Cerebral palsy due to chromosomal anomalies and continuous gene syndromes
John H Menkes1, Laura Flores-Sarnat
1Division of Pediatric Neurology, University of California, Los Angeles, USA. jhansmenk@aol.com
Insights
Chromosomal anomalies cause up to 10% of cerebral palsy cases. These genetic issues arise during early development, affecting fetal and infant brain development, leading to movement and posture disorders.
Area of Science:
- Neurology
- Genetics
- Developmental Biology
Background:
- Cerebral palsy (CP) is a disorder of movement and posture resulting from nonprogressive disturbances in the developing fetal and infant brain.
- A significant proportion of CP cases, up to 10%, are linked to chromosomal anomalies and contiguous gene syndromes.
Purpose of the Study:
- To elucidate the role of chromosomal abnormalities in the etiology of cerebral palsy.
- To differentiate between constitutional and acquired chromosomal abnormalities in the context of neurological disorders.
Main Methods:
- Review of existing literature on chromosomal abnormalities and cerebral palsy.
- Analysis of etiological factors contributing to nonprogressive brain disturbances.
Main Results:
- Constitutional chromosomal abnormalities, present from gametogenesis or early embryogenesis, affect a large proportion of cells and are implicated in CP.
- Acquired chromosomal abnormalities, developing postnatally and affecting a single cell clone, are primarily associated with neoplasia, not typically CP.
Conclusions:
- Chromosomal anomalies are a significant etiological factor in a substantial subset of cerebral palsy cases.
- Understanding the distinction between constitutional and acquired chromosomal abnormalities is crucial for diagnosing and managing CP.
Abstract:
When cerebral palsy is defined as a disorder of movement and posture that is due to nonprogressive disturbances that occur in the developing fetal and infant brain, a significant proportion-up to 10%--is the consequence of chromosomal anomalies and continuous gene syndromes. Abnormalities of chromosomes are constitutional or acquired. Acquired chromosomal abnormalities develop postnatally, affect only one clone of cells, and are implicated in the evolution of neoplasia. Constitutional abnormalities develop during gametogenesis or early embryogenesis and affect a significant portion of the subject's cells.
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