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Case Reports
. 2013 May 29:9:20.
doi: 10.1186/1744-9081-9-20.

Behavioral phenotype in five individuals with de novo mutations within the GRIN2B gene

Case Reports

Behavioral phenotype in five individuals with de novo mutations within the GRIN2B gene

Inga Freunscht et al. Behav Brain Funct. .

Abstract

Background: Intellectual disability (ID) is often associated with behavioral problems or disorders. Mutations in the GRIN2B gene (MRD6, MIM613970) have been identified as a common cause of ID (prevalence of 0.5 - 1% in individuals with ID) associated with EEG and behavioral problems.

Methods: We assessed five GRIN2B mutation carriers aged between 3 and 14 years clinically and via standardized questionnaires to delineate a detailed behavioral phenotype. Parents and teachers rated problem behavior of their affected children by completing the Developmental Behavior Checklist (DBC) and the Conners' Rating Scales Revised (CRS-R:L).

Results: All individuals had mild to severe ID and needed guidance in daily routine. They showed characteristic behavior problems with prominent hyperactivity, impulsivity, distractibility and a short attention span. Stereotypies, sleeping problems and a friendly but boundless social behavior were commonly reported.

Conclusion: Our observations provide an initial delineation of the behavioral phenotype of GRIN2B mutation carriers.

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Figures

Figure 1
Figure 1
Unremarkable facial phenotypes in individuals with GRIN2B mutations. A. Individual 1 at the age of 5 years. B. Individual 3 at the age of 8 years. C. Individual 5 at the age of 2 years.
Figure 2
Figure 2
Parents’ ratings - Developmental Behavior Checklist (DBC). Above-average scores >84.
Figure 3
Figure 3
Teachers’ ratings - Developmental Behavior Checklist (DBC). Above-average scores >84.
Figure 4
Figure 4
Parents’ ratings - Conners’ Rating Scales-Revised (CPRS-R:L). Above-average scores >60.
Figure 5
Figure 5
Teachers’ ratings - Conners’ Rating Scales-Revised (CTRS-R:L). Above-average scores >60.

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