Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review

Abstract Background Congenital anomalies and neurodevelopmental disorders are complex conditions often requiring comprehensive diagnostic approaches. Next-generation sequencing (NGS), particularly whole-exome sequencing (WES), has greatly improved the detection of pathogenic variants, including copy...

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Main Authors: Anastasiia A. Buianova, Yulia S. Lashkova, Tatiana V. Kulichenko, Ivan S. Kuznetsov, Artem A. Ivanov, Olga P. Parshina, Oleg N. Suchalko, Svetlana S. Vakhlyarskaya, Dmitriy O. Korostin
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Neurological Research and Practice
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Online Access:https://doi.org/10.1186/s42466-025-00378-z
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author Anastasiia A. Buianova
Yulia S. Lashkova
Tatiana V. Kulichenko
Ivan S. Kuznetsov
Artem A. Ivanov
Olga P. Parshina
Oleg N. Suchalko
Svetlana S. Vakhlyarskaya
Dmitriy O. Korostin
author_facet Anastasiia A. Buianova
Yulia S. Lashkova
Tatiana V. Kulichenko
Ivan S. Kuznetsov
Artem A. Ivanov
Olga P. Parshina
Oleg N. Suchalko
Svetlana S. Vakhlyarskaya
Dmitriy O. Korostin
author_sort Anastasiia A. Buianova
collection DOAJ
description Abstract Background Congenital anomalies and neurodevelopmental disorders are complex conditions often requiring comprehensive diagnostic approaches. Next-generation sequencing (NGS), particularly whole-exome sequencing (WES), has greatly improved the detection of pathogenic variants, including copy number variations (CNVs), which account for up to 35% of genetic causes in neurological patients. Combining CNV and single nucleotide variant (SNV) analysis through WES enhances diagnostic accuracy, especially in cases with unclassified congenital anomalies. Case presentation and literature review This study reports a 14-year-old male patient with multiple congenital anomalies, including hypospadias, complete cleft palate, and recurrent pneumonia. His clinical presentation includes significant physical and intellectual developmental delays, autism-like symptoms, and spastic diplegia. Whole-exome sequencing (WES) was performed due to these complex symptoms, revealing a novel heterozygous deletion on chromosome 10q24.31-q24.33. Laboratory findings indicated agammaglobulinemia, leading to prophylactic antibiotic therapy and immunoglobulin replacement. Additional imaging studies showed cystic malformation of the middle lobe of the right lung, sliding hiatal hernia with prolapse of the gastric mucosa, and brain anomalies consistent with Joubert syndrome. Conclusions This case underscores the importance of genetic analysis in understanding the etiology of congenital anomalies and neurodevelopmental disorders, providing critical insights into the molecular mechanisms driving complex phenotypes. The identified chromosomal deletion contributes to the existing literature on genomic imbalances associated with similar phenotypes.
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spelling doaj-art-55ae0ffdf2fd4256a3cefcd1b30f26792025-08-20T03:06:55ZengBMCNeurological Research and Practice2524-34892025-04-017111010.1186/s42466-025-00378-zHeterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature reviewAnastasiia A. Buianova0Yulia S. Lashkova1Tatiana V. Kulichenko2Ivan S. Kuznetsov3Artem A. Ivanov4Olga P. Parshina5Oleg N. Suchalko6Svetlana S. Vakhlyarskaya7Dmitriy O. Korostin8Center for Precision Genome Editing and Genetic Technologies for Biomedicine, Pirogov Russian National Research Medical UniversityRussian Children’s Clinical HospitalRussian Children’s Clinical HospitalRussian Children’s Clinical HospitalRussian Children’s Clinical HospitalCenter for Precision Genome Editing and Genetic Technologies for Biomedicine, Pirogov Russian National Research Medical UniversityCenter for Precision Genome Editing and Genetic Technologies for Biomedicine, Pirogov Russian National Research Medical UniversityRussian Children’s Clinical HospitalCenter for Precision Genome Editing and Genetic Technologies for Biomedicine, Pirogov Russian National Research Medical UniversityAbstract Background Congenital anomalies and neurodevelopmental disorders are complex conditions often requiring comprehensive diagnostic approaches. Next-generation sequencing (NGS), particularly whole-exome sequencing (WES), has greatly improved the detection of pathogenic variants, including copy number variations (CNVs), which account for up to 35% of genetic causes in neurological patients. Combining CNV and single nucleotide variant (SNV) analysis through WES enhances diagnostic accuracy, especially in cases with unclassified congenital anomalies. Case presentation and literature review This study reports a 14-year-old male patient with multiple congenital anomalies, including hypospadias, complete cleft palate, and recurrent pneumonia. His clinical presentation includes significant physical and intellectual developmental delays, autism-like symptoms, and spastic diplegia. Whole-exome sequencing (WES) was performed due to these complex symptoms, revealing a novel heterozygous deletion on chromosome 10q24.31-q24.33. Laboratory findings indicated agammaglobulinemia, leading to prophylactic antibiotic therapy and immunoglobulin replacement. Additional imaging studies showed cystic malformation of the middle lobe of the right lung, sliding hiatal hernia with prolapse of the gastric mucosa, and brain anomalies consistent with Joubert syndrome. Conclusions This case underscores the importance of genetic analysis in understanding the etiology of congenital anomalies and neurodevelopmental disorders, providing critical insights into the molecular mechanisms driving complex phenotypes. The identified chromosomal deletion contributes to the existing literature on genomic imbalances associated with similar phenotypes.https://doi.org/10.1186/s42466-025-00378-zDeletionCopy number variationWhole-exome sequencingDevelopmental delayMultiple congenital anomalies
spellingShingle Anastasiia A. Buianova
Yulia S. Lashkova
Tatiana V. Kulichenko
Ivan S. Kuznetsov
Artem A. Ivanov
Olga P. Parshina
Oleg N. Suchalko
Svetlana S. Vakhlyarskaya
Dmitriy O. Korostin
Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
Neurological Research and Practice
Deletion
Copy number variation
Whole-exome sequencing
Developmental delay
Multiple congenital anomalies
title Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
title_full Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
title_fullStr Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
title_full_unstemmed Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
title_short Heterozygous deletion of 10q24.31-q24.33– a new syndrome associated with multiple congenital anomalies: case report and literature review
title_sort heterozygous deletion of 10q24 31 q24 33 a new syndrome associated with multiple congenital anomalies case report and literature review
topic Deletion
Copy number variation
Whole-exome sequencing
Developmental delay
Multiple congenital anomalies
url https://doi.org/10.1186/s42466-025-00378-z
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