Cri-Du-Chat Syndrome

Alternative Names

  • Cat Cry Syndrome
  • Chromosome 5p Deletion Syndrome
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Chromosomal abnormalities, not elsewhere classified

OMIM Number

123450

Mode of Inheritance

de novo mutations

Gene Map Locus

5p15.2

Description

Cri-du-chat syndrome is a rare cytogenetic disorder first described by Jerome Lejuene in 1963. The syndrome results from a missing piece of chromosome 5. The name of the syndrome comes from the characteristic cat like cry of infants with this condition (cri du chat being a French term for 'call of the cat'), which itself originates from laryngeal problems. Other characteristics of the disorder include mental retardation, developmental delay, low birth weight and delayed growth, microcephaly, infantile hypotonia, partial digital webbing, and a single transverse palmar crease. Affected patients also typically show several dysmorphic features, including hypertelorism and downwardly slanting eyes, low-set ears, micrognathia, rounded face, and preauricular tags. Some affected neonates have congenital cardiac defects.

One in approximately 20,000 to 50,000 neonates is estimated to be born with this condition. Interestingly, cri du chat syndrome is slightly more common in females. Among individuals with severe mental retardation, this syndrome is accountable for up to 1% of the cases. As in the case of most other cytogenetic abnormalities, no specific treatment is available for this syndrome. Prognosis depends of the severity of the condition. Half of children with cri du chat syndrome learn sufficient verbal skills to communicate. Prenatal diagnosis of the condition is possible and widely available.

Cri-du-chat syndrome is due to a partial deletion in the small arm of chromosome 5. In 90% of the cases, this is a de novo deletion, with no family history of such a condition. Interestingly, within this de novo group, in about 80% of the cases, the deletion is in the paternal chromosome. In the remaining 10% of the cases, the condition is due to a parental balanced translocation. Such cases have a more severe form of the condition when compared to the de novo cases.

Within the deleted region, a small sub-region, called the Cri Du Chat Critical Region accounts for most of the clinical features associated with the syndrome. The phenotype of the cat like cry corresponds to a different locus in the region. Two genes within the deleted region, SEMA5A and CTNND2, have been shown to play a role in cerebral development, which might explain the intellectual impairment and neurological dysfunction characteristic of the syndrome.

 

Epidemiology in the Arab World

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Other Reports

Jordan

[See: Kuwait > Farag et al., 1993].

Kuwait

Farag et al. (1993) detected a clustering of cri-du-chat syndrome in the Jahra region of Kuwait. In a 10-year period starting 1981, they identified seven affected neonates, giving an incidence of 1 in 17,491 Bedouin births. All the seven cases were de novo mutations. All featured cat like cry, microcephaly, rounded face, hypertelorism, antimongloid slant, and strabismus. In the same period, three affected cases were ascertained among babies delivered in other areas of Kuwait. These included one Jordanian and one Palestinian infant, both having de novo deletions, and a Kuwaiti female neonate with a balanced translocation. The latter's brother also showed the same translocation in the paternal chromosome. In addition to these cases, a Sudanese male neonate was also detected with the condition from a blood sample sent from Sudan. Farag et al. (1993) were unable to explain the clustering of the syndrome noticed in the Bedouin population.

Palestine

[See: Kuwait > Farag et al., 1993].

Sudan

[See: Kuwait > Farag et al., 1993].

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