Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome

Cat-eye syndrome is a rare genetic syndrome of chromosomal origin. Individuals with cat-eye syndrome are characterized by the presence of preauricular pits and/or tags, anal atresia, and iris coloboma. Many reported cases also presented with variable congenital anomalies and intellectual disability....

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Main Authors: Guillaume Jedraszak, Aline Receveur, Joris Andrieux, Michèle Mathieu-Dramard, Henri Copin, Gilles Morin
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2015/943905
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author Guillaume Jedraszak
Aline Receveur
Joris Andrieux
Michèle Mathieu-Dramard
Henri Copin
Gilles Morin
author_facet Guillaume Jedraszak
Aline Receveur
Joris Andrieux
Michèle Mathieu-Dramard
Henri Copin
Gilles Morin
author_sort Guillaume Jedraszak
collection DOAJ
description Cat-eye syndrome is a rare genetic syndrome of chromosomal origin. Individuals with cat-eye syndrome are characterized by the presence of preauricular pits and/or tags, anal atresia, and iris coloboma. Many reported cases also presented with variable congenital anomalies and intellectual disability. Most patients diagnosed with CES carry a small supernumerary bisatellited marker chromosome, resulting in partial tetrasomy of 22p-22q11.21. There are two types of small supernumerary marker chromosome, depending on the breakpoint site. In a very small proportion of cases, other cytogenetic anomalies are reportedly associated with the cat-eye syndrome phenotype. Here, we report a patient with cat-eye syndrome caused by a type 1 small supernumerary marker chromosome. The phenotype was atypical and included a severe developmental delay. The use of array comparative genomic hybridization ruled out the involvement of another chromosomal imbalance in the neurological phenotype. In the literature, only a few patients with cat-eye syndrome present with a severe developmental delay, and all of the latter carried an atypical partial trisomy 22 or an uncharacterized small supernumerary marker chromosome. Hence, this is the first report of a severe neurological phenotype in cat-eye syndrome with a typical type 1 small supernumerary marker chromosome. Our observation clearly complicates prognostic assessment, particularly when cat-eye syndrome is diagnosed prenatally.
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spelling doaj-art-223d89fc6b9448c4a8997cfba847f7882025-02-03T01:23:04ZengWileyCase Reports in Genetics2090-65442090-65522015-01-01201510.1155/2015/943905943905Severe Psychomotor Delay in a Severe Presentation of Cat-Eye SyndromeGuillaume Jedraszak0Aline Receveur1Joris Andrieux2Michèle Mathieu-Dramard3Henri Copin4Gilles Morin5Unité de Génétique Médicale et Oncogénétique, Centre Hospitalier Universitaire Amiens-Picardie, 80054 Amiens Cedex, FranceLaboratoire de Cytogénétique et Biologie de la Reproduction, CECOS de Picardie, Centre Hospitalier Universitaire Amiens-Picardie, 80054 Amiens Cedex, FranceLaboratoire de Génétique Médicale, Hôpital Jeanne de Flandre, Centre Hospitalier Régional Universitaire de Lille, 59037 Lille Cedex, FranceUnité de Génétique Médicale et Oncogénétique, Centre Hospitalier Universitaire Amiens-Picardie, 80054 Amiens Cedex, FranceLaboratoire de Cytogénétique et Biologie de la Reproduction, CECOS de Picardie, Centre Hospitalier Universitaire Amiens-Picardie, 80054 Amiens Cedex, FranceUnité de Génétique Médicale et Oncogénétique, Centre Hospitalier Universitaire Amiens-Picardie, 80054 Amiens Cedex, FranceCat-eye syndrome is a rare genetic syndrome of chromosomal origin. Individuals with cat-eye syndrome are characterized by the presence of preauricular pits and/or tags, anal atresia, and iris coloboma. Many reported cases also presented with variable congenital anomalies and intellectual disability. Most patients diagnosed with CES carry a small supernumerary bisatellited marker chromosome, resulting in partial tetrasomy of 22p-22q11.21. There are two types of small supernumerary marker chromosome, depending on the breakpoint site. In a very small proportion of cases, other cytogenetic anomalies are reportedly associated with the cat-eye syndrome phenotype. Here, we report a patient with cat-eye syndrome caused by a type 1 small supernumerary marker chromosome. The phenotype was atypical and included a severe developmental delay. The use of array comparative genomic hybridization ruled out the involvement of another chromosomal imbalance in the neurological phenotype. In the literature, only a few patients with cat-eye syndrome present with a severe developmental delay, and all of the latter carried an atypical partial trisomy 22 or an uncharacterized small supernumerary marker chromosome. Hence, this is the first report of a severe neurological phenotype in cat-eye syndrome with a typical type 1 small supernumerary marker chromosome. Our observation clearly complicates prognostic assessment, particularly when cat-eye syndrome is diagnosed prenatally.http://dx.doi.org/10.1155/2015/943905
spellingShingle Guillaume Jedraszak
Aline Receveur
Joris Andrieux
Michèle Mathieu-Dramard
Henri Copin
Gilles Morin
Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
Case Reports in Genetics
title Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
title_full Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
title_fullStr Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
title_full_unstemmed Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
title_short Severe Psychomotor Delay in a Severe Presentation of Cat-Eye Syndrome
title_sort severe psychomotor delay in a severe presentation of cat eye syndrome
url http://dx.doi.org/10.1155/2015/943905
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