Case ReportsPhenotypic and Brain Imaging Findings Associated With a 10p Proximal Deletion Including the WAC Gene: Case Report and Literature ReviewBolat, Hilmi MD*; Derin, Hatice MD†; Ünsel-Bolat, Gül MD‡ Author Information *Departments of Medical Genetics ‡Child and Adolescent Psychiatry, Balikesir University Faculty of Medicine, Balikesir, Turkey †Department of Pediatrics, Division of Child Neurology, Elaziğ Fethi Sekin City Hospital, Balikesir, Turkey The authors declare no conflicts of interest. Correspondence: Hilmi Bolat, MD, Department of Medical Genetics, Balikesir University Faculty of Medicine, Çağiş Yerleşkesi, Balikesir 10145, Turkey (email: [email protected]). Cognitive and Behavioral Neurology: September 2022 - Volume 35 - Issue 3 - p 221-226 doi: 10.1097/WNN.0000000000000309 Buy Metrics Abstract Microarray-based techniques are an important testing method in etiological studies of intellectual disability and autism spectrum disorder. Interstitial deletion in the p11–p12 region of chromosome 10 is rare, having been reported in just 12 cases to date. Intellectual disability associated with the WAC gene in this region is referred to as DeSanto-Shinawi syndrome. Although all individuals with p11–p12 region of chromosome 10 deletion share a common phenotype involving intellectual disability and dysmorphic features, individuals with DeSanto-Shinawi syndrome usually do not experience the cardiac and neurologic abnormalities or cryptorchidism associated with a 10p11–p12 deletion. With this case report, we aim to expand the phenotypic spectrum of 10p11–p12 deletion. Our patient was a 9-year-old boy with intellectual disability, autism symptoms, dysmorphic features, and behavioral abnormalities. He had no cardiac problems or neurologic symptoms such as hypotonia, feeding difficulties, or seizures. However, he presented cryptorchidism in addition to symptoms that are consistent with DeSanto-Shinawi syndrome. Array comparative genomic hybridization of genomic DNA isolated from a peripheral blood sample revealed a heterozygous deletion in 10p11.23–p12.1, which contains the WAC gene. We discuss our case in the context of a literature review of candidate genes. It is still difficult to establish genotype–phenotype correlations for neurologic, cardiac, and visual symptoms, and cryptorchidism, in individuals with a 10p11–p12 deletion. As more individuals are diagnosed with deletion in this chromosomal region, the associated phenotypes will become clearer. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.