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Published on: February 3, 2012
Insights
Ring chromosome 13 syndrome is characterized by microcephaly, intellectual disability, and distinct facial features. This case report supports the definition of a clinically recognizable syndrome associated with ring chromosome 13.
Area of Science:
- Genetics
- Clinical Medicine
- Pediatrics
Background:
- Ring chromosome 13 (r(13)) is a rare chromosomal abnormality.
- It is associated with a spectrum of developmental abnormalities.
- Previous reports suggest a recognizable clinical phenotype.
Purpose of the Study:
- To describe a case of ring chromosome 13.
- To contribute to the definition of the r(13) syndrome phenotype.
- To highlight key clinical features associated with r(13).
Main Methods:
- Case report of a female infant with r(13).
- Clinical examination and developmental assessment.
- Review of relevant literature.
Main Results:
- The patient presented with microcephaly, mental retardation, and minor malformations.
- Facial features included asymmetrical palpebral fissures, epicanthic folds, and a broad nasal bridge.
- Surgical intervention for premature metopic suture closure was performed.
Conclusions:
- This case aligns with previous descriptions of ring chromosome 13 syndrome.
- The distinct combination of microcephaly, intellectual disability, and specific dysmorphic features supports a defined clinical entity.
- Further case accumulation is valuable for refining the understanding of r(13) syndrome.
Abstract:
A girl in whom a ring chromosome 13 was found, presented with microcephaly, mental retardation and multiple minor malformations. She was born after a full term pregnancy, small for date and with a small head circumference. She underwent craniotomy at the age of 18 months because of premature closure of the metopic sutures. At age 4 1/2 years, she presented with mental retardation, microcephaly, asymmetrical mongoloid slanting of narrow palpebral fissures, bilateral epicanthic folds, broad and prominent nasal bridge, normal sized ears and open mouth. She had somewhat short second and fifth fingers, with a single crease on the right fifth finger and normal thumbs. This case supports previous reports that a clinically recognizable ring chromosome 13 syndrome can be defined.
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