RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164072972 T1 HHHH Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164072972 RD 2024/04/19 AB HHHH is an acronym that stands for Hereditary Hemihypotrophy, Hemiparesis, and Hemiathetosis. It is characterized by congenital unilateral (left or right) hemiparesis with subsequent development of hemihypoplasia and athetoid posturing of the left hand. Other clinical features include hemiatrophy, involuntary movements, and seizures. It has been suggested that either an autosomal dominant or X-linked inheritance is likely.