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Case Reports
. 2013 Apr;4(4):197-202.
doi: 10.1159/000350040. Epub 2013 Apr 11.

Aicardi syndrome associated with autosomal genomic imbalance: coincidence or evidence for autosomal inheritance with sex-limited expression?

Affiliations
Case Reports

Aicardi syndrome associated with autosomal genomic imbalance: coincidence or evidence for autosomal inheritance with sex-limited expression?

P Prontera et al. Mol Syndromol. 2013 Apr.

Abstract

Aicardi syndrome (AIS), a rare neurodevelopmental disorder thought to be caused by an X-linked dominant mutation, is characterized by 3 main features: agenesis of corpus callosum, infantile spams and chorioretinal lacunae. A genome-wide study of a girl with AIS lead us to identify a 6q deletion;12q duplication, derived from a maternal 6q;12q translocation. The two intellectually impaired brothers of the proband showed the same genomic anomalies, but not the constellation of features characterizing the AIS. This could be either a coincidental observation of 2 rare conditions, but can also suggest an alternative hypothesis for the genetic etiology of AIS, indicating the existence of a subset of autosomal genes whose mutation could act in a sex-confined manner.

Keywords: Aicardi syndrome; Autosomal inheritance; Genomic disorder; Sex-limited expression.

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Figures

Fig. 1
Fig. 1
A, B Note the facial dysmorphisms of the patient, in particular the strabismus, high forehead, fullness of periorbital region, prominent premaxilla, prognatism, short philtrum, open-mouth appearance, long mandible, thick lips. C Anterior-posterior X-ray projection of the vertebral column showing the moderate scoliosis. The MRIs show the partial agenesis of corpus callosum (D) and ventriculomegaly with gross cerebral asymmetry (E).
Fig. 2
Fig. 2
Results of the array-CGH analysis (CytoChip ISCA 4x44K v1.0 BlueGnome) showing the 6q27 deletion (A) and the 12q24.32q24.33 duplication (B). FISH on metaphase cells: C subtelomere specific 6qtel probe (green) and subtelomere specific 6ptel control probe (red) showing the 6q deletion. D Subtelomere specific 12qtel probe (green) and α-satellite chromosome 6 probe (red) as control, showing the 12q duplication on chromosome 6.

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