Diagnostic Utility of Array Comparative Genomic Hybridization in Children with Neurological Diseases

Fetal Pediatr Pathol. 2022 Feb;41(1):68-76. doi: 10.1080/15513815.2020.1764683. Epub 2020 May 13.

Abstract

Introduction: We evaluated the contribution of array comparative genomic hybridization (aCGH) to the final diagnosis in children with neurocognitive disturbances or dysmorphic findings, but lacked a specific diagnosis.

Materials and methods: Medical files of pediatric patients with neurocognitive disturbances who underwent aCGH analysis were reviewed retrospectively.

Results: Of 155 patients, 77 copy number variations were detected and 50% (39/77) were considered causative. The aCGH's final diagnostic rate was 25.1% (39/155).

Conclusion: With aCGH analysis, the diagnosis rate for patients with undiagnosed neurocognitive disturbances or dysmorphic syndrome may increase by 25-30%. If the phenotypic findings of the widely known neurocognitive disturbances cannot be identified during the initial clinical assessment, aCGH analysis may be beneficial.

Keywords: array comparative genomic hybridization; intellectual disability; neurodevelopmental delay.

MeSH terms

  • Abnormalities, Multiple*
  • Child
  • Comparative Genomic Hybridization
  • DNA Copy Number Variations
  • Humans
  • Intellectual Disability*
  • Retrospective Studies