About Cri du Chat Syndrome
Cri du chat syndrome results from a partial deletion of the short arm (p) of chromosome 5, typically involving terminal deletion of 5p (80-90% of cases) or less commonly interstitial deletions. Deletions range in size from small <5 Mb deletions to large deletions affecting up to 40% of the short arm (~120 Mb).
The condition is named for the distinctive high-pitched, cat-like cry ("cri du chat" in French) heard in infants, caused by laryngeal abnormalities including subglottal narrowing and hypotonia. Intellectual disability is severe, with measured IQ typically ranging from 20-49 (moderate to severe). Microcephaly and characteristic facial dysmorphism including micrognathia, hypertelorism, and epicanthal folds are typical. Hypotonia is prominent in infancy and early childhood, often accompanied by failure to thrive and feeding difficulties.
With age, hypotonia gradually transitions to variable hypertonia and spasticity. Failure to thrive occurs in approximately 90%, requiring intensive nutritional support. Congenital heart defects including patent foramen ovale, tetralogy of Fallot, and septal defects occur in approximately 25%. Seizures develop in 30-40% of patients, often in early childhood.
Common Symptoms of Cri du Chat Syndrome
Recognizing the signs of Cri du Chat Syndrome early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.
- Distinctive high-pitched cry in infancy (crying cat sound)
- Severe intellectual and developmental disability
- Microcephaly and characteristic facial features
- Hypotonia and developmental delays
- Failure to thrive
- Congenital heart defects in ~25%
Who Cri du Chat Syndrome Affects
Cri du chat syndrome results from terminal or interstitial deletions of chromosome 5p occurring de novo in approximately 85-90% of cases; approximately 10-15% are inherited from a balanced translocation carrier parent.
The condition affects males and females with approximately equal frequency (female to male ratio 1.3:1). The deletion occurs across all ethnic groups worldwide with similar prevalence. The syndrome occurs in all geographic populations without significant clustering or founder effects.
Recurrence risk depends on parental karyotype: if both parents have normal chromosomes, recurrence risk is <1% (low risk of germline mosaicism); if one parent is a balanced translocation carrier, recurrence risk is 10-15% for each pregnancy. Advanced maternal age shows slight association with increased risk. The deletion results from unequal crossing over during meiosis or nonallelic homologous recombination.
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Trusted Cri du Chat Syndrome Resources
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