Table 1 Nine previous cases and our case with monosomy 18p with an 18;21 translocation.

From: Partial monosomy 18p and 21q due to a paternal reciprocal translocation leading to holoprosencephaly

 

Our case

Case 1

Case 2

Case 3

Case 4

Case 5

Cace 6

Case 7

Case 8

Case 9

Karyotype

45,XY,der(18)

t(18;21)(p11.2;q21.3),-21

45,XY-18,-21,+der(18)

45,XY,-18,-21,

+der(18)t(18;21)

(p11.1;q11)

45,XY,-18,-21,

+der(18)t(18;21)(p11.23;q11.2)

46,XX,-18,+ der(18)t(18;21)

(p11.1;p11.1)

45,XY,dic(18;21)

(q10;q10)

45,XY,dic(18;21)(q10;q10)/46,XY,del(18)(p11.1),del(21)(p11.1)

46,XY,der(18)t(18;21)(p11.2;q22.3)

45,XY,der(18)t(18;21)(p11.2;q22.1),-21

45,XX,-18,-21,t(18;21)

(q11.1; q11.1)

Inheritance

Paternal

De novo

Maternal

De novo

Maternal

De novo

De novo

Maternal

De novo

De novo

Disjunction

3:1 segregation

3:1 segregation

3:1 segregation

3:1 segregation

Adjacent-1

3:1 segregation

3:1 segregation

Adjacent-1

3:1 segregation

3:1 segregation

HPE

+

−

−

−

−

+

+

+

−, polymicrogyria

+

Intellectual disability

+

−, IQ 80

+

−a

+

NA

NA

NA

NA

NA

Hypotelorism/hypertelorism

Hypertelorism

Hypertelorism

NA

−

NA

NA

Hypotelorism

Hypotelorism

−

−

Cleft lip and/or palate

+

−

NA

−

NA

NA

+

+

−

−

Others

Hypopituitarism

  

Hypopituitarism

Schizophrenia

   

Left hemi syndrome

Arrhinia, cyclopia

Follow up

8 years

10 years

8 months

3 years

43 years

Termination of pregnancy

17 days

Termination of pregnancy

11 months

Termination of pregnancy

Reference

 

Friedrich et al. (1982)10

Tharapel et al. (1991)11

Artman et al. (1992)12

Smith et al. (1996)16

Wang et al. (1997)13

Wang et al. (1997)13

Chen et al. (2001)17

Alkan et al. (2002)14

Goldstein et al. (2003)15

  1. NA not available; IQ intellectual quotient.
  2. aThe Benet score was 99, but the patient showed specific learning disabilities in visual motor integration.