation‡‡;  hypotonia; fitsNo?Alive at 36  months 17
El-HalabyFTerm13 dHoursIleal  +22cmsOcular; mild hypotonia; fitsNoNoAlive at 57  months 18
El-HalabyFTerm16 d11 hR-S junctionOcular; mild hypotonia?NoAlive at 17  months 18
El-HalabyFTerm20 d4 hSFOcularASDNoAlive at 7  months 18
VerloesF38 wk?15 hTrans colonFits** Facial dysmorphismNoAlive 2 years 19
VerloesMTerm4 d4 dTCAGORNoNoDied 5.5 years 19
StovroffFTerm1 dBirthIleumOcularNeuroblastoma?Died 2 months 20
NakaharaM37 wk19 d2 hTrans colon?No?Alive at 13  months 21
CommareMTerm?Birth?BAER; motility ??? 22
CommareFTerm?Birth?BAER; multiple§ Neuroblastoma?? 22
CommareMTermDays4 d?BAER; multiple ??? 22
CommareFTerm?18 h?Ocular; motility‖‖??? 22
Barber & ScobieM37 wk>3 d4 h> TCAFitsNoNoAlive at 7.5  years 23
Barber & ScobieFTerm18 d?SigmoidNoNoNoAlive at 16  months 23
Kincaid?41 wk2 moDay 1TCA?No?? 24
Croaker fTerm3 dBirthSigmoidHeart rate; GORScalp xanthomaNoAlive at 47 mo
CroakerfTerm3 d12 hTCAOcular ; convulsions; GORNoNoAlive at 61 mo
CroakerMTerm36 h3 hSigmoidOcular; heart rate; GORNoNoAlive at 19 mo
CroakerF35 wk5 dBirthTCA?Ocular; heart rate; absent  swallowMultiple perirenal  masses.§§ NoDied 10 days
CroakerMTerm36 h30 minSigmoid?BAER; heart rate; fitsNoNoDied 19 days
  • 1-150 Also had abnormal oesophageal motility, and gastro-oesophageal reflux on barium swallow, and lack of heart rate variability. Also had idiopathic septal hypertrophy and subaortic stenosis. Oesophageal dyskinesia and achalasia. §Ocular abnormalities; heart rate changes; megaoesophagus; excessive perspiration. Cardiovascular instability; oesophageal dyskinesia and gastro-oesophageal reflux. ‖‖Oesophageal dyskinesia and gastro-oesophageal reflux. **Also had recurrent hypoglycaemic episodes. ††Abnormalities of myenteric plexus even in proximal jejunum; abnormal peristalsis noted throughout gut. ‡‡Arteriovenous malformation involving both lobes of cerebellum, raises the question whether this child has true primary CCHS. §§Including dysmorphic facies. ASD = atrial septal defect; BAER = (abnormal) brain stem auditory evoked response; DC = descending colon; GOR = gastro-oesophageal reflux; PJ = proximal jejunum; SF = splenic flexure; TCA = total colonic aganglionosis. Summary(for those whose details are known)—sex: 51.2% male; gestation: 90% term (37 weeks or more);length: 60% total colonic aganglionosis or longer;mortality: 51.4% alive at time of reporting; neural crest tumour: 7 (+ 1 possible) reported: 7/43 = 16.3%