Cytogenetic Testing
It took until 1956 before the correct number of human chromosomes of 46/cell was determined by Tjio and Levan. The discovery of the correct number of human chromosomes lead to the subsequent discovery that trisomy 21 is the cause of Down syndrome. Soon thereafter, a series of associations of different birth defects with specific chromosomal imbalances became apparent. First, the chromosomes 13 trisomy (Patau syndrome), trisomy 18 (Edwards syndrome), and monosomy and trisomy X syndromes were identified. Subsequently, smaller segmental chromosomal imbalances such as 5p- and 4p- were proven to cause birth defects. These associations launched cytogenetic genetic testing as a routine diagnostic tool and resulted in systematic screening for children with birth defects. These screenings, in turn, resulted in the identification of thousands of chromosomal imbalances associated with specific syndromic features.
Initially, chromosome studies were performed using simple...
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Vermeesch, J., Buysse, K. (2012). Cytogenetic Testing and Chromosomal Disorders. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_4
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