Williams Syndrome Medline Alert - July 1998

From the Medical Literature - July 1998


Record  1

Word learning in a special population: do individuals with Williams syndrome obey lexical constraints? Stevens T; Karmiloff-Smith A University College London. J Child Lang (ENGLAND) Oct 1997, 24 (3) p737-65, ISSN 0305-0009 Journal Code: HP1 Languages: ENGLISH Document type: JOURNAL ARTICLE

Williams syndrome (WS), a rare neurodevelopmental disorder, is of special interest to developmental psycholinguists because of its uneven linguistico-cognitive profile of abilities and deficits. One proficiency manifest in WS adolescents and adults is an unusually large vocabulary despite serious deficits in other domains. In this paper, rather than focus on vocabulary size, we explore the processes underlying vocabulary acquisition, i.e. how new words are learned. A WS group was compared to groups of normal MA-matched controls in the range 3-9 years in four different experiments testing for constraints on word learning. We show that in construing the meaning of new words, normal children at all ages display fast mapping and abide by the constraints tested: mutual exclusivity, whole object and taxonomic. By contrast, while the WS group showed fast mapping and the mutual exclusivity constraint, they did not abide by the whole object or taxonomic constraints. This suggests that measuring only the size of WS vocabulary can distort conclusions about the normalcy of WS language. Our study shows that despite equivalent behaviour (i.e. vocabulary test age), the processes underlying how vocabulary is acquired in WS follow a somewhat different path from that of normal children and that the atypically developing brain is not necessarily a window on normal development.


Record 2

[Williams syndrome: a window to the development of cognitive and neural processes] La sindrome di Williams: una finestra aperta sullo sviluppo dei processi cognitivi e neurali. Capirci O; Queyras A; Alleva E; Volterra V Istituto di Psicologia, Consiglio Nazionale delle Ricerche, Roma. Ann Ist Super Sanita (ITALY) 1997, 33 (2) p259-66, ISSN 0021-2571 Journal Code: 5BP Languages: ITALIAN Summary Languages: ENGLISH Document type: JOURNAL ARTICLE; REVIEW; REVIEW, TUTORIAL English Abstract

Williams syndrome (SW) is a rare (2-5/100,000) genetic human disorder characterised by a typical facies and mental retardation with a deficit in the visuo-spatial cognitive function and a relative preservation of linguistic abilities. This syndrome also includes morphological anomalies and metabolic-functional impairments, likely deficits in the pattern of brain ontogenesis. Neuropsychological and somatic features of the SW individuals are illustrated, and the correspondent genetic bases, recently identified, are presented. The possible role of NGF (nerve growth factor), a particular neurotrophin involved in the development of brain cholinergic system and the associated behavioural functions, in the aetiology of the typical mental retardation of SW patients, is critically discussed. Prospect of researches, including the identification of potential neurobiological markers and the definition of appropriate cognitive profiles of the SW, in order to precociously diagnose this syndrome, and a more thorough investigation of factors affecting phenotypic expression of this genetically determined pathological condition, are reviewed. (73 Refs.)


Record 3

FISH analysis in patients with clinical diagnosis of Williams syndrome. Elcioglu N; Mackie-Ogilvie C; Daker M; Berry AC Division of Medical and Molecular Genetics, UMDS, Guy's Hospital, London, UK. Acta Paediatr (NORWAY) Jan 1998, 87 (1) p48-53, ISSN 0803-5253 Journal Code: BGC Languages: ENGLISH Document type: JOURNAL ARTICLE; REVIEW; REVIEW, MULTICASE

Williams syndrome is a rare neurodevelopmental disorder with variable phenotypic expression and a contiguous gene syndrome caused by deletion of the elastin gene. In our study, hemizygosity at the elastin locus was investigated using FISH analyses in 16 sporadic cases with a firm clinical diagnosis of Williams syndrome, and the characteristic features were evaluated. Fourteen patients were found to have deletions; 2 further patients did not have deletions of the elastin gene, but did have the clinical features. The presence of two copies of the elastin gene locus in a patient does not rule out Williams syndrome as a diagnosis. Since deletion of the elastin gene, which continues to be a useful confirmatory diagnostic test, cannot account for several features found in Williams syndrome, the non-deletion patients will be valuable in further delineation of the critical region responsible for the Williams syndrome phenotype. ( 20 Refs.)


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