Table 1. Phenotypes and genetic testing of the eight patients.
Patient | Age | Gender | Phenotypes | Previous genetic testing |
Patient 1 | 11 | Male | DD/ID, hydrocephalus, adducted thumbs, agenesis of corpus callosum, spasticity, optic atrophy, CTEV, no speech | Karyotype, aCGH |
Patient 2 | 4 | Male | DD, microcephaly, dysmorphism (hypertelorism, low set ears, posteriorly rotated, microstomia with tented upper lip, high forehead with cowlick), hypotonia, short fingers, bilateral CTEV, bifid scrotum, undescended testes, speech delay, family history of neurodevelopmental disorders and early deaths | aCGH |
Patient 3 | 4 | Female | Dandy-Walker malformation, bilateral post-axial polydactyly, ventricular septal defect; anal stenosis, hearing loss, omphalocoele minor, hypoplastic nipple, sacral dimple, low set ears, deep set eyes, significant tendency to keloid formation | Karyotype, fluorescent in-situ hybridization for 6p deletion, aCGH |
Patient 4 | 11 | Female | DD, autism spectrum disorder diagnosed at age 3½. | Karyotype, Angelman Syndrome, aCGH |
Patient 5 | 5 | Male | DD, no speech, no eye contact | Karyotype, FragX, aCGH |
Patient 6 | 5 | Male | Speech delay, autism spectrum disorder, sister with DD and Turner's syndrome | Karyotype, FragX, aCGH |
Patient 7 | 11 | Male | Normal IQ, mild autism, does not interact with peers, hyperactive | Karyotype, aCGH |
Patient 8 | 7 | Female | DD, intellectual disability? autism spectrum disorder, speech delay, moderate IQ, hypertelorism, depressed nasal bridge, prominent jaw, brother with ADHD | Karyotype, FragX, aCGH, |
DD = developmental delay; ID = intellectual disability; CTEV = congenital talipes equinovarus; ADHD = attention deficit hyperactivity disorder; aCGH = array comparative genomic hybridization; FragX = Fragile X