We report on an 18-year-old man with neurosensory hearing loss and his
sister with neurosensory hearing loss, ovarian dysgenesis, mental ret
ardation, generalized ataxia of the trunk and limbs, and saccadic dysm
etria. A CT scan showed cerebellar hypoplasia. The cardinal manifestat
ions of Perrault syndrome in females are neurosensory hearing loss and
ovarian dysgenesis. Other anomalies, including neurologic and skeleta
l, have been reported in other individuals with Perrault syndrome, We
review the neurologic anomalies in previous patients with Perrault syn
drome. Neurologic data are available on 14 of 21 girls; 7 of 14 had ne
urologic abnormalities, The high incidence of neurologic anomalies sug
gest that ataxia or mental retardation may not be just coincidental fi
ndings, but pleiotropic manifestations of Perrault syndrome. (C) 1996
Wiley-Liss, Inc.