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Rhombencephalosynapsis in a severely polymalformed fetus with non-mosaic tetrasomy 9p, in intracytoplasmic-sperm-injection pregnancy

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Abstract

Case report

A fetus with rhombencephalosynapsis and prenatally diagnosed tetrasomy 9p is reported. Chromosomal analysis from amniocyte culture revealed non-mosaic supernumerary chromosome identified as isochromosome 9p (9p24→q13::q13→p24). Ultrasound scan revealed intrauterine growth retardation, renal anomalies, cardiac anomalies, ventriculomegaly, and agenesis of cerebellar vermis with fusion of the cerebellar hemispheres.

Conclusion

Although most cases of cerebellar vermis agenesis in tetrasomy 9p are described with cystic malformation such as Dandy-Walker anomaly, our case indicates that this chromosomal disorder should be taken into account in fetuses with the development of cystic and non-cystic malformations of cerebellar vermis and posterior fossa.

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References

  1. Truwit CL, Barkovich AJ, Shanahan R, Maroldo TV. MR imaging of rhombencephalosinapsis: report of three cases ond review of the literature. AJNR Am J Neuroradiol. 1991;12:957–65.

    PubMed  CAS  Google Scholar 

  2. Melaragno MI, Brunoni D, da Silva Patricia FR, Corbani M, Mustacchi Z, et al. A patient with tetrasomy 9p. Dandy-Walker cyst and Hirchsprung disease. Ann Genet. 1992;35:79–84.

    PubMed  CAS  Google Scholar 

  3. Ghymers D, Hemann B, Distèche C, Frederic J. Tetrasomie partielle du chromosome 9 à l’ètat mosaique, chez un enfant porteur de malformations multiples. Hum Genet. 1973;20:273–82. doi:10.1007/BF00385740.

    Article  CAS  Google Scholar 

  4. Shaefer GB, Domek DB, Morgan MA, Muneer RS, Johnson SF. Tetrasomy of the short arm of chromosome 9: prenatal diagnosis and further delineation of the phenotype. Am J Med Genet. 1991;38:612–5. doi:10.1002/ajmg.1320380422.

    Article  Google Scholar 

  5. Tonk VS. Moving towards a syndrome: a review of 20 cases and a new case of non-mosaic tetrasomy 9p with long-term survival. Clin Genet. 1997;52:23–9.

    Article  PubMed  CAS  Google Scholar 

  6. Lespinasse J, Testard H, Nugues F, Till M, Cordier MP, Althuser M, et al. A submicroscopic unbalanced subtelomeric translocation t(2p;10q) identified by fluorescence in situ hybridization: fetus with increased nuchal translucency and normal standard karyotype with later growth and developmental delay, rhombencephalosynapsis (RES). Ann Genet. 2004;47:405–17. doi:10.1016/j.anngen.2004.07.005.

    PubMed  CAS  Google Scholar 

  7. Dhandha S, Hogge WA, Surti U, McPherson E. Three cases of tetrasomy 9p. Am J Med Genet. 2002;113:375–80. doi:10.1002/ajmg.b.10826.

    Article  PubMed  CAS  Google Scholar 

  8. Chen CP, Chang TY, Shih JC, Lin SP, Lin CJ, Wang W, et al. Prenatal diagnosis of dandy-Walker malformation and ventriculomegaly associated with partial trisomy 9p and distal 12p deletion. Prenat Diagn. 2002;12:1063–5. doi:10.1002/pd.459.

    Article  Google Scholar 

  9. Van Steirteghem A, Bonduelle M, Devroey P, Liebaers I. Follow-up of children born after ICSI. Hum Reprod Update. 2002;8:111–6. doi:10.1093/humupd/8.2.111.

    Article  PubMed  Google Scholar 

  10. Gjerris AC, Loft A, Pinborg A, Christiansen M, Tabor A. Prenatal testing among women pregnant after assisted reproductive techniques in Denmark 1995–2000: a national cohort study. Hum Reprod. 2008;23:1545–52. doi:10.1093/humrep/den103.

    Article  PubMed  CAS  Google Scholar 

  11. de Azevedo Moreira LM, Magalhanes Freitas L, Ferreira Gusmano FA, Riegel M. New case of non-mosaic Tetrasomy 9p in a severely polymalformed newborn girl. Birth Defects Res. 2003;67:985–8. doi:10.1002/bdra.10126, Part A.

    Article  CAS  Google Scholar 

  12. Feingold M, Atkins L. A case of trisomy 9. J Med Genet. 1973;10:184–7.

    Article  PubMed  CAS  Google Scholar 

  13. Federico A, Tomassetti P, Zollino M, Diomedi M, Dotti MT, De Stefano N, Gualdi GF, Neri G, Gigli GL. Association of trisomy 9p and band heterotopia. Neurology. 1999;2:430–2.

    Google Scholar 

  14. Utsunomiya H, Takano K, Ogasawara T, Hashimoto T, Fukushima T, Okazaki M. Rhombencephalosynapsis: cerebellar embryogenesis. AJNR Am J Neuroradiol. 1998;19:547–9.

    PubMed  CAS  Google Scholar 

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Correspondence to Elena di Vera.

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Capsule Tetrasomy 9p in a polymalformed fetus with rhombencephalonsynapsis is described in a pregnancy conceived by ICSI.

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di Vera, E., Liberati, M., Celentano, C. et al. Rhombencephalosynapsis in a severely polymalformed fetus with non-mosaic tetrasomy 9p, in intracytoplasmic-sperm-injection pregnancy. J Assist Reprod Genet 25, 577–580 (2008). https://doi.org/10.1007/s10815-008-9257-7

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  • DOI: https://doi.org/10.1007/s10815-008-9257-7

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