“…Occasionally, the accessory chromosomes have been identified as rings [Hoo et al, 1974a[Hoo et al, , 1980Ventruto et al, 1977;Kaffe et al, 1977;Zamboni et al, 1980;Fryns et al, 354 Tozzietal. 198 1, 198% Copeland et al, 19851. As to their clinical significance, the statement can be made that, in general, presence of euchromatin in the mar and de novo appearance in the proband are accompanied by mental retardation, whereas heterochromatic, inherited mar's are in most cases associated with a normal phenotype.…”