title: A girl with del(4)(q33) and occipital encephalocele: clinical description and molecular genetic characterization of a rare patient.
abstract: We present clinical and developmental data on a girl with a de novo terminal deletion of the long arm of chromosome 4, del(4)(q33). The patient was evaluated at birth and followed up until 5 years of age. She showed facial and digital dysmorphism, a complex congenital heart defect, a large occipital encephalocele, and postnatal growth deficiency. Her neuropsychomotor milestones were delayed, and she developed learning difficulties. Apart from standard Giemsa banding, a molecular genetic analysis was performed using a comparative genomic hybridization (CGH) array. This revealed a terminal deletion at the band 4q32.3, which is directly adjacent to 4q33. The clinical findings in our patient differ from those described previously in patients with del(4)(q33) and del(4)(q32), respectively. In particular, the prominent occipital encephalocele has not been observed before in a terminal 4q deletion.
authors: Instituto de Genética Médica, Hospital Italiano, Montevideo, Uruguay. rquadr@dedicado.net.uy
authors: Roberto
authors: R
authors: Quadrelli
authors: Eugen M
authors: EM
authors: Strehle
authors: Alicia
authors: A
authors: Vaglio
authors: Mariela
authors: M
authors: Larrandaburu
authors: Búrix
authors: B
authors: Mechoso
authors: Andrea
authors: A
authors: Quadrelli
authors: Yao-Shan
authors: YS
authors: Fan
authors: Taosheng
authors: T
authors: Huang
mesh_terms: D002871:Chromosome Banding; D002872:Chromosome Deletion; D002894:Chromosomes, Human, Pair 4; D004677:Encephalocele / Q000235:genetics*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007621:Karyotyping