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Tourette Syndrome and Klippel-Feil Anomaly in a Child with Chromosome 22q11 Duplication
Author(s) -
Raymond A. Clarke,
Zhi Fang,
Ashish D. Diwan,
Donald L. Gilbert
Publication year - 2009
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2009/361518
Subject(s) - gene duplication , locus (genetics) , deletion syndrome , tourette syndrome , medicine , chromosome , genetics , gene , psychiatry , biology , phenotype
This is the first case description of the association of Klippel-Feil Syndrome (KFS), Tourette Syndrome (TS), Motor Stereotypies, and Obsessive Compulsive Behavior, with chromosome 22q11.2 Duplication Syndrome (22q11DupS). Neuropsychiatric symptoms in persons with 22q11.2 deletion, including obsessive compulsiveness, anxiety, hyperactivity, and one prior case report of TS, have been attributed to low copy number effects on Catechol-O-Methyltransferase (COMT). However, the present unique case of 22q11DupS and TS suggests a more complex relationship, either for low- or high-COMT activity, or for other genes at this locus.

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