Disease name

Gusher 증후군
 Gusher syndrome

Marker gene

Gene symbol Chromosome location Protein name
POU3F4 Xq21.1 POU domain, class 3, transcription factor 4

Prevalence

미상

Inheritance

X 연관 열성

Age of onset

신생아기, 영아기

ICD 10 code

H90.8

MIM number

304400

Synonym

X-linked deafness mixed with perilymph gusher
X-linked deafness mixed with perilymphatic gusher
X-linked deafness, DFN3
X-linked mixed conductive and neurosensory deafness
X-linked mixed conductive and neurosensory hearing loss
X-linked mixed conductive and sensorineural deafness
X-linked mixed conductive and sensorineural hearing loss

Summary

Gusher`s syndrome is marked by progressive isolated deafness, either mixed or sensorineural, along with petrous malformation that suggests a perilymphatic fistula. This syndrome is inherited by X-linked recessive transmission, (i.e. it affects boys only). The causative gene is located on Xq21.1 and encodes a transcription factor, POU3F4. Intragenic mutations and deletions have been identified in the patients. Patient management is multidisciplinary. Surgery is resorted to only when deafness progresses brutally and fails to respond to other forms of treatment.