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8号染色体短臂综合征:临床表现与管理指南

Chromosome 8p Syndromes Clinical Presentation and Management Guidelines.

作者信息

Santucci Kourtney, Malik Kristina E, Angione Katie, Bennink Dana, Gerk Andrea, Mancini Drew, Stringfellow Megan, Dinkel Tristen, Demarest Scott, Miele Andrea S, Saenz Margarita

机构信息

Department of Pediatrics, University of Colorado School of Medicine/Children's Hospital Colorado, Aurora, Colorado, USA.

Rehabilitation and Therapy Service Line, Children's Hospital Colorado, Aurora, Colorado, USA.

出版信息

Clin Genet. 2025 Feb;107(2):169-178. doi: 10.1111/cge.14626. Epub 2024 Oct 10.

Abstract

Rearrangements of the p-arm of Chromosome 8 can result in a spectrum of neurodevelopmental challenges, along with increased risk of epilepsy, structural brain and cardiac malformations, persisting developmental delays, and other health challenges. The majority of patients reported on in this sample are characterized by an inverted-duplication deletion rearrangement, but deletions, duplications, and mosaic ring changes in 8p result in similar phenotype. In this report, we add to the phenotypic and functional description of these patients according to their specific chromosomal rearrangement, share neuro-psychometric values, and propose surveillance care guidelines for caregivers and medical providers of patients with Chromosome 8p Syndromes. Observations from clinical experience with 24 patients seen at our 8p-dedicated Multi-Disciplinary Neurogenetics program are shared.

摘要

8号染色体p臂的重排可导致一系列神经发育挑战,同时增加癫痫、脑结构和心脏畸形、持续性发育迟缓及其他健康问题的风险。该样本中报告的大多数患者具有倒位重复缺失重排特征,但8p的缺失、重复和嵌合环改变会导致相似的表型。在本报告中,我们根据这些患者的特定染色体重排补充了其表型和功能描述,分享了神经心理测量值,并为8号染色体p综合征患者的护理人员和医疗服务提供者提出了监测护理指南。我们分享了在我们专门针对8p的多学科神经遗传学项目中诊治的24例患者的临床经验观察结果。

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