Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.13/43102

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Title
Atypical Angelman syndrome with macrocephaly due to a familial imprinting center deletion
Author/Creator
Ronan, Anne;  Buiting, Karin;  Dudding, Tracy
Institution
The University of Newcastle. Faculty of Health, School of Biomedical Sciences and Pharmacy
Description
Two elderly brothers with severe intellectual disability were diagnosed with Angelman syndrome after a once-removed, 15-year-old cousin was found to have the syndrome due to a deletion of the imprinting center. For many years it was believed the brothers, who both have macrocephaly, were affected by nonsyndromic X-linked mental retardation. This was because, apart from absent speech and intellectual disability, the phenotype of the two men was not characteristic of Angelman syndrome. Conversely, the cousin, in addition to severe intellectual disability, language impairment, and ataxic gait, has microcephaly. None of the three have seizures, and so in the presence of the brothers’ macrocephaly, Angelman syndrome was not considered until a diagnosis was made in the younger distant cousin. We report on a familial imprinting center deletion and the importance of considering the mild and atypical Angelman syndrome phenotypes within the differential diagnosis of intellectual handicap, particularly in clarifying the genetic risk to other family members.
Relation
American Journal of Medical Genetics. Part A Vol. 146A, Issue 1, p. 78-82
Publisher Link
http://dx.doi.org/10.1002/ajmg.a.31952
Date
2008
Publisher
Wiley-Liss
Keyword(s)
Angelman syndrome;  phenotype;  mental retardation;  macrocephaly;  imprinting center deletion
Resource Type
journal article
Identifier
http://hdl.handle.net/1959.13/43102
Identifier
ISSN:1552-4825
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Subject
"American Journal of Medical Genetics. Part A"
 
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