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The Wolf-Hirschhorn syndrome in adulthood: Evaluation of a 24-year-old man with a rec(4) chromosome

✍ Scribed by Ogle, Robert; Sillence, David O.; Merrick, Ann; Ell, Jonathan; Lo, Beehong; Robson, Lisa; Smith, Arabella


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
397 KB
Volume
65
Category
Article
ISSN
0148-7299

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✦ Synopsis


We describe a profoundly intellectually disabled 24-year-old man with Wolf-Hirschhorn syndrome, left hemiplegia, epilepsy, atrophy of the right cerebral hemisphere, and dilatation of the right ventricle. The patient had a small ventricular septa1 defect, was wheelchair bound, and totally dependent. He had no speech, but vocalised to show his feelings. In this patient, the de1(4)(p15) was subtle and arose due to the inheritance of a recombinant chromosome (4) from a maternal pericentric inversion-46,XX,inv(4) (p15.32q35). Fluorescence in situ hybridisation with probe D4S96 confirmed the deletion. This is the second case of Wolf-Hirschhorn syndrome resulting from a large pericentric inversion of chromosome 4.


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