Phelan-McDermid syndrome: a review of the literature and practice parameters for medical assessment and monitoring
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  • 作者:Alexander Kolevzon (1) (10) (11) (2) (3)
    Benjamin Angarita (1) (2)
    Lauren Bush (1) (2)
    A Ting Wang (1) (10) (2) (4)
    Yitzchak Frank (1) (2) (3) (5)
    Amy Yang (6)
    Robert Rapaport (3) (7)
    Jeffrey Saland (3)
    Shubhika Srivastava (3) (8)
    Cristina Farrell (1) (3) (9)
    Lisa J Edelmann (6)
    Joseph D Buxbaum (1) (10) (11) (2) (4) (6)

    1. Seaver Autism Center for Research and Treatment
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    10. Friedman Brain Institute
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    11. Mindich Child Health and Development Institute
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    2. Department of Psychiatry
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    3. Department of Pediatrics
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    4. Department of Neuroscience
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    5. Department of Neurology
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    6. Department of Genetics and Genomic Sciences
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    7. Division of Endocrinology and Diabetes
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    8. Department of Cardiology
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
    9. Division of Behavioral Pediatrics
    ; Icahn School of Medicine at Mount Sinai ; One Gustave L. Levy Place ; New York ; NY ; 10029 ; USA
  • 关键词:Phelan ; McDermid syndrome ; 22q13 deletion syndrome ; SHANK3 ; Autism ; Autism spectrum disorder ; Neurodevelopmental disorders ; Practice parameters
  • 刊名:Journal of Neurodevelopmental Disorders
  • 出版年:2014
  • 出版时间:December 2014
  • 年:2014
  • 卷:6
  • 期:1
  • 全文大小:1,782 KB
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  • 刊物主题:Neurosciences; Neurobiology; Neuropsychology; Psychiatry; Human Genetics; Pediatrics;
  • 出版者:BioMed Central
  • ISSN:1866-1955
文摘
Autism spectrum disorder (ASD) and intellectual disability (ID) can be caused by mutations in a large number of genes. One example is SHANK3 on the terminal end of chromosome 22q. Loss of one functional copy of SHANK3 results in 22q13 deletion syndrome or Phelan-McDermid syndrome (PMS) and causes a monogenic form of ASD and/or ID with a frequency of 0.5% to 2% of cases. SHANK3 is the critical gene in this syndrome, and its loss results in disruption of synaptic function. With chromosomal microarray analyses now a standard of care in the assessment of ASD and developmental delay, and with the emergence of whole exome and whole genome sequencing in this context, identification of PMS in routine clinical settings will increase significantly. However, PMS remains a rare disorder, and the majority of physicians have never seen a case. While there is agreement about core deficits of PMS, there have been no established parameters to guide evaluation and medical monitoring of the syndrome. Evaluations must include a thorough history and physical and dysmorphology examination. Neurological deficits, including the presence of seizures and structural brain abnormalities should be assessed as well as motor deficits. Endocrine, renal, cardiac, and gastrointestinal problems all require assessment and monitoring in addition to the risk of recurring infections, dental and vision problems, and lymphedema. Finally, all patients should have cognitive, behavioral, and ASD evaluations. The objective of this paper is to address this gap in the literature and establish recommendations to assess the medical, genetic, and neurological features of PMS.
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