1. CRI-DU CHAT SYNDROME
By :
NINGOMBAM HEROJIT SINGH
MSC.2ND SEMESTER
CLASS ROLL NO. :15
DEPARTMENT OF ANTHROPOLOGY,
MANIPUR UNIVERSITY
AN421: HumanGenetics
3. INTRODUCTION :
First reported by Lejeune and Colleagues in 1963.
It is a structural chromosomal disorder.
It is also known as 5p deletion syndrome or 5p minus syndrome
because it is caused by the deletion of some part of short arm(i.e. p
arm) of a group B chromosome 5.
(Group B consists of chromosome 4 & 5 according to Denver
system of classification)
Also known as Cat Cry Syndrome because patients with this syndrome
have a peculiar weak cry which closely resembles the mewing of cat.
FREQUENCY :
It is a rare genetic disorder.
Occurs in an estimated 1 in 20,000 to 50,000 new borns.
More common in females than males.
4. SYMPTOMS:-
Infants with this condition cry like a weak
mewing of cat (due to problems with the
larynx and nervous system).
Low birth weight (<2.5kg) and poor growth.
Small head size (microcephaly) and jaw
(micrognathism).
Widely-spaced eyes (hypertelorism), low set
ears & rounded face.
Almost all patients fail to thrive, a few that
survive and live long with have severe
mental retardation.
Weak muscle tone (hypotonia) in infancy.
Absence of kidney and spleen.
Some children are born with heart defect.
Epicanthal folds, dental malocclusion.
5. CAUSES :-
It is cause by the partial deletion of the short arm of
chromosome number 5, also called “5p monosomy’’
or "partial monosomy’’
Approximately 90% of cases results from a randomly
occurring, “de novo deletion” (i.e. occur without
being inherited).
Chromosomall deletion occurs as a random event
during the formation of reproductive cells.
And remaining 10-15% are due to deletion inherited
from a parent with a balanced translocation in
which there is no genetic material gained or lost &
no adverse affect.
But, it is become unbalanced when they passed to
the next generation because some genetic material
from chromosome 5 is lost. So, the child will have
Cri-du chat syndrome.
6. DIAGNOSIS :-
Typically diagnosed by a doctor at birth.
Suspected by clinical features, specially by high pitched cry.
G-banded karyotyping may be performed. (i.e. missing portion of the short arm of
chromosome 5 can be seen)
And more detailed type of genetic test called FISH (Fluorescence in situ hybridization)
analysis can be used. It’s detection rate for this disorder is approximately 99%.
Treatment :
No Specific treatment is available for this
syndrome (as the brain damage occurs at
the early stages of embryo development).
Children born with this condition require
ongoing support from a team made up of
the parents, therapists, medical &
educational professions (to achieve his or
her maximum potential).
7. Summary:
Rare genetic disorder that occurs in chromosome structure.
Also known as 5p deletion Syndrome/ 5p minus syndrome/cat cry
Lejeune syndrome.
It is characterised –
by the presence of cat-like Cry.
by facial abnormalities and heart defect.
also include failure to thrive, hypotonia, neurodevelopmental delay and
others.
Cause by partial deletion of the short arm of chromosome number 5.
Diagnosis is based on karyotyping to find the chromosomal abnormalities.
Treatment is based on treating life-threatening conditions after birth.