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ISSN 2063-5346
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UNBALANCED TRANSLOCATED GENOME IN WOLF-HIRSHHORN SYNDROME (WHS) FROM INDONESIA: A RARE CASE REPORT AND LITERATURE REVIEW

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Praevilia M. Salendu, Nurhayati Masloman, Bobby Pambudi, Ronald Rompies, Ernestine Vivi Sadeli
» doi: 10.53555/ecb/2024.13.01.37

Abstract

Wolf-Hirschhorn syndrome (WHS) is a rare genetic disorder that involves partial deletion of the short arm of chromosome 4. Although rare, this syndrome may cause significant morbidity and mortality for the patients. We report a rare case of WHS in a 3-year-old girl. The patient came to the hospital with complaints of unprovoked generalized tonic seizure one and a half hours before hospital admission. The seizure duration was only 5 minutes without any behavioral changes before or after the seizure. The patient had a characteristic facial appearance which resemble a "Greek helmet", delayed growth and development, and clubfoot. Magnetic resonance imaging (MRI) examination revealed suspicion of bilateral cerebral hypoplasia. The electroencephalography (EEG) result was within normal limits. Echocardiography showed 2-mm patent foramen ovale (PFO) and 2-mm ventricular septal defect (VSD) with left-to-right shunt. The chromosomal analysis demonstrated a translocation between chromosome 4 with chromosome 8. A better understanding of the WHS process and its characteristics will allow healthcare providers to give appropriate and comprehensive multidisciplinary care.

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