PMID- 28981939 OWN - NLM STAT- MEDLINE DCOM- 20180313 LR - 20180313 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 34 IP - 5 DP - 2017 Oct 10 TI - [Genetic diagnosis and follow up of a fetus with Emanuel syndrome]. PG - 709-713 LID - 10.3760/cma.j.issn.1003-9406.2017.05.020 [doi] AB - OBJECTIVE: To carry out genetic analysis for a fetus with Dandy-Walker malformation and provide prenatal diagnosis for its parents during the subsequent pregnancy. METHODS: Routine G-banding was carried out to analyze the karyotype of the fetus and its parents, and next-generation sequencing (NGS) and fluorescence in situ hybridization (FISH) were used to verify the result. RESULTS: The father showed a normal karyotype, while the mother was found to carry a balanced t(11; 22) (q23; q11) translocation. NGS and FISH analysis verified that the supernumerary marker chromosome carried by the fetus was der(22) t(11; 22) (q23;q11). The fetus was diagnosed with Emanuel syndrome. During the next pregnancy, the fetus was found to carry the same balanced translocation as its mother. After genetic counseling, the couple decided to continue with the pregnancy, and eventually delivered a healthy baby. CONCLUSION: A fetal case of Emanuel syndrome has been identified. The derivative der(22) t(11; 22)(q23; q11) chromosome probably underlies the Dandy-Walker malformation in the fetus. Combined cytogenetic and molecular analyses can attain a more precise diagnosis for fetal abnormalities detected by ultrasonography. FAU - Zhao, Yanhui AU - Zhao Y AD - Department of Genetics, Shenyang Women and Children's Hospital, Shenyang, Liaoning 110001, China. pangh2006@aliyun.com. FAU - Pang, Hong AU - Pang H FAU - Gao, Ming AU - Gao M FAU - Feng, Xiaojing AU - Feng X FAU - Guan, Yunping AU - Guan Y FAU - Zhao, Hua AU - Zhao H FAU - Tong, Dan AU - Tong D FAU - Hua, Jun AU - Hua J FAU - Cao, Xia AU - Cao X FAU - He, Shaosong AU - He S FAU - Li-Ling, Jesse AU - Li-Ling J LA - chi PT - Case Reports PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - Emanuel syndrome SB - IM MH - Adult MH - Chromosome Disorders/diagnosis/*genetics MH - Chromosomes, Human, Pair 11 MH - Chromosomes, Human, Pair 22 MH - Cleft Palate/diagnosis/*genetics MH - Female MH - Follow-Up Studies MH - Heart Defects, Congenital/diagnosis/*genetics MH - Humans MH - Intellectual Disability/diagnosis/*genetics MH - Muscle Hypotonia/diagnosis/*genetics MH - Pregnancy MH - *Prenatal Diagnosis MH - Translocation, Genetic EDAT- 2017/10/06 06:00 MHDA- 2018/03/14 06:00 CRDT- 2017/10/06 06:00 PHST- 2017/10/06 06:00 [entrez] PHST- 2017/10/06 06:00 [pubmed] PHST- 2018/03/14 06:00 [medline] AID - 940634145 [pii] AID - 10.3760/cma.j.issn.1003-9406.2017.05.020 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Oct 10;34(5):709-713. doi: 10.3760/cma.j.issn.1003-9406.2017.05.020.