Medicine & Health17 November 2025

A First Look Inside the Brain of a Rare Genetic Disorder

Source PublicationFetal and Pediatric Pathology

Primary AuthorsDella Giustina, Reggiani Bonetti, Salviato et al.

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For decades, researchers have understood the genetic basis of 4q- syndrome, a rare condition caused by a missing piece of chromosome 4. However, a significant gap in knowledge remained: how does this genetic deletion physically affect the brain's organisation? A new detailed case report is beginning to provide answers.

The study performed a comprehensive neuropathological examination on an infant with the syndrome, who had experienced severe symptoms including drug-resistant seizures and poor respiratory autonomy from birth. The findings paint a clear picture of disrupted brain development. Researchers discovered a malformed corpus callosum, the structure that connects the brain's two hemispheres.

Furthermore, they observed a scarcity of cortical neurons—the brain's main information processors—and found other neurons clumped together in the wrong locations, a condition known as heterotopia. These physical findings offer a direct link between the genetic fault and the profound developmental delays observed in patients, broadening our understanding of this complex disorder.

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neuropathologygenetics4q- syndrome