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"Idiopathic" mental retardation and new chromosomal abnormalities

Cinzia Galasso email, Adriana Lo-Castro email, Nadia El-Malhany email and Paolo Curatolo email

Department of Neuroscience, Paediatric Neurology Unit, "Tor Vergata" University of Rome, Italy

author email corresponding author email

Italian Journal of Pediatrics 2010, 36:17doi:10.1186/1824-7288-36-17

Published: 14 February 2010

Abstract

Mental retardation is a heterogeneous condition, affecting 1-3% of general population. In the last few years, several emerging clinical entities have been described, due to the advent of newest genetic techniques, such as array Comparative Genomic Hybridization. The detection of cryptic microdeletion/microduplication abnormalities has allowed genotype-phenotype correlations, delineating recognizable syndromic conditions that are herein reviewed. With the aim to provide to Paediatricians a combined clinical and genetic approach to the child with cognitive impairment, a practical diagnostic algorithm is also illustrated. The use of microarray platforms has further reduced the percentage of "idiopathic" forms of mental retardation, previously accounted for about half of total cases. We discussed the putative pathways at the basis of remaining "pure idiopathic" forms of mental retardation, highlighting possible environmental and epigenetic mechanisms as causes of altered cognition.


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