High-functioning autism spectrum disorder with fluent speech and late-onset epilepsy: an unusual presentation of Inv-Dup (15) syndrome

Neurocase. 2019 Feb-Apr;25(1-2):62-65. doi: 10.1080/13554794.2019.1602144. Epub 2019 Apr 16.

Abstract

Many neuropsychiatric phenotypes have been reported in association with rearrangements in the 15q11-q13 region. Clinical presentations can include hypotonia, developmental delay, severe/moderate intellectual disabilities, poor expressive language, difficult to treat epilepsy, and autism spectrum disorders. Here we report an additional case of a girl with inversion duplication on chromosome 15 (Inv-Dup 15) showing a peculiar and milder clinical phenotype, including atypical high-functioning autism disorder, late onset and drug-responsive epilepsy, and a relatively good language development . This report suggests that a diagnosis of Inv-Dup (15) can be suspected during more benign atypical condition with a better outcome than usually reported.

Keywords: Inv dup (15); atypical autism spectrum disorder; epilepsy; intellectual disability; language.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autism Spectrum Disorder / etiology
  • Autism Spectrum Disorder / physiopathology*
  • Chromosome Aberrations
  • Chromosomes, Human, Pair 15
  • Epilepsy / etiology
  • Epilepsy / physiopathology*
  • Female
  • Humans
  • Intellectual Disability / complications
  • Intellectual Disability / etiology
  • Intellectual Disability / physiopathology*

Supplementary concepts

  • Duplication 15q11-q13 Syndrome