Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2019

Open Access 01-12-2019 | Intellectual Disability | Case report

Autistic symptoms in Greig cephalopolysyndactyly syndrome: a family case report

Authors: Martina Siracusano, Assia Riccioni, Antonia Baratta, Maurizia Baldi, Paolo Curatolo, Luigi Mazzone

Published in: Journal of Medical Case Reports | Issue 1/2019

Login to get access

Abstract

Background

Greig cephalopolysyndactyly syndrome is a rare multiple congenital anomaly syndrome characterized by the triad of polysyndactyly (preaxial or mixed preaxial and postaxial), macrocephaly, and ocular hypertelorism. Little is known about the neuropsychological phenotype and the developmental features of this syndrome.

Case presentation

We describe the clinical features of a 7-year-old Italian white boy affected by Greig cephalopolysyndactyly syndrome in comorbidity with autism spectrum disorder and the case of his 45-year-old white father, carrying the same point deletion (c.3677del) in the GLI3 gene and showing subclinical autistic symptoms. We performed a neuropsychiatric assessment of cognitive, adaptive, socio-communicative, and behavioral skills of the child. Concurrently, the father underwent his first psychiatric evaluation of cognitive skills and autistic symptoms.

Conclusions

We report the first clinical description of an association between autistic symptoms and Greig cephalopolysyndactyly syndrome in two members of the same family with the same genetic point deletion. Further research is required in order to draw an accurate conclusion regarding the association between Greig cephalopolysyndactyly syndrome and autism.
Literature
1.
go back to reference Biesecker LG. The Greig cephalopolysyndactyly syndrome. Orphanet J Rare Dis. 2008;3:10.CrossRef Biesecker LG. The Greig cephalopolysyndactyly syndrome. Orphanet J Rare Dis. 2008;3:10.CrossRef
2.
go back to reference Kang S, Graham JM Jr, Olney AH, Biesecker LG. GLI3 frameshift mutations cause autosomal dominant Pallister-Hall syndrome. Nat Genet. 1997;15:266–8.CrossRef Kang S, Graham JM Jr, Olney AH, Biesecker LG. GLI3 frameshift mutations cause autosomal dominant Pallister-Hall syndrome. Nat Genet. 1997;15:266–8.CrossRef
3.
go back to reference Vortkamp A, Gessler M, Grzeschik K-H. GLI3 zinc finger gene interrupted by translocations in Greig syndrome families. Nature. 1991;352:539–40.CrossRef Vortkamp A, Gessler M, Grzeschik K-H. GLI3 zinc finger gene interrupted by translocations in Greig syndrome families. Nature. 1991;352:539–40.CrossRef
4.
go back to reference Balk K, Biesecker LG. The clinical atlas of Greig cephalopolysyndactyly syndrome. Am J Med Genet Part A. 2008;146A:548–57.CrossRef Balk K, Biesecker LG. The clinical atlas of Greig cephalopolysyndactyly syndrome. Am J Med Genet Part A. 2008;146A:548–57.CrossRef
6.
go back to reference Duncan PA, Klein RM, Wilmot PL, Shapiro LR. Greig cephalopolysyndactyly syndrome. Am J Dis Child. 1979;133:818–21.PubMed Duncan PA, Klein RM, Wilmot PL, Shapiro LR. Greig cephalopolysyndactyly syndrome. Am J Dis Child. 1979;133:818–21.PubMed
7.
go back to reference Gorlin RJ, Cohen MM Jr, Hennekam RCM. Greig cephalopolysyndactyly syndrome. In: Syndromes of the Head and Neck. 4th ed. New York: Oxford University Press; 2001. p. 995–6. Gorlin RJ, Cohen MM Jr, Hennekam RCM. Greig cephalopolysyndactyly syndrome. In: Syndromes of the Head and Neck. 4th ed. New York: Oxford University Press; 2001. p. 995–6.
8.
go back to reference Johnston JJ, Olivos-Glander I, Turner J, Aleck K, Bird LM, Mehta L, Schimke RN, Heilstedt H, Spence JE, Blancato J, Biesecker LG. Clinical and molecular delineation of the Greig cephalopolysyndactyly contiguous gene deletion syndrome and its distinction from acrocallosal syndrome. Am J Med Genet Part A. 2003;123A:236–42.CrossRef Johnston JJ, Olivos-Glander I, Turner J, Aleck K, Bird LM, Mehta L, Schimke RN, Heilstedt H, Spence JE, Blancato J, Biesecker LG. Clinical and molecular delineation of the Greig cephalopolysyndactyly contiguous gene deletion syndrome and its distinction from acrocallosal syndrome. Am J Med Genet Part A. 2003;123A:236–42.CrossRef
9.
go back to reference Johnston J, Walker R, Davis S, Facio F, Turner J, Bick D, Daentl D, Ellison J, Meltzer P, Biesecker L. Zoom-in comparative genomic hybridisation arrays for the characterisation of variable breakpoint contiguous gene syndromes. J Med Genet. 2007;44:e59.CrossRef Johnston J, Walker R, Davis S, Facio F, Turner J, Bick D, Daentl D, Ellison J, Meltzer P, Biesecker L. Zoom-in comparative genomic hybridisation arrays for the characterisation of variable breakpoint contiguous gene syndromes. J Med Genet. 2007;44:e59.CrossRef
10.
go back to reference Roid GH, Miller LJ, Pomplun M, Koch C. Leiter International Performance Scale – Third Edition. Florence: Giunti Psychometrics; 2016. Roid GH, Miller LJ, Pomplun M, Koch C. Leiter International Performance Scale – Third Edition. Florence: Giunti Psychometrics; 2016.
11.
go back to reference Raven JC. Coloured Progressive Matrices. Florence: Giunti Psychometrics; 1984. Raven JC. Coloured Progressive Matrices. Florence: Giunti Psychometrics; 1984.
12.
go back to reference Harrison PT, Oakland T. Adaptive Behavior Assessment System – Second Edition. Florence: Giunti Psychometrics; 2014. Harrison PT, Oakland T. Adaptive Behavior Assessment System – Second Edition. Florence: Giunti Psychometrics; 2014.
13.
go back to reference Lord C, Rutter R, DiLavore PM, Risi S, Luyster RJ, Gotham K, Bishop SL, Guthrie W. Autism Diagnostic Observation Schedule. 2nd. Oxford: Hogrefe; 2013. Lord C, Rutter R, DiLavore PM, Risi S, Luyster RJ, Gotham K, Bishop SL, Guthrie W. Autism Diagnostic Observation Schedule. 2nd. Oxford: Hogrefe; 2013.
14.
go back to reference Costantino JN, Gruber PC. Social Responsiveness Scale. Florence: Giunti Psychometrics; 2010. Costantino JN, Gruber PC. Social Responsiveness Scale. Florence: Giunti Psychometrics; 2010.
15.
go back to reference Achenbach TM, Rescorla LA. Manual for the ASEBA School-Age Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families; 2001. Achenbach TM, Rescorla LA. Manual for the ASEBA School-Age Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families; 2001.
16.
go back to reference Raven JC. Standard Progressive Matrices. Florence: Giunti Psychometrics; 1954. Raven JC. Standard Progressive Matrices. Florence: Giunti Psychometrics; 1954.
Metadata
Title
Autistic symptoms in Greig cephalopolysyndactyly syndrome: a family case report
Authors
Martina Siracusano
Assia Riccioni
Antonia Baratta
Maurizia Baldi
Paolo Curatolo
Luigi Mazzone
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-019-2043-6

Other articles of this Issue 1/2019

Journal of Medical Case Reports 1/2019 Go to the issue