Every project in the Dobyns Lab begins with an accurate description (phenotyping) of the brain disorder of interest. This work can include, in varying combinations, close study of:
Brain imaging
The recognition and classification of human brain malformations has long formed the center of phenotyping by the Dobyns Lab. This work has led to the discovery of numerous causative genes for these conditions, and has improved our understanding of how the human brain develops. William B. Dobyns has played a central role in the classification systems of malformations of the
forebrain and
midbrain-hindbrain, and serves as an international resource on their diagnosis. To have a brain MRI reviewed by Dr. Dobyns, you may contact us
here.
Growth parameters
The classification of many human neurodevelopmental disorders often begins with such basic data as growth parameters. Accurate longitudinal head size data can help to differentiate classes of children with microcephaly (small head size) and macrocephaly (large head size). Length and height can also facilitate the recognition of specific syndromes.
Child developmental data
With improved recognition of the spectrum of human neurodevelopmental disorders, the importance of not only depth but also breadth of developmental phenotyping has emerged. To this end, the Dobyns Lab examines traditional child development data, but is also developing novel tools to quantitate wider functional domains such as mood, GI function, sleep, and other areas where abnormalities in neurologic function may be reflected.
Dysmorphology
Numerous genetic syndromes are characterized by specific patterns of dysmorphologic signs. Examination of clinical photographs, and use of
standardized terminology aids in the recognition of rare disorders.
Electroencephalogram (EEG) data
The Dobyns Lab studies several pediatric epilepsy disorders, including early infantile epileptic encephalopathy, infantile spasms, and Lennox-Gastaut syndrome. EEG data help to characterize these disorders, and there are numerous unanswered questions about connection between EEG findings and clinical outcome.
Recently pediatric neurologists have become aware that many neurodevelopmental disorders also feature involuntary movements -- many of which were often viewed too simply in the past as "cerebral palsy". In some cases, recognition of these movements can lead to more rapid diagnosis of a syndrome and assist with classification. We use