Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-29T18:19:55.578Z Has data issue: false hasContentIssue false

Chapter 44 - Patau Syndrome - Trisomy 13

from Genetic Syndromes and Phakomatoses

Published online by Cambridge University Press:  07 August 2021

Mirna Lechpammer
Affiliation:
New York University School of Medicine
Marc Del Bigio
Affiliation:
University of Manitoba, Canada
Rebecca Folkerth
Affiliation:
New York University School of Medicine
Get access

Summary

Patau syndrome (PS) or trisomy 13 is a chromosomal disorder caused by the presence of an extra copy of chromosome 13 in some or all cells. The syndrome was first described and reported in 1960 by a German-born American geneticist Klaus Patau [1, 2]. It is the third most common autosomal trisomy. Fetal death occurs in 15% of clinically recognized pregnancies with trisomy 13. The prevalence of PS varies from 1:12,000 to 1:29,000 newborns [1, 3]. Pregnancies with trisomy 13 are usually terminated after the diagnosis is confirmed as fetuses are commonly born with multiple congenital malformations and postnatal survival is short [1, 3]. The syndrome is slightly more common in females, with a ratio to males of 1:0.88 [4]. Older maternal age is a recognized risk factor for this pathology due to the higher frequency of nondisjunction in meiosis leading to trisomy 13 compared to younger mothers [1].

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Levy, PA, Marion, R. Trisomies. Pediatr Rev. 2018;39(2):104–6.CrossRefGoogle ScholarPubMed
Patau, K, Smith, DW, Therman, E, Inhorn, SL, Wagner, HP. Multiple congenital anomaly caused by an extra autosome. Lancet. 1960;1(7128):790–3.Google ScholarPubMed
Hook, EB. Rates of 47, + 13 and 46 translocation D/13 Patau syndrome in live births and comparison with rates in fetal deaths and at amniocentesis. Am J Hum Genet. 1980;32(6):849–58.Google Scholar
Huether, CA, Martin, RLM, Stoppelman, SM, D’Souza, S, Bishop, JK, Torfs, CP, et al. Sex ratios in fetuses and liveborn infants with autosomal aneuploidy. Am J Med Genet. 1996;63(3):492500.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
Petry, P, Polli, JB, Mattos, VF, Rosa, RC, Zen, PR, Graziadio, C, Paskulin, GA, Rosa, RF. Clinical features and prognosis of a sample of patients with trisomy 13 (Patau syndrome) from Brazil. Am J Med Genet A. 2013;161A(6):1278–83.Google ScholarPubMed
Goff, RD, Soares, BP. Neuroradiological findings of trisomy 13 in a rare long-term survivor. Neuroradiol J. 2018;31(4):412–14.CrossRefGoogle Scholar
Ong, S, Tonks, A, Woodward, ER, Wyldes, MP, Kilby, MD. An epidemiological study of holoprosencephaly from a regional congenital anomaly register: 1995–2004. Prenat Diagn. 2007;27(4):340–7Google Scholar
Bindra, R, Heath, V, Liao, A, Spencer, K, Nicolaides, KH. One-stop clinic for assessment of risk for trisomy 21 at 11–14 weeks: a prospective study of 15,030 pregnancies. Ultrasound Obstet Gynecol. 2002;20(3):219–25.CrossRefGoogle Scholar
Shiefa, S, Amargandhi, M, Bhupendra, J, Moulali, S, Kristine, T. First trimester maternal serum screening using biochemical markers PAPP-A and free β-hCG for Down syndrome, Patau syndrome and Edward syndrome. Indian J Clin Biochem. 2013;28(1):312.CrossRefGoogle ScholarPubMed
Watson, WJ, Miller, RC, Wax, JR, Hansen, WF, Yamamura, Y, Polzin, WJ. Sonographic detection of trisomy 13 in the first and second trimesters of pregnancy. J Ultrasound Med. 2007;26(9):1209–14.CrossRefGoogle ScholarPubMed
Springett, A, Wellesley, D, Greenlees, R, Loane, M, Addor, MC, Arriola, L, et al. Congenital anomalies associated with trisomy 18 or trisomy 13: A registry-based study in 16 European countries, 2000–2011. Am J Med Genet A. 2015;167A(12):3062–9.Google ScholarPubMed
Gomi, K, Sato, Y, Tanaka, M, Ijiri, R, Kato, K, Aoki, I, et al. Specificity of splenopancreatic field abnormality in trisomy 13 syndrome: macroscopic and histological analysis in 21 autopsy cases. Pathol Int. 2009;59(3):147–51.CrossRefGoogle ScholarPubMed
Taylor-Phillips, S, Freeman, K, Geppert, J, Agbebiyi, A, Uthman, OA, Madan, J, et al. Accuracy of non-invasive prenatal testing using cell-free DNA for detection of Down, Edwards and Patau syndromes: a systematic review and meta-analysis. BMJ Open. 2016;6(1):e010002.CrossRefGoogle ScholarPubMed
Meyer, RE, Liu, G, Gilboa, SM, Ethen, MK, Aylsworth, AS, Powell, CM, et al. Survival of children with trisomy 13 and trisomy 18: a multi-state population-based study. Am J Med Genet A. 2016;170A(4):825–37.Google ScholarPubMed
Andrews, SE, Downey, AG, Showalter, DS, Fitzgerald, H, Showalter, VP, Carey, JC, Hulac, P. Shared decision making and the pathways approach in the prenatal and postnatal management of the trisomy 13 and trisomy 18 syndromes. Am J Med Genet C Semin Med Genet. 2016;172(3):257–63.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×