CHARGE Syndrome.

First Edition

Timothy S. Hartshorne, Margaret A. Hefner, Sandra L.H. Davenport, James Thelin

Details: 408 pages, BW w/ 4-Color Inserts, Softcover, 7" x 10"

ISBN13: 978-1-59756-349-9

© 2011 | Available


CHARGE syndrome affects approximately 1:10,000 births worldwide, is extremely complex and has varied medical and physical manifestations. It was first described in 1979, named in 1981, and only as recently as 2004 was a gene for CHARGE found. In addition to a host of other conditions, most individuals have communication-related problems, including breathing, swallowing, hearing and balance, and speech.

Each of the editors is established as an expert on CHARGE syndrome and has received the highest award bestowed by the CHARGE Syndrome Foundation, the Star in CHARGE, and represent four different disciplines: sensory genetics and neurodevelopment, genetic counseling, audiology, and psychology. They have concluded that studies have advanced to the degree that a single source of information is necessary. This, the first known book on the subject, describes the sensory, physical, and behavioral findings in CHARGE, indicates what kinds of studies need to be done to confirm the findings, and describes how these findings affect the function and development of the individual with CHARGE.


"Edited and authored by experts from a wide score of pediatricians and professionals, this is an excellent work that gives insight about everything professionals need to know about CHARGE syndrome in one book. Therefore, it is a must-have clinical reference book for specialists who are involved in the care of individuals with CHARGE. It allows a quick grasp of the essential points for multidisciplinary collaboration to provide appropriate evaluations, referrals, guidance, and treatment for individuals with CHARGE. I would also recommend this book to family members of individuals with CHARGE syndrome for educational and counseling purposes, to help parents understand the long-term health consequences of the syndrome and the steps they can take to help their child. The editors have done a great job crossing the barriers among these professionals in order for the book to serve as a professional and parental educational resource. In conclusion, thanks to the editors and the authors for an invaluable text to professionals, parents, and educators."
Wafaa Kaf, Communication Sciences and Disorders Department, Missouri State University, Springfield, Missouri, USA, International Journal of Audiology (2012)

  • Introduction
  • Part I: Overview of Sensory Deficits and Their Effects
  • Specific Anomalies That Affect Sensory Function
    • Eyes and Vision
    • Auditory System and Hearing
    • Smell
    • Taste
    • Touch, Pain, and Pressure
    • Vestibular Mechanism, Balance, and Mobility
  • Other Physical Issues
    • Facial Palsy
    • Fatigue
  • Part II: Describing and Evaluating Sensory and Other Medical Issues
  • Otorhinolaryngologic Issues
    • Otologic Issues: Anomalies and Disease
    • PE Tubes, Chronic Middle Ear Infections, Otologic Issues: Cochlear Implantation
    • Rhinologic Issues
    • Smell: The Olfactory System
  • Audiologic Issues
    • Overview
    • Audiologic Assessment
    • Obstacles to Audiologic Assessment and Modification of Audiologic Procedures
    • Common and Distinctive Audiologic Findings
    • Amplification
  • Ophthalmologic Issues: Coloboma and Visual Issues
    • Balance and the Vestibular System
  • Airway
    • Choanal atresia
    • TEF/EA
    • Cleft lip & palate
    • Cranial nerves 9 & 10
    • Laryngotracheomalacia
  • Feeding
    • Cranial nerves 9 & 10; 7 & 12
    • Swallow studies and sedation
    • Nissen and reflux
    • Feeding tubes or buttons
    • Constipation
  • Heart
  • Neurological
    • Seizures
    • Brain anomalies: frequency
    • Other neurological findings
  • Other Physical Issues
    • Renal and Urinary Anomalies
    • Endocrine
    • Immune problems
    • Skeletal anomalies
    • Teenage and Adulthood
  • Part III: Communication Systems and Language Development
    • Overview
    • Forms and functions in the language of children with CHARGE with significant language delays
    • Prelinguistic assessment strategies and indicators of linguistic development
  • Part IV: Developmental Issues
  • Changes During the Life Cycle
    • Infancy
    • Childhood
    • Teenage
    • Adulthood
  • Physical
    • Locomotion
  • Cognitive
  • Social/Emotional
  • Part V: Psychological Issues
  • Behavioral Phenotype
  • Neurological issues and pain
  • Toileting
  • Sleep
  • Psychiatric issues and medication
  • Parenting
  • Attachment and Bonding
  • Stress
  • Part VI: Questions for Future Research
  • Smell
  • Adult medical issues
  • Adult psychological issues
  • Sensory receptors
  • Autonomic nervous system
  • Index.

Timothy S. Hartshorne

Timothy S. Hartshorne, PhD, is a Professor of Psychology at Central Michigan University, specialized in school psychology. Dr. Hartshorne has been interested in CHARGE syndrome since the birth of his son with CHARGE in 1989.  When it became clear in the mid 1990’s that many children with CHARGE develop severe behavioral issues, he decided to refocus his research on this problem.  In addition to his publications on CHARGE, Dr. Hartshorne has been a frequent presenter at conferences in many countries and has presented at every U.S. conference since the first one in 1993. In 2005 he was awarded the Stars in CHARGE by the CHARGE Syndrome Foundation. He is also the grant holder for Deafblind Central: Michigan’s Training and Resource Project. Dr. Hartshorne serves as an advisor to the CHARGE Syndrome Foundation and chairs their clinical research advisory board.

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Margaret A. Hefner

Margaret A. Hefner, MS, is a Genetic Counselor in the Department of Pediatrics, Division of Medical Genetics, at Saint Louis University School of Medicine. She first became interested in CHARGE syndrome in 1982 when working with Dr. Sandra Davenport at the University of Missouri, Columbia. In addition to writing journal articles on CHARGE syndrome, Ms. Hefner has written and edited materials for families and professionals, including for the Management Manual for Parents, the 2005 and 2017 American Journal of Medical Genetics special issues on CHARGE syndrome, and the GeneReview and Face2Gene summaries of CHARGE syndrome. One of the founders of the CHARGE Syndrome Foundation, Ms. Hefner served on the Board for 12 years. In 1999, Ms. Hefner was awarded the first Stars in CHARGE, the highest award of the Foundation.  In 2014, she was given the Diane Baker Award from the University of Michigan for her lifelong work as a genetic counselor and her work with CHARGE. Ms. Hefner still serves as an advisor to the CHARGE Syndrome Foundation, is on the advisory board of the Missouri Deafblind Project, and answers inquiries from families and professionals via email and social media.

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Sandra L.H. Davenport

Sandra L.H. Davenport, MD, CM got her undergraduate degree from Barnard College in New York City, her basic medical science degree from Dartmouth Medical School in Hanover, New Hampshire, and her MD from McGill University Faculty of Medicine in Montreal. Dr. Davenport completed her pediatric residency at the University of Washington in Seattle, along with two fellowships in the Comprehensive Care of Handicapped Children and in Abnormal Biologic Development. The focus of the Abnormal Biologic Development fellowship was deafness and was divided between genetics and the study of deafness from both a medical and cultural perspective, including taking a didactic course for ENT residents, spending time in the ENT clinic, beginning sign language, and learning about deaf culture. It was at this time that Dr. Davenport developed a life-long interest in deafblindness. Five years later, Dr. Davenport, Ms. Meg Hefner, and Dr. James Thelin presented a series of four patients at a scientific meeting that turned out to have CHARGE syndrome. This beginning led to further interest in both the medical aspects of the condition and the effects on development and communication.

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James Thelin

James Thelin is an audiologist who received his education at Rice University and the University of Iowa. He has taught, practiced, and conducted research in audiology for 36 years. He taught resident physicians in otolaryngology and medical students for 18 years at the Universities of Cincinnati and Missouri Schools of Medicine. For the past 18 years, he has taught graduate students in audiology at the University of Tennessee.

He has conducted research on CHARGE syndrome since the early 1980s and was actively involved in the creation of the CHARGE Syndrome Foundation. His initial research on CHARGE focused on hearing loss but has shifted to the factors that affect language acquisition and the development of communication. At present, Dr. Thelin and his collaborators are studying the effects of vestibular anomalies on mobility and communication and the forms and functions used in communication by individuals with multi-sensory deficits.

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Genetics, Embryology, and Development of Auditory and Vestibular Systems

First Edition

Sherri M. Jones, Timothy A. Jones

Details: 272 pages, Full Color, eBook

ISBN13: 978-1-59756-627-8

© 2012 | Available

Velo-Cardio-Facial Syndrome, Volume II: Treatment of Communication Disorders

First Edition

Karen J. Golding-Kushner, Robert J. Shprintzen

Details: 256 pages, B&W, Softcover + DVD, 7" x 10"

ISBN13: 978-1-59756-157-0

© 2011 | Available