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Catena S, Aracena M, Pizarro Ó, Espinoza K, Lay-Son G. Proximal Deletion of 6q Overlapping with Toriello-Carey Facial Phenotype: Prenatal Findings, Clinical Course, Differential Diagnosis, and Review. Mol Syndromol 2018; 9:15-21. [PMID: 29456478 DOI: 10.1159/000484427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2017] [Indexed: 11/19/2022] Open
Abstract
Proximal deletion of 6q is a relatively rare chromosomal abnormality. Reported patients have deletions of different sizes but share partial overlap and present with similar clinical features, and some of them were described prior to the introduction of chromosome microarrays. We describe a male patient with prenatal sonographic findings of nuchal edema, intrauterine growth restriction, renal pelvis dilatation, and oligohydramnios. At birth, facial dysmorphism, retro/micrognathia, a short and wide neck as well as cardiovascular and renal anomalies were noted. His clinical evolution has been marked by failure to thrive, severe developmental delay, and cognitive impairment. The diagnosis of Toriello-Carey syndrome (TCS) was based on his "gestalt." aCGH identified a de novo proximal deletion of 17 Mb in 6q (6q12q14.3). Deletion 6q13q14 seems to be responsible for the main facial features and should be considered within the differential diagnosis of TCS.
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Affiliation(s)
- Sofía Catena
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - Mariana Aracena
- Genetics Unit, Hospital Dr. Luis Calvo Mackenna, Santiago, Chile
| | - Óscar Pizarro
- Neonatology Service, Hospital Santiago Oriente Dr. Luis Tisné Brousse, Santiago, Chile
| | - Karena Espinoza
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - Guillermo Lay-Son
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
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Xie L, Luo X, Yang J, Wang J, Nie C, Wang Z. A Chinese patient with Toriello-Carey syndrome and an interstitial deletion of 3q. Am J Med Genet A 2016; 173:721-726. [PMID: 27748028 DOI: 10.1002/ajmg.a.38009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2016] [Accepted: 09/21/2016] [Indexed: 01/13/2023]
Abstract
Toriello-Carey syndrome (T-CS), which was first described by Toriello and Carey, is a rare multiple congenital anomaly syndrome characterized by agenesis of the corpus callosum, Pierre Robin sequence, unusual facial appearance, and other anomalies. Tracheal or laryngeal anomalies are reported as a common manifestation of T-CS. These anomalies can lead to respiratory distress and respiratory tract infection. The cause of T-CS is unknown, although there have been reports of patients with a clinical diagnosis of T-CS and a chromosome anomaly. We describe another such patient who was found to have an interstitial deletion of 3q (3q12.1-q21.3). © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Lulu Xie
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
| | - Xianqiong Luo
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
| | - Jie Yang
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
| | - Junping Wang
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
| | - Chuan Nie
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
| | - Zhu Wang
- NICU, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangdong, China
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Tirali RE, İlhan B, Şar Ç, Çehreli SB. Dental and dentofacial problems in a female child with Toriello-Carey syndrome: changes in 3 years. SPECIAL CARE IN DENTISTRY 2016; 36:288-90. [DOI: 10.1111/scd.12176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Resmiye Ebru Tirali
- Associate Professor, Baskent University Faculty of Dentistry, Department of Pediatric Dentistry; Ankara Turkey
| | - Banu İlhan
- Specialist, Baskent University Faculty of Dentistry, Department of Pediatric Dentistry; Istanbul Turkey
| | - Çağla Şar
- Associate Professor, Baskent University Faculty of Dentistry, Department of Orthodontics; Ankara Turkey
| | - Sevi Burçak Çehreli
- Professor, Baskent University Faculty of Dentistry, Department of Pediatric Dentistry; Ankara Turkey
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Toriello HV, Colley C, Bamshad M. Update on the Toriello-Carey syndrome. Am J Med Genet A 2016; 170:2551-8. [DOI: 10.1002/ajmg.a.37735] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Accepted: 04/21/2016] [Indexed: 12/21/2022]
Affiliation(s)
- Helga V. Toriello
- Medical Genetics; Spectrum Health Hospital; Michigan State University; Grand Rapids Michigan
- College of Human Medicine; Michigan State University; Grand Rapids Michigan
| | - Chelsey Colley
- College of Human Medicine; Michigan State University; Grand Rapids Michigan
| | - Michael Bamshad
- Division of Medical Genetics; University of Washington; Seattle Washington
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Edwards TJ, Sherr EH, Barkovich AJ, Richards LJ. Clinical, genetic and imaging findings identify new causes for corpus callosum development syndromes. ACTA ACUST UNITED AC 2014; 137:1579-613. [PMID: 24477430 DOI: 10.1093/brain/awt358] [Citation(s) in RCA: 215] [Impact Index Per Article: 21.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The corpus callosum is the largest fibre tract in the brain, connecting the two cerebral hemispheres, and thereby facilitating the integration of motor and sensory information from the two sides of the body as well as influencing higher cognition associated with executive function, social interaction and language. Agenesis of the corpus callosum is a common brain malformation that can occur either in isolation or in association with congenital syndromes. Understanding the causes of this condition will help improve our knowledge of the critical brain developmental mechanisms required for wiring the brain and provide potential avenues for therapies for callosal agenesis or related neurodevelopmental disorders. Improved genetic studies combined with mouse models and neuroimaging have rapidly expanded the diverse collection of copy number variations and single gene mutations associated with callosal agenesis. At the same time, advances in our understanding of the developmental mechanisms involved in corpus callosum formation have provided insights into the possible causes of these disorders. This review provides the first comprehensive classification of the clinical and genetic features of syndromes associated with callosal agenesis, and provides a genetic and developmental framework for the interpretation of future research that will guide the next advances in the field.
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Affiliation(s)
- Timothy J Edwards
- 1 Queensland Brain Institute, The University of Queensland, Brisbane, 4072, Australia2 Departments of Neurology and Pediatrics, The University of California and the Benioff Children's Hospital, CA, 94158, USA
| | - Elliott H Sherr
- 3 Departments of Pediatrics and Neurosurgery, Radiology and Biomedical Imaging, The University of California Children's Hospital, CA 94143, USA
| | - A James Barkovich
- 3 Departments of Pediatrics and Neurosurgery, Radiology and Biomedical Imaging, The University of California Children's Hospital, CA 94143, USA4 Departments of Paediatrics and Neurosurgery, Radiology and Biomedical Imaging, The University of California San Francisco and The Benioff Children's Hospital, CA 94143-0628 USA
| | - Linda J Richards
- 1 Queensland Brain Institute, The University of Queensland, Brisbane, 4072, Australia5 School of Biomedical Sciences, The University of Queensland, Brisbane, 4072, Australia
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El-Chammas KI, Venkatasubramani N, Veith R, Sekhri N, Rhead W, Toriello HV, Goday PS. Pancreatic insufficiency in Toriello-Carey syndrome: report of a second patient. Am J Med Genet A 2012; 158A:1208-11. [PMID: 22496049 DOI: 10.1002/ajmg.a.35304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Accepted: 01/22/2012] [Indexed: 11/06/2022]
Abstract
Toriello-Carey syndrome is characterized by multiple congenital anomalies. Pancreatic insufficiency is suspected when patients present with poor weight gain, diarrhea, or maldigestion. The diagnosis is confirmed by low stool elastase and pancreatic stimulation testing. To our knowledge, only one patient with Toriello-Carey syndrome has been reported to have pancreatic insufficiency. We report on a second patient with Toriello-Carey syndrome and pancreatic insufficiency, and describe the management of pancreatic insufficiency in patients with this syndrome.
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Affiliation(s)
- Khalil I El-Chammas
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
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Said E, Cuschieri A, Vermeesch J, Fryns JP. Toriello-Carey syndrome with a 6Mb interstitial deletion at 22q12 detected by array CGH. Am J Med Genet A 2011; 155A:1390-2. [DOI: 10.1002/ajmg.a.33961] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2010] [Accepted: 01/26/2011] [Indexed: 11/10/2022]
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de Carvalho Maretti MB, Haddad AS, Ferreira MCD, de Oliveira Guaré R, Alonso LG. Toriello Carey syndrome: genetic, clinical, and oral considerations: a case report. SPECIAL CARE IN DENTISTRY 2011; 31:68-72. [DOI: 10.1111/j.1754-4505.2011.00179.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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McGoey R, Varma A, Lacassie Y. Siblings with phenotypic overlap with Toriello-Carey syndrome and complex cytogenetic imbalances including 3q29 microduplication and 6p25 microdeletion: Review of the literature and additional evidence for genetic heterogeneity. Am J Med Genet A 2010; 152A:3068-73. [DOI: 10.1002/ajmg.a.33721] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Isidor B, Winer N, Joubert M, Boisseau P, Le Caignec C, Bocéno M, Fallet C, David A, Rival JM. Inherited 18q23 duplication in a fetus with multiple congenital anomalies. Eur J Med Genet 2008; 51:231-8. [DOI: 10.1016/j.ejmg.2007.12.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2007] [Accepted: 12/28/2007] [Indexed: 12/08/2022]
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Sensi A, Prontera P, Buldrini B, Palma S, Aiello V, Gruppioni R, Calzolari E, Volinia S, Martini A. Cytogenetic and array CGH characterization of an intrachromosomal complex rearrangement of 4q in a patient with a 4q-phenotype. Am J Med Genet A 2007; 146A:110-5. [DOI: 10.1002/ajmg.a.32059] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Toriello HV, Hatchwell E. Toriello-Carey syndrome phenotype and chromosome anomalies. Am J Med Genet A 2007; 146A:116. [DOI: 10.1002/ajmg.a.32057] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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