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.

Pediatric Neurology
|July 19, 2011
PubMed

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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