Rearrangement of chromosome 14q with associated white matter disease
Vijay Ramaswamy1, François Dominique Jacob, François V Bolduc
1Division of Pediatric Neurology, Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Abstract:
We report the case of a 29-month-old boy with spasticity and periventricular white matter changes on magnetic resonance imaging in whom a complex rearrangement consisting of a de novo duplication of 14q32.31q32.33 and deletion of 14q32.33 was identified by array-based comparative genomic hybridization. Our case replicates some of the previous features associated with chromosome 14q duplication and deletion while expanding its clinical spectrum with pyramidal tract dysfunction signs and neuroimaging features. Genomic lesions should be considered in cases of leukodystrophies, and genome-wide studies such as array-based comparative genomic hybridization could be considered in the assessment of undefined white matter disorders.
Insights
A rare de novo chromosome 14q32.31-q32.33 duplication and deletion in a child expands the clinical spectrum of 14q copy number variations. Array-based comparative genomic hybridization identified these genomic lesions in a case of leukodystrophy.
Area of Science:
- Genetics
- Neurology
- Developmental Biology
Background:
- Chromosome 14q duplications and deletions are rare genetic rearrangements associated with specific neurodevelopmental phenotypes.
- Periventricular white matter changes on MRI can indicate various leukodystrophies, often with complex underlying genetic causes.
Observation:
- A 29-month-old boy presented with spasticity and periventricular white matter changes.
- Array-based comparative genomic hybridization revealed a complex rearrangement: a de novo duplication of 14q32.31q32.33 and deletion of 14q32.33.
Findings:
- The identified genomic lesions expand the known clinical spectrum of chromosome 14q copy number variations.
- This case highlights pyramidal tract dysfunction signs and specific neuroimaging features associated with this complex rearrangement.
Implications:
- Genomic lesions, particularly copy number variations, should be considered in the differential diagnosis of unexplained leukodystrophies.
- Genome-wide studies like array-based comparative genomic hybridization are valuable tools for diagnosing undefined white matter disorders.
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