“…Interstitial triplications of 15q11-q13, which result in the tetrasomy of this region, are rare, with only 11 cases reported in the literature [Pettigrew et al, 1987;Clayton-Smith et al, 1993;Holowinsky et al, 1993;Schinzel et al, 1994;Crawford et al, 1995;Cassidy et al, 1996;Chadwick et al, 1996;Long et al, 1998;Reddy and Logan, 2000;Ungaro et al, 2001;Vialard et al, 2003]. Although this small number precludes a precise definition of the associated phenotypes, particularly in cases of paternal origin [Pettigrew et al, 1987;Cassidy et al, 1996;Ungaro et al, 2001], the clinical presentations generally resemble those of patients with tetrasomy of the same region due to an inv dup(15) marker chromosome: normal growth, absent, or very mild craniofacial dysmorphism, hypotonia, epilepsy refractory to therapy, severe to profound intellectual disability (ID), and variable reports of autistic behavior [Robinson et al, 1993;Cheng et al, 1994;Leana-Cox et al,1994;Crolla et al, 1995;Mignon et al, 1996].…”