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Cognitive-behavioral features of children with Wolf-Hirschhorn syndrome: preliminary report of 12 cases.
[wolf-hirschhorn syndrome]
As
a
subset
of
genetic
abnormalities
,
subtelomeric
deletions
have
been
found
in
7
-
10
%
of
individuals
with
mental
retardation
(
MR
)
.
One
subtelomeric
deletion
,
Wolf-
Hirschhorn
syndrome
(
WHS
)
,
causes
mild
to
severe
MR
,
but
the
cognitive
-
behavioral
features
of
individuals
with
WHS
have
not
been
studied
systematically
.
To
that
end
,
we
administered
a
comprehensive
cognitive
-
behavioral
battery
to
12
children
with
WHS
,
ages
4
-
17
years
,
who
also
had
some
expressive
language
.
Using
the
Stanford
-
Binet
(
4
th
Edition
)
,
we
found
cognitive
deficits
ranged
from
mild
to
severe
,
with
mean
IQ
=
44
.
1
.
Interviewing
parents
with
the
Vineland
Adaptive
Behavior
Scales
,
we
found
mean
adaptive
behavior
score
(
DQ
)
=
37
.
3
,
with
females
exhibiting
slightly
higher
scores
than
males
.
Cognitive
profiles
indicated
relative
strengths
in
Verbal
and
Quantitative
Reasoning
.
Adaptive
behavior
profiles
noted
significant
relative
strengths
in
the
Socialization
Domain
.
These
cognitive
-
behavioral
profiles
differed
from
children
with
other
subtelomeric
deletion
syndromes
,
2
q
37
or
8
p
23
.
Attention
deficits
and
hyperactivity
(
ADHD
)
were
observed
in
7
/
12
(
58
%
)
of
the
children
we
tested
.
One
child
attained
a
score
on
the
Child
Autism
Rating
Scale
(
CARS
)
suggestive
of
mild
autism
.
We
conclude
that
different
genetic
disorders
,
which
cause
MR
,
produce
diverse
cognitive
-
behavioral
profiles
.
Consequently
,
cognitive
-
behavioral
profiles
of
children
with
MR
need
to
be
assessed
more
comprehensively
.
Diseases
Validation
Diseases presenting
"mental retardation"
symptom
achondroplasia
alexander disease
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
classical phenylketonuria
coats disease
cohen syndrome
cowden syndrome
cystinuria
dentin dysplasia
familial hypocalciuric hypercalcemia
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
kabuki syndrome
kallmann syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
monosomy 21
phenylketonuria
primary hyperoxaluria type 1
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
triple a syndrome
wolf-hirschhorn syndrome
zellweger syndrome
This symptom has already been validated