L2 Genetic Conditions Flashcards
What is Fragile X syndrome?
A cause of neurodevelopmental differences
Caused by a single gene abnormality
Can be studied from early childhood
1/4000 males
1/5000 females
Distinctive physical, intellectual, behavioural and emotional features
What is the physical profile of FXS?
May or may not be present
More common in males
Broad forehead
Large ears
Arches palate
Enlarged testicles
Flat feet
What is the behavioural profile of FSX?
Social avoidance
Distractibility
Irritability
High activity level
Repetitive motor behaviours
Language problems
Strengths - imitation, visual learning, sensitive, humour
What causes FXS?
FXS is caused by a narrowing end of the X chromosomes
FMR1 gene located at fragile site (CGG)
If this repeats too many times, genes become faulty
What are the sex differences of FXS?
All men who have full mutation will have FXS
Women with full mutation will be carriers - half the cells with faulty genes will be switched on
What is the inheritance of FXS?
Passed on by mother carriers
Daughters may be carriers with some symptoms
Sons may have full FXS
What is Down Syndrome?
Extra copy of chromosome 21
1/1000
What is the physical profile of DS?
Round flat face
Small chin
Protruding tongue
Short neck
Broad
Short arms and legs
Gastroesophageal reflux
Sleep apnoea
Thyroid dysfunctions
58 years (life expectancy)
What is the behavioural profile of DS?
DS have lower aggression, antisocial behaviour, property destruction, attention seeking
They are predisposed to depression
What is the neurological profile of DS?
Reduced size of brainstem and cerebellum
Reduction in cortical granular neurons
Smaller hippocampal volumes
Increase in Alzheimer like plaques
What are the key features of FXS and DS?
Intellectual disability is implicated in FXS and DS
Similar IQ levels and mental age
Differences in behaviour and psychopathologies
What is receptive language?
Comprehension of language, listening and understanding messages
Tested using BPVS - match the picture to the word
What is expressive language?
Ability to produce language, verbal and written
Tested using WAIS - generate a definition of a word
What is a Test for Auditory Comprehension of Language (TACL)?
Hear a word and chose the matching photo
FXS performed better
What did Munir 2000 find about their attentional profiles?
Compared boys with FXS boys with DS
Presented with objects and had to find black eggs
Not conclusive but FXS have a stronger language strength
Important to remember that it is measured against those of the same mental age not actual age