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Rett syndrome

Inheritance patterns and prenatal diagnosis

Inheritance patterns
The Rett disorder affects more than 1 in 10,000 females and probably far fewer males. Most cases are solitary (sporadic). A case of Rett syndrome is believed to be due to the development of a fresh dominant mutation in a germ cell of one parent. The individual who inherits the affected gene is almost invariably affected and at high risk to transmit the disorder to any offspring. Families should seek advice from the regional clinical genetic centre but can usually be reassured that recurrence is very unlikely. The cause of Rett syndrome is mutations of a gene, MECP2, on the X-chromosome. Another gene, CDKL5, on the X-chromosome causes a rare form of the syndrome which a clinical geneticist will bear in mind when advising families.

Prenatal diagnosis
Prenatal diagnosis is possible where the mutation has been identified in an individual family. However, the risk of recurrence is very low, although not zero, except in the rare situation where the mother carries the mutation, or either of the parents is mosaic for the mutation (either parent carrying the mutation in a small proportion of their own cells). The possibility of prenatal diagnosis is best investigated in advance of a pregnancy. Advice may be obtained from a regional genetics centre.

View How is it diagnosed? How is it diagnosed?  |  Is there support? View Is there support?

Medical text written February 2002 by Dr Orlee Udwin, Consultant Clinical Psychologist, Society for the Study of Behavioural Phenotypes and Dr Alison Kerr. Last updated August 2005 by Dr Alision Kerr, Consultant Paediatrician and Senior Lecturer, Department of Psychological Medicine, University of Glasgow and Gartnavel Royal Hospital, Glasgow, UK with material on prenatal diagnosis by Professor Angus Clarke, Professor in Medical Genetics, Institute of Medical Genetics University of Wales College of Medicine, Cardiff, UK.

 

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