Cat’s eye syndrome (Schmid-Frakkaro): a series of atypical clinical cases
https://doi.org/10.21508/1027-4065-2025-70-5-84-90
Abstract
Cat eye syndrome is a rare genetic pathology characterized by the presence of an additional small supernumerary marker chromosome formed from copies of a region of chromosome 22, resulting in partial tetrasomy. However, Cat eye syndrome cases with partial or complete trisomy of chromosome 22 are also reported. This article presents descriptions of three atypical clinical cases of the syndrome, one of which is comorbid by epilepsy, and therefore its description is more detailed. The clinical picture of these three cases did not include the classic triad of the syndrome. Current study provides new information on possible variants of the Cat eye syndrome phenotype, including comorbidity with epilepsy, and contributes to the formation of a database that allows for a detailed and comprehensive study of the Cat eye syndrome.
About the Authors
R. G. GamirovaRussian Federation
420008, Kazan
R. R. Gamirova
Russian Federation
420008, Kazan
T. Yu. Guseva
Russian Federation
420008, Kazan
A. A. Protchenko
Russian Federation
420008, Kazan
L. R. Samoylova
Russian Federation
420008, Kazan
E. A. Gorobets
Russian Federation
420008, Kazan
S. Ya. Volgina
Russian Federation
420012, Kazan
References
1. Berends M.J., Tan-Sindhunata G., Leegte B., van Essen A.J. Phenotypic variability of cat-eye syndrome. Genet Couns 2001; 12(1): 23–34
2. Schachenmann G., Schmid W., Fraccaro M., Mannini A., Tiepolo L., Perona G.P., et al. Chromosomes in Coloboma and Anal Atresia. Lancet. 1965; 2(7406): 290
3. Jedraszak G., Jobic F., Receveur A., Bilan F., Gilbert-Dussardier B., Tiffany B., et al. Cat eye syndrome: Clinical, cytogenetics and familial findings in a large cohort of 43 patients highlighting the importance of congenital heart disease and inherited cases. American journal of medical genetics 2024; Part A, 194(4): e63476. DOI: 10.1002/ajmg.a.63476
4. Sharma D., Murki S., Pratap T., Vasikarla M. Cat eye syndrome. Case Reports. 2014; May 19; bcr2014203923. DOI: 10.1136/bcr-2014-203923
5. Verri A., Maffoni M. Drug resistant epilepsy in a young male with Cat Eye Syndrome: a case study. Clinical Cases and Reviews in Epilepsy 2017; 2: 15. DOI: 10.11138/ccre/2017.2.1.015
6. Rosias P.R., Sijstermans J.M., Theunissen P.M., Pulles Heintzberger C.F., De Die-Smulders C.E., Engelen J.J., et al. Phenotypic variability of the cat eye syndrome. Case report and review of the literature. Genet Couns. 2001; 12(3): 273–282
7. Mears A.J., el-Shanti H., Murray J.C., McDermid H.E., Patil S. R. Minute supernumerary ring chromosome 22 associated with cat eye syndrome: further delineation of the critical region. American Journal of Human Genetics 1995; 57(3): 667–673
8. Meins M., Burfeind P., Motsch S., Trappe R., Bartmus D., Langer S., et al. Partial trisomy of chromosome 22 resulting from an interstitial duplication of 22q11.2 in a child with typical cat eye syndrome. Journal of Medical Genetics 2003; 40(5): e62). DOI: 10.1136/jmg.40.5.e62
9. Cervenka J., Hansen C.A., Franciosi R.A., Gorlin R.J. Trisomy 22 with’cat eye’anomaly. Journal of Medical Genetics. 1977; 14(4): 288–290. DOI: 10.1136/jmg.14.4.288
10. Haltrich I., Pikó H., Kiss E., Tóth Z., Karcagi V., Fekete G. A de novo atypical ring sSMC (22) characterized by array CGH in a boy with cat-eye syndrome. Molecular cytogenetics. 2014; 7: 1–8. DOI: 10.1186/1755-8166-7-37
11. Knijnenburg J., van Bever Y., Hulsman L.O., van Kempen C.A., Bolman G.M., van Loon R.L., et al. A 600 kb triplication in the cat eye syndrome critical region causes anorectal, renal and preauricular anomalies in a three-generation family. European Journal of Human Genetics. 2012; 20(9): 986–989. DOI: 10.1038/ejhg.2012.43
12. Vervoort L., Vermeesch J.R. The 22q11.2 Low Copy Repeats. Genes (Basel). 2022; 13(11): 2101. DOI: 10.3390/genes13112101
13. Zinkstok J.R., Boot E., Bassett A.S., Hiroi N., Butcher N.J., Vingerhoets C., et al. Neurobiological perspective of 22q11.2 deletion syndrome. Lancet Psychiatry. 2019; 6(11) :951–960. DOI: 10.1016/S2215-0366(19)30076-8
14. Wang Y., Zhang P., Chai Y., Zang, W. Cat eye syndrome caused by 22q11.1q11.21 duplication: case report in a Chinese family. Molecular cytogenetics 2023; 16(1): 28. DOI: 10.1186/s13039-023-00660-2
15. Banting G.S., Barak O., Ames T.M., Burnham A.C., Kardel M.D. et al. CECR2, a protein involved in neurulation, forms a novel chromatin remodeling complex with SNF2L. Hum Mol Genet. 2005; 14(4): 513–524. DOI: 10.1093/hmg/ddi048
16. Valvo G., Novara F., Brovedani P., Ferrari A.R., Guerrini R., Zuffardi O., Sicca F. 22q11.2 Microduplication syndrome and epilepsy with continuous spikes and waves during sleep (CSWS). A case report and review of the literature. Epilepsy Behav. 2012; 25(4): 567–572. DOI: 10.1016/j.ye-beh.2012.09.035
17. Eaton C.B., Thomas R.H., Hamandi K., Payne G.C., Kerr M.P. Epilepsy and seizures in young people with 22q11.2 deletion syndrome: Prevalence and links with other neurodevelopmental disorders. Epilepsia 2019; 60(5): 818–829. DOI: 10.1111/epi.14722
18. Zhou Y., Gunput R.A., Adolfs Y., Pasterkamp R.J. MICALs in control of the cytoskeleton, exocytosis, and cell death. Cell Mol Life Sci. 2011; 68(24): 4033–4044. DOI: 10.1007/s00018-011-0787-2
19. Addis L., Rosch R.E., Valentin A., Makoff A., Robinson R., Everett K.V., et al. Analysis of rare copy number variation in absence epilepsies. Neurol Genet. 2016; 2(2):e56. DOI: 10.1212/NXG.0000000000000056
20. Lo-Castro A., Galasso C., Cerminara C., El-Malhany N., Benedetti S., Nardone A.M. et al. Association of syndromic mental retardation and autism with 22q11.2 duplication. Neuropediatrics. 2009; 40(3): 137–140. DOI: 10.1055/s-0029-1237724
Review
For citations:
Gamirova R.G., Gamirova R.R., Guseva T.Yu., Protchenko A.A., Samoylova L.R., Gorobets E.A., Volgina S.Ya. Cat’s eye syndrome (Schmid-Frakkaro): a series of atypical clinical cases. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2025;70(5):84-90. (In Russ.) https://doi.org/10.21508/1027-4065-2025-70-5-84-90





































