Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Crouzon disease is characterized by craniosynostosis and facial hypoplasia.
Features include always present findings: Coronal craniosynostosis and Deviated nasal septum; and very common findings: Dental crowding, High palate, Frontal bossing, and High forehead and others. 50 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 10 | Lambdoidal craniosynostosis, Sagittal craniosynostosis, Coronal craniosynostosis |
FGFR2 encodes fibroblast growth factor receptor 2 (821 aa). Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation, migration and apoptosis, and in the regulation of embryonic development. Highest expression in Brain Spinal cord cervical c-1 (130.1 TPM) and Uterus (43.5 TPM).
Crouzon syndrome is caused by mutations in the FGFR2 gene on chromosome 10.
The FGFR2 protein participates in Signaling by FGFR2 and Signaling by FGFR2 in disease pathways.
FGFR2 is classified as a druggable target (Cell Surface, Clinically Actionable, Druggable Genome, Kinase, and Tyrosine Kinase categories) with score 2.0.
Consensus clinical diagnostic criteria for Apert syndrome have not been published.
Apert syndrome should be suspected in individuals with the following clinical features.
Head
Multisuture craniosynostosis, most commonly involving bilateral coronal sutures with variable involvement of the remaining cranial sutures
No approved treatments are currently available for Crouzon syndrome. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with Apert syndrome, the evaluations summarized (if not already performed) are recommended. Table 4. Recommended Evaluations Following Initial Diagnosis in Individuals with Apert Syndrome
A craniofacial team made up of the appropriate specialties allows for proper planning and coordination so that the affected individual may receive the best possible care . Ideally, the composition of the multidisciplinary team caring for a child with Apert syndrome should include the following specialists: • Audiologist • Dentist • Dermatologist • Feeding specialist • Geneticist • Neurodevelopmental and behavioral pediatrician • Neurosurgeon • Nurse • Nutritionist • Ophthalmologist • Oral surgeon • Orthodontist • Orthopedist (hand and foot surgery) • Otolaryngologist • Pediatrician • Plastic surgeon • Psychologist • Pulmonologist/ sleep medicine • Social worker • Speech pathologist • Spine surgeon Table 7. Recommended Surveillance for Individuals with Apert Syndrome
1 clinical trial registered, 1 recruiting. Interventions under study include gene therapy. Research is primarily sponsored by academic and government institutions.
82 publications have been identified in PubMed for Crouzon syndrome. Research spans Basic Science / Preclinical (37%), Case Report / Case Series (26%), and Epidemiology / Natural History (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 30 | 37% |
Data assembled from 9 of 12 sources · Last updated Sep 19, 2026, 12:59 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Crouzon syndrome
Eyes |
7 |
Strabismus, Keratitis, Conjunctivitis |
Brain and nerves | 4 | Seizure, Hydrocephalus, Intellectual disability |
Lungs and breathing | 2 | Sleep apnea, Difficulty breathing (respiratory insufficiency) |
Ears | 2 | Conductive hearing impairment, Hearing loss (hearing impairment) |
Muscles | 1 | Damage to the optic nerve (optic atrophy) |
Skin | 1 | Hypopigmented skin patches |
Apert syndrome shows substantial overlap with the clinical characteristics seen in other FGFR2-associated craniosynostosis syndromes (e.g., craniosynostosis, midface retrusion, vertebral fusions). In most individuals, Apert syndrome can be readily distinguished from other syndromic craniosynostosis syndromes (e.g., Crouzon, Pfeiffer, Jackson-Weiss, Beare-Stevenson) at or before birth due to the presence of syndactyly. However, several other important distinguishing features have implications for surveillance and medical management . Craniosynostosis is a near-universal finding in individuals with Apert syndrome, though some affected individuals with other typical manifestations (e.g., midface retrusion and syndactyly) without craniosynostosis have been reported.
Source: GeneReviews — "Apert Syndrome"
Reports regarding genotype-phenotype correlations in Apert syndrome are variable. Some studies suggest no clear correlations .
Pathogenic
variant
Some studies have suggested more significant hand and foot involvement in individuals with this pathogenic variant.
One study suggested better postsurgical craniofacial appearance in affected individuals with this variant, but the generalizability of this study is limited due to significant evolution of surgical techniques since the study was published .
Pathogenic
variant. Cleft palate has been reported to be more common in those with this variant.
No other features of Apert syndrome have been found to vary based on genotype .
Source: GeneReviews — "Apert Syndrome"
Prominent eyes with downslanting palpebral fissures
Relative prognathism with malocclusion
Airway. Multilevel airway obstruction
Limbs/skeleton
Source: GeneReviews — "Apert Syndrome"
Most children with multisuture synostosis will have a syndromic form of craniosynostosis. The presence of specific craniofacial characteristics and hand and foot anomalies allow for the clinical diagnosis of Apert syndrome in most cases. Establishing an accurate diagnosis has important implications for screening, surveillance, management, and counseling (see and ). Select syndromes to consider in the differential diagnosis of Apert syndrome include the allelic disorders listed (FGFR2-related Antley-Bixler syndrome, Beare-Stevenson syndrome, Crouzon syndrome, Jackson-Weiss syndrome, Pfeiffer syndrome types 1, 2, and 3, FGFR2-related Saethre-Chotzen syndrome) and the select syndromes listed in . Table 3. Nonallelic Craniosynostosis Syndromes to Consider in the Differential Diagnosis of Apert Syndrome
Gene | Disorder | MOI | Features of the Differential Diagnosis Disorder |
|---|---|---|---|
POR | POR-related Antley-Bixler syndrome1 | AR | See . |
RAB23 | Carpenter syndrome | AD | Craniosynostosis (multisuture, coronal most common); Brachyturricephaly; Maxillary hypoplasia; Obstructive sleep apnea; Hypertelorism; Ocular proptosis |
Muenke syndrome | AD | Craniosynostosis (unilateral or bilateral coronal); Mild maxillary hypoplasia; Downslanting palpebral fissures; Cervical spine fusions | Sensorineural hearing loss; Brachydactyly; Carpal-tarsal fusion; Carpal bone malsegregation; Coned epiphyses |
FGFR1 | FGFR1-related Pfeiffer syndrome types 1, 2, 32 | AD | See . |
TWIST1 | TWIST1-related Saethre-Chotzen syndrome3 | AD | See . |
Source: GeneReviews — "Apert Syndrome"
Genetic testing for FGFR2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Crouzon syndrome has been reported in the published literature.
System/Concern |
|---|
Evaluation |
|---|
Comment |
|---|
Craniofacial | Physical exam to identify cleft palate, ear anomalies, face shape, fontanelles, suture ridging, skull base symmetry | Assessing degree of maxillary hypoplasia is important for determining risk for airway compromise. |
Eyes | Consultation w/pediatric ophthalmologist1 | Incl assessment of eye surfaces, eye alignment, optic nerves |
Ears | Ear-specific hearing eval | — |
Respiratory | Assess for airway symptoms (snoring, stridor, apnea, respiratory distress). | Consider consultation w/otolaryngologist sleep medicine |
Cardiovascular | Cardiac assessment | Echocardiogram if a murmur is present or if clinical cardiac concerns |
Gastrointestinal | Upper GI w/small bowel follow-through if symptomatic or during preoperative eval for gastrostomy tube | To evaluate for intestinal malrotation |
Genitourinary | Assessment for cryptorchidism in males | Referral to urologist Renal ultrasound |
Musculoskeletal | CT scan of head/skull/sutures | CT w/3D reconstruction will delineate degree of suture involvement help w/preoperative planning. Cervical spine imaging to evaluate for vertebral fusions instability |
Neurologic | CT scan or MRI of the head to evaluate for hydrocephalus CNS anomalies | If concern for hydrocephalus or Chiari malformation, consider brain MRI. |
Other | Assessment for developmental disabilities | Consider referral to a neurodevelopmental specialist/ early intervention services Consultation w/clinical geneticist genetic counselor |
Treatment of Manifestations in Individuals with Apert Syndrome Manifestation/Concern | Treatment | Considerations/Other |
Craniosynostosis | In general, multisuture craniosynostosis should be surgically repaired in 1st yr of life.1,2,3,4 | Specific timing guided by child's anatomy, risk for intracranial pressure, respiratory status5 Midface |
retrusion | Jaw surgery to advance the midface | Typically in childhood or adolescence6,7 |
Cleft palate | Palate surgery is typically performed prior to development of pressure consonants. | To improve speech production intelligibility Feeding/ |
swallowing difficulties8 | Feeding therapy is helpful to evaluate swallowing safety support eating by mouth. | — |
Dental | Pediatric dental care eval by craniofacial orthodontist as part of coordinated craniofacial team care | Orthodontist plays an important role in determining type timing of orofacial interventions. |
Strabismus | Strabismus should be treated by ophthalmologist w/expertise in eye alignment in children w/craniosynostosis. | Amblyopia is a major cause of visual impairment. |
Hearing loss | Placement of tympanostomy tubes | If chronic middle ear effusions are present Hearing aids, bone conduction sound processors, tympanoplasties, aural atresia/stenosis repair |
obstruction | Awareness of potential airway compromise proactive airway mgmt are crucial in infants children. | Specific airway mgmt in Apert syndrome will depend on level severity of obstruction. Temporizing measures to bypass airway obstruction:; Placement of nasal stents; Endotracheal intubation |
Source: GeneReviews — "Apert Syndrome"
Contact sports and activities that involve neck hyperflexion or extension should be avoided, unless the individual has had the cervical spine assessed and cleared. Avoid factors that potentiate hearing loss (ototoxic medications, overly loud stimuli). Use of CPAP/BiPAP for long-term treatment of sleep apnea should be avoided when possible because pressure on the midface will exacerbate midfacial retrusion.
Source: GeneReviews — "Apert Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Apert Syndrome"
1 trial found
System/Concern | Evaluation | Frequency |
|---|---|---|
Oropharynx | Assessment for velopharyngeal insufficiency1,2 | After emergence of language Speech assessment to monitor for speech disorders |
Dental | Assessments w/primary dentist to caries support dental health3 | Every 6 mos |
Eyes | Ophthalmologic eval to incl vision, eye alignment, dilated fundoscopy to assess optic nerves4 | Annually |
Ears | Audiologic otologic assessements | At least annually |
Musculoskeletal | Monitor for development of scoliosis by clinical exam w/surveillance spine radiographs if recommended by spine surgeon. | Annually in childhood adolescence |
Neurologic | Measurements of head circumference ( fontanelle size, if applicable) to monitor for progressive hydrocephalus | At each appointment in infancy early childhood Assessments for intracranial pressure5,6 Eval by craniofacial team |
Cognition | Assessment of developmental progress | At each visit 1. For those with cleft palate 2. |
Source: GeneReviews — "Apert Syndrome"
Phenotype severity distribution: 2 always present features, 7 very common features, 13 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
Patient case studies |
21 |
26% |
Disease patterns and progression | 11 | 13% |
Research summaries | 8 | 10% |
Clinical study results | 6 | 7% |
New treatment approaches | 5 | 6% |
Testing and diagnosis research | 1 | 1% |
Krause M (2026). [PMID: 41812278](https://pubmed.ncbi.nlm.nih.gov/41812278/). *Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery*. [Review / Meta-Analysis]
Manara R (2026). [PMID: 42091709](https://pubmed.ncbi.nlm.nih.gov/42091709/). *Childs Nerv Syst*. [Review / Meta-Analysis]
Pech-Gourg G (2026). [PMID: 42000657](https://pubmed.ncbi.nlm.nih.gov/42000657/). *J Craniomaxillofac Surg*. [Case Report / Case Series]
Delassus O (2026). [PMID: 40624761](https://pubmed.ncbi.nlm.nih.gov/40624761/). *J Anat*. [Basic Science / Preclinical]
Steacy M (2026). [PMID: 41980720](https://pubmed.ncbi.nlm.nih.gov/41980720/). *Open Biol*. [Basic Science / Preclinical]
Zhai JF (2026). [PMID: 41765650](https://pubmed.ncbi.nlm.nih.gov/41765650/). *Zhonghua fu chan ke za zhi*. [Case Report / Case Series]
Gkialas K (2026). [PMID: 42200869](https://pubmed.ncbi.nlm.nih.gov/42200869/). *Reports (MDPI)*. [Case Report / Case Series]
Chen X (2026). [PMID: 42071254](https://pubmed.ncbi.nlm.nih.gov/42071254/). *Stem Cell Res Ther*. [Basic Science / Preclinical]
Liu B (2026). [PMID: 41742908](https://pubmed.ncbi.nlm.nih.gov/41742908/). *Radiology case reports*. [Case Report / Case Series]
Park RK (2026). [PMID: 41637834](https://pubmed.ncbi.nlm.nih.gov/41637834/). *International journal of pediatric otorhinolaryngology*. [Epidemiology / Natural History]