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Chunk #6 — 2. Case Presentation

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Tourette syndrome and klippel-feil anomaly in a child with chromosome 22q11 duplication.
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Due to the complex phenotype, we evaluated the patient's DNA using comparative genomic hybridization (CGH) analysis (BeadChip technology with a Single Nucleotide Polymorphism based array; Illumina HD Human610-quad BeadChip platform). This revealed a ~3 Mb hemizygous microduplication of chromosome 22q11.2, the same region as the classical 22q11 microdeletion syndrome [9], as well as the 22q11.2 duplication with a less well-characterized phenotype [10]. This region contains genes coding for approximately 20 proteins expressed in brain and/or bone.