Abstract
The relative homogeneity of the neuropsychiatric phenotype in individuals with fragile (fra) X syndrome suggests that there are consistent central nervous system (CNS) abnormalities underlying the observed cognitive and behavioral abnormalities. In this study, the neuroanatomy of the posterior fossa and other selected CNS regions in 12 young fra X females were compared with those of a group of 12 age-, sex-, and IQ-matched females without evidence of the fra X syndrome. Fra X females were shown to have decreased size of the posterior cerebellar vermis and increased size of the fourth ventricle, findings that are identical to those previously reported for fra X males. When compared with fra X male and nonfra X control groups, the distribution of the posterior-vermis and fourth-ventricle variables for the fra X female group was intermediate. These results support the hypothesis that the fra X genetic abnormality leads to hypoplasia of the posterior cerebellar vermis, a neuroanatomical variation of potential importance to both developmental and neuropsychiatric syndromes.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Borghgraef M., Fryns J. P., van den Berghe H. The female and the fragile X syndrome: data on clinical and psychological findings in 7 fra(X) carriers. Clin Genet. 1990 May;37(5):341–346. doi: 10.1111/j.1399-0004.1990.tb03516.x. [DOI] [PubMed] [Google Scholar]
- Brown W. T., Jenkins E. C., Cohen I. L., Fisch G. S., Wolf-Schein E. G., Gross A., Waterhouse L., Fein D., Mason-Brothers A., Ritvo E. Fragile X and autism: a multicenter survey. Am J Med Genet. 1986 Jan-Feb;23(1-2):341–352. doi: 10.1002/ajmg.1320230126. [DOI] [PubMed] [Google Scholar]
- Cohen I. L., Fisch G. S., Sudhalter V., Wolf-Schein E. G., Hanson D., Hagerman R., Jenkins E. C., Brown W. T. Social gaze, social avoidance, and repetitive behavior in fragile X males: a controlled study. Am J Ment Retard. 1988 Mar;92(5):436–446. [PubMed] [Google Scholar]
- Courchesne E., Press G. A., Murakami J., Berthoty D., Grafe M., Wiley C. A., Hesselink J. R. The cerebellum in sagittal plane--anatomic-MR correlation: 1. The vermis. AJR Am J Roentgenol. 1989 Oct;153(4):829–835. doi: 10.2214/ajr.153.4.829. [DOI] [PubMed] [Google Scholar]
- Courchesne E., Yeung-Courchesne R., Press G. A., Hesselink J. R., Jernigan T. L. Hypoplasia of cerebellar vermal lobules VI and VII in autism. N Engl J Med. 1988 May 26;318(21):1349–1354. doi: 10.1056/NEJM198805263182102. [DOI] [PubMed] [Google Scholar]
- Curatolo P., Cotroneo E. Cerebellar vermis dysplasia: diagnostic problems by CT. Neuropediatrics. 1982 Feb;13(1):50–50. [PubMed] [Google Scholar]
- Freund L. S., Reiss A. L. Cognitive profiles associated with the fra(X) syndrome in males and females. Am J Med Genet. 1991 Mar 15;38(4):542–547. doi: 10.1002/ajmg.1320380409. [DOI] [PubMed] [Google Scholar]
- Hagerman R. J., Chudley A. E., Knoll J. H., Jackson A. W., 3rd, Kemper M., Ahmad R. Autism in fragile X females. Am J Med Genet. 1986 Jan-Feb;23(1-2):375–380. doi: 10.1002/ajmg.1320230129. [DOI] [PubMed] [Google Scholar]
- Kemper M. B., Hagerman R. J., Ahmad R. S., Mariner R. Cognitive profiles and the spectrum of clinical manifestations in heterozygous fra (X) females. Am J Med Genet. 1986 Jan-Feb;23(1-2):139–156. doi: 10.1002/ajmg.1320230109. [DOI] [PubMed] [Google Scholar]
- Kemper M. B., Hagerman R. J., Altshul-Stark D. Cognitive profiles of boys with the fragile X syndrome. Am J Med Genet. 1988 May-Jun;30(1-2):191–200. doi: 10.1002/ajmg.1320300118. [DOI] [PubMed] [Google Scholar]
- Laird C. D. Proposed mechanism of inheritance and expression of the human fragile-X syndrome of mental retardation. Genetics. 1987 Nov;117(3):587–599. doi: 10.1093/genetics/117.3.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miezejeski C. M., Jenkins E. C., Hill A. L., Wisniewski K., French J. H., Brown W. T. A profile of cognitive deficit in females from fragile X families. Neuropsychologia. 1986;24(3):405–409. doi: 10.1016/0028-3932(86)90026-6. [DOI] [PubMed] [Google Scholar]
- Murakami J. W., Courchesne E., Press G. A., Yeung-Courchesne R., Hesselink J. R. Reduced cerebellar hemisphere size and its relationship to vermal hypoplasia in autism. Arch Neurol. 1989 Jun;46(6):689–694. doi: 10.1001/archneur.1989.00520420111032. [DOI] [PubMed] [Google Scholar]
- Musumeci S. A., Colognola R. M., Ferri R., Gigli G. L., Petrella M. A., Sanfilippo S., Bergonzi P., Tassinari C. A. Fragile-X syndrome: a particular epileptogenic EEG pattern. Epilepsia. 1988 Jan-Feb;29(1):41–47. doi: 10.1111/j.1528-1157.1988.tb05096.x. [DOI] [PubMed] [Google Scholar]
- Prouty L. A., Rogers R. C., Stevenson R. E., Dean J. H., Palmer K. K., Simensen R. J., Coston G. N., Schwartz C. E. Fragile X syndrome: growth, development, and intellectual function. Am J Med Genet. 1988 May-Jun;30(1-2):123–142. doi: 10.1002/ajmg.1320300111. [DOI] [PubMed] [Google Scholar]
- Reiss A. L., Aylward E., Freund L. S., Joshi P. K., Bryan R. N. Neuroanatomy of fragile X syndrome: the posterior fossa. Ann Neurol. 1991 Jan;29(1):26–32. doi: 10.1002/ana.410290107. [DOI] [PubMed] [Google Scholar]
- Reiss A. L., Freund L. Fragile X syndrome. Biol Psychiatry. 1990 Jan 15;27(2):223–240. doi: 10.1016/0006-3223(90)90652-i. [DOI] [PubMed] [Google Scholar]
- Reiss A. L., Freund L., Vinogradov S., Hagerman R., Cronister A. Parental inheritance and psychological disability in fragile X females. Am J Hum Genet. 1989 Nov;45(5):697–705. [PMC free article] [PubMed] [Google Scholar]
- Reiss A. L., Hagerman R. J., Vinogradov S., Abrams M., King R. J. Psychiatric disability in female carriers of the fragile X chromosome. Arch Gen Psychiatry. 1988 Jan;45(1):25–30. doi: 10.1001/archpsyc.1988.01800250029005. [DOI] [PubMed] [Google Scholar]
- Rudelli R. D., Brown W. T., Wisniewski K., Jenkins E. C., Laure-Kamionowska M., Connell F., Wisniewski H. M. Adult fragile X syndrome. Clinico-neuropathologic findings. Acta Neuropathol. 1985;67(3-4):289–295. doi: 10.1007/BF00687814. [DOI] [PubMed] [Google Scholar]
- Theobald T. M., Hay D. A., Judge C. Individual variation and specific cognitive deficits in the fra(X) syndrome. Am J Med Genet. 1987 Sep;28(1):1–11. doi: 10.1002/ajmg.1320280102. [DOI] [PubMed] [Google Scholar]
- Veenema H., Geraedts J. P., Beverstock G. C., Pearson P. L. The fragile X syndrome in a large family. I. Cytogenetic and clinical investigations. J Med Genet. 1987 Jan;24(1):23–31. doi: 10.1136/jmg.24.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]