PMID- 18166187 OWN - NLM STAT- MEDLINE DCOM- 20081114 LR - 20081020 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 90 IP - 4 DP - 2008 Oct TI - Study of aneuploidy in large-headed, multiple-tailed spermatozoa: case report and review of the literature. PG - 1201.e13-7 LID - 10.1016/j.fertnstert.2007.09.013 [doi] AB - OBJECTIVE: To determine the meiotic segregation in large-headed, multiple-tailed spermatozoa. DESIGN: Analysis of sperm nuclei by fluorescence in situ hybridization (FISH). SETTING: University hospital. PATIENT(S): A 34-year-old man with 100% morphologically abnormal spermatozoa. INTERVENTION(S): Dual-color FISH for chromosomes 13 and 21 and triple-color FISH for chromosomes X, Y, and 18 were performed. MAIN OUTCOME MEASURE(S): Aneuploidy rates. RESULT(S): More than 99% of the spermatozoa had abnormal content for chromosomes X, Y, 13, 18, and 21. Diploidy, triploidy, and tetraploidy rates were found to be 18.42%, 6.14%, and 33.99% in triple-color FISH and to be 16.09%, 16.28%, and 38.95% in dual-color FISH. CONCLUSION(S): Our results and those from other investigators show that large-headed, multiple-tailed spermatozoa are associated with a high rate of polyploidy and aneuploidy. Intracytoplasmic sperm injection should not be recommended to those patients, not only because of its low success rate but also because of its high genetic risk. FAU - Perrin, Aurore AU - Perrin A AD - Faculte de Medecine et des Sciences de la Sante, Laboratoire d'Histologie, Embryologie et Cytogenetique, Universite de Bretagne Occidentale, Brest, France. FAU - Morel, Frederic AU - Morel F FAU - Moy, Ludovic AU - Moy L FAU - Colleu, Daniel AU - Colleu D FAU - Amice, Veronique AU - Amice V FAU - De Braekeleer, Marc AU - De Braekeleer M LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20071231 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - *Aneuploidy MH - Azoospermia/*genetics/*pathology MH - Humans MH - Male MH - Middle Aged MH - Oligospermia/diagnosis/*genetics/*pathology MH - Sperm Head/*pathology MH - Sperm Tail/*pathology RF - 46 EDAT- 2008/01/02 09:00 MHDA- 2008/11/15 09:00 CRDT- 2008/01/02 09:00 PHST- 2007/06/28 00:00 [received] PHST- 2007/09/10 00:00 [revised] PHST- 2007/09/10 00:00 [accepted] PHST- 2008/01/02 09:00 [pubmed] PHST- 2008/11/15 09:00 [medline] PHST- 2008/01/02 09:00 [entrez] AID - S0015-0282(07)03557-1 [pii] AID - 10.1016/j.fertnstert.2007.09.013 [doi] PST - ppublish SO - Fertil Steril. 2008 Oct;90(4):1201.e13-7. doi: 10.1016/j.fertnstert.2007.09.013. Epub 2007 Dec 31.