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A Comparative Study of Hearing Loss in Two Microdeletion Syndromes: Velocardiofacial (22q11.2 Deletion) and Williams (7q11.23 Deletion) Syndromes - 02/08/11

Doi : 10.1016/j.jpeds.2010.07.056 
Omer Zarchi, MA a, b, f, Josef Attias, DSc b, d, Eyal Raveh, MD c, g, Lina Basel-Vanagaite, MD e, g, Liron Saporta, MA a, f, Doron Gothelf, MD a, g, ⁎
a Behavioral Neurogenetics Center, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer, Israel 
b Institute for Clinical Neurophysiology and Audiology, Schneider Children’s Medical Center of Israel, Petah Tiqwa, Israel 
c Department of Otolaryngology and Head and Neck Surgery, Schneider Children’s Medical Center of Israel, Petah Tiqwa, Israel 
d Department of Communication Disorders, Haifa University, Haifa, Israel 
e Department of Medical Genetics and Raphael Recanati Genetic Institute, Rabin Medical Center, Petah Tiqwa, Israel 
f Interdisciplinary Ph.D. Program in Neuroscience Tel Aviv, Israel 
g Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel 

Reprint requests: Doron Gothelf, MD, Child Psychiatry Unit, Sheba Medical Center, Tal Hashomer 52621, Israel.

Abstract

Objective

To comprehensively assess auditory impairments in velocardiofacial syndrome (VCFS) and Williams syndrome (WS).

Study design

Audiologic measurements were conducted with 62 subjects with VCFS and 44 subjects with WS, as well as two control groups consisting of 22 subjects with idiopathic developmental disability and 23 typically developing controls. An association between severity of hearing loss in VCFS and the 158Val/Met polymorphism of the catechol-O-methyltransferase gene (COMT) was explored.

Results

Hearing was significantly more impaired in the VCFS and WS groups compared with the developmental disability and typically developing groups. Audiologic abnormalities identified in both the VCFS and WS groups included high-tone hearing loss (predominantly sensorineural or mixed type), loss of acoustic reflex, and middle ear pathologies. In both the VCFS and WS groups, hearing loss severity was positively correlated with age. In the VCFS group, hearing loss was more severe in the subgroup carrying the COMT Val allele compared with the subgroup carrying the COMT Met allele.

Conclusions

Hearing impairments, including sensorineural hearing loss and acoustic reflex dysfunction, are very common in both VCFS and WS. Hearing loss is less severe in subjects with the COMT Met allele, possibly due to the protective effect of dopamine on the hearing system.

El texto completo de este artículo está disponible en PDF.

Mots-clés : AR, COMT, DD, ENT, SRT, TD, VCFS, WS


Esquema


 Supported by the Basil O’Connor Starter Scholar Research Award of the March of Dimes (grant 5-FY06-590), The National Alliance for Research on Schizophrenia and Depression (NARSAD) Young Investigator Award and The Canadian Friends of Tel Aviv University. The authors are grateful to Harriet Sugar Miller for editorial assistance. The study sponsor was not involved in design, data collection, analysis and interpretation, the writing of the report, or the decision to submit the report for publication. The authors declare no conflicts of interest.


© 2011  Mosby, Inc. Reservados todos los derechos.
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Vol 158 - N° 2

P. 301-306 - février 2011 Regresar al número
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