Table 1.
Clinical Features of Families Harboring TCF12 Rearrangements
Family 1 | Family 2 | Family 3 | Family 4 | |
---|---|---|---|---|
cDNA position of rearrangement | c.391–5871_1746–1795del | c.1745 + 4562_1978 + 3153del | c.1979–3147_*12–1497del | c.1746–1697_*11 + 65dup |
Size of rearrangement (kb) | 84.9 | 8.6 | 5.4 | 11.3 |
Exons involved | 7–18 | 19 | 20 | 19 and 20 |
Type of rearrangement | Deletion | Deletion | Deletion | Duplication |
Gender of index patient | Male | Female | Male | Male |
Gestational age (weeks) | 37+6 | 42+4 | 39+4 | 38 |
Birth weight (grams) | 3,075 | 3,620 | 3,365 | NA |
Cranial suture fusion | RC | BC | All except M | BC |
Major craniofacial procedures | Fronto‐supraorbital remodeling @ 10 months | Supraorbital advancement @ 9 months | Fronto‐biparietal remodeling @ 8 months, parieto‐occipital decompression @ 2 years | FOAR @ 10.5 months |
Development | Mild learning problems VIQ 82, PIQ 64, GIQ 74 | Normal | Normal | Normal |
Limbs | Fifth finger camptodactyly | Normal | Normal | Fifth finger clinodactyly |
Other major clinical features | Divergent strabismus, recurrent infections, febrile seizures | Myopia, crowding of teeth, divergent growth pattern | Increased ICP | Class II.1 malocclusion, small ears with prominent helical crura |
Family history | Mother LC | Sister of father brachycephaly | Negative | Flattened foreheads in maternal half‐brother and his daughter |
Previous genetic diagnostics | Karyotyping, FGFR2, FGFR3, TWIST1, TCF12 | FGFR2, FGFR3, TWIST1, TCF12 | FGFR2, FGFR3, TWIST1 | FGFR2, FGFR3, TWIST1, TCF12 |
Subjects sequenced | II.1, II.2, and III.1 | II.1, II.2, II.3, and III.1 | II.1, II.2, and III.2 | III.1 |
BC, bicoronal; FOAR, fronto‐orbital advancement and remodeling; GIQ, Global IQ; LC, left coronal; M, metopic; PIQ, performal IQ; RC, right coronal; VIQ, verbal IQ.