Volume 46, Issue 4 , Pages 325-335, December 2007
Chromosomal Abnormalities Associated with Neural Tube Defects (I): Full Aneuploidy
Article Outline
SUMMARY
Fetuses with neural tube defects (NTDs) carry a risk of chromosomal abnormalities. The risk varies with maternal age, gestational age at diagnosis, association with other structural abnormalities, and family history of chromosome aberrations. This article provides an overview of chromosomal abnormalities associated with NTDs in embryos, fetuses, and newborn patients, and a comprehensive review of numerical chromosomal abnormalities associated with NTDs, such as trisomy 18, trisomy 13, triploidy, trisomy 9, trisomy 2, trisomy 21, trisomy 7, trisomy 8, trisomy 14, trisomy 15, trisomy 16, trisomy 5 mosaicism, trisomy 11 mosaicism, trisomy 20 mosaicism, monosomy X, and tetraploidy. NTDs may be associated with aneuploidy. Perinatal identification of NTDs should alert one to the possibility of chromosomal abnormalities and prompt a thorough cytogenetic investigation and genetic counseling.
Key Words: chromosomal abnormalities , full aneuploidy , neural tube defects
No full text is available. To read the body of this article, please view the PDF online.
References
- . Neural tube defects and the spine . In: Nyberg DA , McGahan JP , Pretorius DH , Pilu G editor. Diagnostic Imaging of Fetal Anomalies . Philadelphia: Lippincott Williams & Wilkins; 2003;p. 291–334
- . Neural tube defects in spontaneous abortions . Am J Med Genet . 1986;25:327–333
- . Survey of neural tube defects in spontaneously aborted embryos . Am J Med Genet . 1989;32:356–358
- . Neural tube defects in chromosomally normal and abnormal human embryos . Ultrasound Obstet Gynecol . 1997;10:410–415
- . Neural tube defects in missed abortions: embryoscopic and cytogenetic findings . Am J Med Genet . 2002;107A:52–57
- . Aneuploidy with neural tube defects: another reason for complete evaluation in patients with suspected ultrasound anomalies or elevated maternal serum alpha-fetoprotein . Fetal Ther . 1989;4:88–92
- . Aneuploidy among prenatally detected neural tube defects . Am J Med Genet . 1996;61:171–173
- . Prenatally diagnosed neural tube defects: ultrasound, chromosome, and autopsy or postnatal findings in 212 cases . Am J Med Genet . 1998;77:317–321
- . Karyotyping for isolated neural tube defects: a report of two cases . J Reprod Med . 2000;45:950–952
- . Chromosomal abnormalities in fetuses with open neural tube defects: prenatal identification with ultrasound . Ultrasound Obstet Gynecol . 2004;23:352–356
- . Associated malformations in cases with neural tube defects . Genet Couns . 2007;18:209–215
- . Prenatally detected fetal myelomeningocele: is karyotype analysis warranted? . Radiology . 1995;194:491–494
- . Prevalence of aneu-ploidy and additional anatomic abnormalities in fetuses with open spina bifida: population based study in Utah . J Ultrasound Med . 2000;19:619–623
- . Prenatal ultrasound detection of isolated neural tube defects: is cytogenetic evaluation warranted? . Obstet Gynecol . 1995;86:595–599
- . Prevalence of encephalocele in Texas, 1999–2002 . Am J Med Genet A . 2007;143:2150–2155
- . Non-multifactorial neural tube defects . Am J Med Genet C Semin Med Genet . 2005;135:69–76
- . Six years' experience with rapid karyotyping in prenatal diagnosis: correlations between phenotype detected by ultrasound and fetal karyotype . Prenat Diagn . 1994;14:113–121
- . On a case of trisomy syndrome of the chromosome group 16-18 . Boll Soc Ital Biol Sper . 1963;39:332–335 [In Italian]
- . Anencephaly in trisomy 18: related or unrelated? . Teratology . 1977;15:325–328
- . Anencephaly in trisomy 18 associated with elevated alpha-1-fetoprotein in amniotic fluid . Hum Genet . 1978;45:85–88
- . Neural tube defects in trisomy 18 . Prenat Diagn . 1981;1:227–231
- . Prenatal diagnosis in a fetus with anencephaly and trisomy 18 . An Esp Pediatr . 1985;23:278–280 [In Spanish]
- . Neural tube defects, chromosome abnormalities and multiple closure sites for the human neural tube . Clin Dysmorphol . 1995;4:202–207
- . Central nervous system anomalies associated with fetal trisomy 18 . Prenat Diagn . 2005;25:419–421
- . Neural tube defects and omphalocele in trisomy 18 . Clin Genet . 1988;34:98–103
- . Neural tube defects and omphalocoele in trisomy 18 . Clin Genet . 1989;35:77–78
- . Endovaginal sonographic diagnosis of craniorachischisis at 13 weeks of gestation . Fetal Diagn Ther . 1994;9:391–394
- . Trisomy 18 with total cranio-rachischisis and thoraco-abdominoschisis . Prenat Diagn . 1999;19:580–582
- . Malformations of the central nervous system in trisomy 18 syndrome . J Pediatr . 1966;69:771–778
- . Neural tube defects in trisomy 18 . Prenat Diagn . 1986;6:97–99
- . Prenatal diagnosis of iniencephaly and alobar holoprosencephaly with trisomy 13 mosaicism: a case report . Prenat Diagn . 2002;22:1240–1241
- . Iniencephaly and chromosome mosaicism: a report of two cases . Congenit Anom (Kyoto) . 2005;45:102–105
- . Trisomy 13 syndrome and neural tube defects . Am J Med Genet . 1990;36:513–516
- . Natural history of trisomy 13 . Arch Dis Child . 1994;71:343–345
- . Triploidy in 40 human spontaneous abortuses: assessment of phenotype in embryos . Obstet Gynecol . 1981;57:600–606
- . Prenatal diagnosis of triploidy during the second trimester of pregnancy . Obstet Gynecol . 1996;88:983–989
- . Triploidy: antenatal sonographic features with post-mortem correlation . Prenat Diagn . 1998;18:1253–1262
- . Effects of triploidy on early human development . Prenat Diagn . 2004;24:276–281
- . Delineation of trisomy 9 . J Med Genet . 1982;19:316–317
- . Prenatal sonography in trisomy 9 . Prenat Diagn . 1992;12:175–181
- . Central nervous system malformations in trisomy 9 . J Neuropathol Exp Neurol . 1993;52:71–77
- . Trisomy 9 in an embryo with spina bifida . Clin Dysmorphol . 1998;7:217–219
- Second-trimester diagnosis of complete trisomy 9 associated with abnormal maternal serum screen results, open sacral spina bifida and congenital diaphragmatic hernia, and review of the literature . Prenat Diagn . 2004;24:455–462
- . A tri-somy 2 fetus with severe neural tube defects and other abnormalities . Clin Dysmorphol . 2004;13:25–27
- . Recurrent neural tube defects associated with partial trisomy 2p22-pter: report of two siblings and review of the literature . Genet Couns . 2003;14:165–172
- Trisomy 2p: analysis of unusual phenotypic findings . Am J Med Genet . 1995;55:229–236
- . Neuronal patterning by BMPs: a requirement for GDF7 in the generation of a discrete class of commissural interneurons in the mouse spinal cord . Genes Dev . 1998;12:3394–3407
- Prediction of the coding sequences of unidentified human genes. VIII. 78 new cDNA clones from brain which code for large proteins in vitro . DNA Res . 1997;4:307–313
- . Major congenital malformations in Down syndrome . Am J Med Genet . 1996;65:160–166
- . Anomalies in Down syndrome individuals in a large population-based registry . Am J Med Genet . 1998;77:431–438
- . Frequency of Down's syndrome and neural-tube defects in the same family . Lancet . 2003;361:1331–1335
- . Is there a familial link between Down's syndrome and neural tube defects? Population and familial survey . BMJ . 2004;328:84
- . Occurrence of neural tube defects and Down syndrome among siblings . Hawaii Med J . 2004;63:127–128
- . Frequency of neural tube defects and Down syndrome in the same sib-ship: analysis of the Spanish ongoing case-control study . Am J Med Genet A . 2004;126:430–431
- Abnormal folate metabolism and mutation in the methylenetetrahydrofo-late reductase gene may be maternal risk factors for Down syndrome . Am J Clin Nutr . 1999;70:495–501
- Polymorphisms in genes involved in folate metabolism as maternal risk factors for Down syndrome . Am J Hum Genet . 2000;67:623–630
- Abnormal folate metabolism and genetic polymorphism of the folate pathway in a child with Down syndrome and neural tube defect . Am J Med Genet . 2001;103:128–132
- Genetic determinants of folate and vitamin B12 metabolism: a common pathway in neural tube defect and Down syndrome? . Clin Chem Lab Med . 2003;41:1473–1477
- . Folate and homocysteine metabolism and gene polymorphisms in the etiology of Down syndrome . Am J Clin Nutr . 1999;70:429–430
- . Preconceptional intake of folate and vitamin B12 in the prevention of neural tube defects and Down syndrome . Am J Obstet Gynecol . 2001;184:517
- . On the chromosome count in a case of exencephalia . Osp Maggiore . 1965;60:965–972 [In Italian]
- . A case of complete trisomy 14 within involvement of 13/14 translocation . Clin Genet . 1980;17:77
- . Morphology of the 45,X embryo: an embryoscopic study . Am J Med Genet A . 2003;120:314–319
- . Tetraploidy in a liveborn infant with spina bifida and other anomalies . J Med Genet . 1981;18:309–311
- Tetraploidy: a report of three live-born infants . Am J Med Genet . 1984;19:29–37
- . Tetraploidy in a 15-month-old girl . Am J Med Genet . 1988;29:543–547
PII: S1028-4559(08)60002-9
doi:10.1016/S1028-4559(08)60002-9
© 2007 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
Volume 46, Issue 4 , Pages 325-335, December 2007
