Table 4

Recommended Evaluations Following Initial Diagnosis in Individuals with Maternal 15q Duplication Syndrome

System/ConcernEvaluationComment
Constitutional
  • Measurement of growth parameters
  • Eval of nutritional status & safety of oral intake
To assess feeding issues due to hypotonia
Neurologic Neurologic evalConsider EEG if seizures are a concern.
Ataxia Orthopedics / physical medicine & rehab / PT & OT evalTo incl assessment of:
  • Gross motor & fine motor skills
  • Mobility, ADL, & need for adaptive devices
  • Need for PT (to improve gross motor skills) &/or OT (to improve fine motor skills)
Development Developmental assessment
  • To incl motor, adaptive, cognitive, & speech-language eval
  • Eval for early intervention / special education
Psychiatric/
Behavioral
Neuropsychiatric evalFor persons age >12 mos: screening for concerns incl sleep disturbances, ADHD, anxiety, &/or findings suggestive of ASD
Genetic
counseling
By genetics professionals 1To inform affected persons & their families re nature, MOI, & implications of maternal dup15q in order to facilitate medical & personal decision making
Family support
& resources
Assess need for:

ADHD = attention-deficit/hyperactivity disorder; ADL = activities of daily living; ASD = autism spectrum disorder; MOI = mode of inheritance; OT = occupational therapy; PT = physical therapy

1.

Medical geneticist, certified genetic counselor, certified advanced genetic nurse

From: Maternal 15q Duplication Syndrome

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