Document Detail


Brain magnetic resonance imaging findings in 49,XXXXY syndrome.
MedLine Citation:
PMID:  18486832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Klinefelter syndrome is a chromosomal disorder characterized by one or more supernumerary X chromosomes, in addition to the normal 46,XY male karyotype. Whereas classic Klinefelter syndrome (47,XXY) occurs in 1:400 births, the most severe Klinefelter variant (49,XXXXY) occurs in only 1:85,000 births. The degree of cognitive impairment, specific skeletal changes, and genital abnormalities in Klinefelter syndrome variants is thought to correlate with the number of additional X-chromosomes present. Magnetic resonance imaging studies in individuals with classic Klinefelter syndrome show smaller brain volumes, but magnetic resonance imaging data are lacking for individuals with rarer and more severe Klinefelter variants. We present case reports and magnetic resonance imaging studies on 3 individuals with 49,XXXXY. All 3 patients exhibited varying degrees of volume loss and abnormalities in white matter. Changes in white matter may represent a specific finding in patients with severe Klinefelter variants such as 49,XXXXY, and karyotype analysis should be considered in patients with unexplained white-matter disease, especially when developmental delay or genital abnormalities are present.
Authors:
Trevor L Hoffman; Arastoo Vossough; Can Ficicioglu; Jeannie Visootsak
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric neurology     Volume:  38     ISSN:  0887-8994     ISO Abbreviation:  Pediatr. Neurol.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-19     Completed Date:  2008-07-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508183     Medline TA:  Pediatr Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-3     Citation Subset:  IM    
Affiliation:
Section of Biochemical Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. thoffman@uci.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology*
Child Development
Chromosomes, Human, X
Chromosomes, Human, Y
Genitalia / abnormalities
Humans
Infant
Klinefelter Syndrome / pathology*,  psychology
Magnetic Resonance Imaging
Male
Neuropsychological Tests
Sex Chromosome Aberrations*
Grant Support
ID/Acronym/Agency:
1 KL RR02 5009/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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