Maeda Kengo, Sugihara Yoshiko
Department of Neurology, National Hospital Organization Higashi-ohmi General Medical Center, Japan.
Department of Neurology, Vories Memorial Hospital, Japan.
Intern Med. 2025 Apr 15;64(8):1259-1262. doi: 10.2169/internalmedicine.4154-24. Epub 2024 Sep 27.
Abnormalities in genes on the X chromosome or large defects in the X chromosome itself cause X-linked intellectual disability. The proband was a 27-year-old man. His medical history included strabismus, cryptorchidism, and severe intellectual disabilities. He also had epilepsy. His mother seemed to have slight intellectual disability. A physical examination revealed malformations. The lateral and fourth ventricles were dilated using computed tomography. CGG repeats in the 5' untranslated region of FMR1 gene were normal. G-banding and spectral karyotyping revealed a novel unbalanced X-autosomal translocation, with a karyotype of 46,Y,der(X)t(X;9)(p22.33;p12); distal trisomy of 9p and distal Xp nullisomy.
X染色体上的基因异常或X染色体本身的大片段缺陷会导致X连锁智力障碍。先证者是一名27岁男性。他的病史包括斜视、隐睾症和严重智力障碍。他还患有癫痫。他的母亲似乎有轻度智力障碍。体格检查发现有畸形。计算机断层扫描显示侧脑室和第四脑室扩张。FMR1基因5'非翻译区的CGG重复序列正常。G显带和光谱核型分析显示一种新的不平衡X-常染色体易位,核型为46,Y,der(X)t(X;9)(p22.33;p12);9p远端三体和Xp远端单体。