Polymicrogyria in a child with inv dup del(9p) and 22q11.2 microduplication
A L Mosca1, P Callier, L Faivre
1Département de Génétique, CHU le Bocage, Dijon, France. moscaal@yahoo.fr
Insights
Polymicrogyria (PMG) pathogenesis is unclear. This study identifies a 22q11.2 microduplication in a patient with PMG, highlighting the 22q11 region's role and BACs-array efficiency.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Polymicrogyria (PMG) is a common cortical malformation with poorly understood causes.
- Over 70 PMG cases are linked to chromosomal abnormalities, suggesting a genetic component.
- The 22q11.2 region is implicated in various neurodevelopmental disorders.
Observation:
- A 12-year-old girl presented with asymmetrical polymicrogyria (PMG) affecting the right occipital lobe.
- The patient exhibited mental retardation, speech delay, and seizures.
- She was the only child of consanguineous parents.
Findings:
- Cytogenetic studies revealed an inverted 9p duplication/deletion in the patient.
- Bacterial artificial chromosomes (BACs)-array analysis identified a 22q11.2 microduplication, confirmed by quantitative PCR.
- This complex chromosomal rearrangement provides insights into PMG etiology.
Implications:
- The findings emphasize the 22q11 region's significance in polymicrogyria (PMG) pathogenesis.
- This case highlights the utility of BACs-array in detecting complex chromosomal rearrangements.
- Further research into candidate genes within the identified region is warranted to understand PMG development.
Abstract:
Polymicrogyria (PMG) is a relatively common malformation of the cortex for which the pathogenesis remains poorly understood. Both acquired and genetic causes are known, and to date more than 70 cases of PMG have been associated with chromosomal abnormalities. Here we report on a 12-year-old girl presenting with asymmetrical PMG predominantly affecting the right occipital lobe. She was the only child of consanguineous parents. At 7 years of age she was referred for mental retardation with speech delay and seizures. Cytogenetic studies of the patient revealed an inverted 9p duplication/deletion and bacterial artificial chromosomes (BACs)-array also showed a 22q11.2 microduplication confirmed by quantitative PCR. This case is of interest in the search for candidate genes and emphasizes the importance of the 22q11 region in PMG. It also highlights the efficiency of BACs-array in detecting complex rearrangements.
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