What are the actual causes of this syndrome?

Need More Info. I need more information to understand your question. Please ask the question using specific information about the syndrome you are asking about.
Symptoms? A syndrome has multiple symptoms, what problems do you have?
What syndrome. If you ask more than one question they may not be in order and the doctor, as in this case may have no idea what you are talking about. Be complete with your questions. Thank you. Would love to help.
More info. We need more info, what syndrome are you talking about exactly.