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An unexpected finding in a child with neurological problems: mosaic ring chromosome 18
Authors:Altuğ Koç  Derya Kan  Kadri Karaer  Mehmet A. Ergün  Meral Yirmibeş Karaoğuz  Kıvılcım Gücüyener  Sophie Hinreiner  Thomas Liehr  E. Ferda Perçin
Affiliation:Department of Medical Genetics, Faculty of Medicine, Gazi University, Ankara, Turkey.
Abstract:Major neurological disorders may accompany rare chromosomal abnormalities. As an example of this rare condition, we present a case with microcephaly, mental retardation, developmental delay, hyperactivity, stereotypic movements, seizures and dysmorphic facial appearance in whom a mosaic ring chromosome 18 was found [45,XX,-18/46,XX,r(18)/46,XX,dicr(18)]. Although ring chromosome 18 phenotype has been known for a long time, this is the third reported patient with a dicentric ring chromosome 18 mosaicism. The presented case will contribute to the identification of the genotype-phenotype correlation in chromosome 18 anomalies.
Keywords:Ring chromosome 18  Mosaicism  18q deletion syndrome  18p deletion syndrome  Microcephaly  Mental retardation  Trisomy 18
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