<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"><head><meta name=Generator content="Microsoft Word 14 (filtered medium)"><style><!--
/* Font Definitions */
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:Verdana;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0cm;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
margin:0cm;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman","serif";}
span.E-MailFormatvorlage18
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.E-MailFormatvorlage19
{mso-style-type:personal;
font-family:"Calibri","sans-serif";
color:#1F497D;}
span.E-MailFormatvorlage20
{mso-style-type:personal-reply;
font-family:"Calibri","sans-serif";
color:#1F497D;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:612.0pt 792.0pt;
margin:70.85pt 70.85pt 2.0cm 70.85pt;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]--></head><body bgcolor=white lang=DE link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Von:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Beate Birner-Janusch [mailto:birner-janusch@taktkin.de] <br><b>Gesendet:</b> Dienstag, 23. Juli 2019 11:22<br><b>An:</b> 'Wachweger, Dietrich'<br><b>Betreff:</b> AW: [SES-interdisziplinär] Prognose? FOXP2<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Sehr geehrter Herr Dr. Wachweger,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>vielen Dank für Ihren Hinweis.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Bei der KE-Familie, in der ein FOXP2-Problem dargestellt wurde, <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>konnte die dadurch veränderte Hirnstruktur (z.B. in den<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Basalganglien und im Kleinhirn) nachgewiesen werden (z.B.<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Neocerebellar Crus I Abnormalities Associated with a Speech and Language<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Disorder Due to a Mutation in FOXP2. Argyropoulos, G P D / Watkins, K E<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>/ Belton-Pagnamenta, E / Liégeois, F / Saleem, K S / Mishkin, M / Vargha-Khadem, F<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Cerebellum, 2018 Volume 18, Issue 3, Page(s) 309–319).<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Die genetisch bedingte veränderte Hirnstrukturen führen zu veränderten<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hirnfunktionen, die sich in verändertem Verhalten wie einer Sprechapraxie zeigen.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Durch spezifische logopädische Therapie wie PROMPT (16 Sitzungen)<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>(vgl. Cortical thickness in children receiving intensive therapy for idiopathic apraxia of speech. <o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Kadis, Darren S / Goshulak, Debra / Namasivayam, Aravind / Pukonen, Margit / Kroll, Robert / De Nil, Luc F / Pang, Elizabeth W / Lerch, Jason P<o:p></o:p></span></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Brain topography, 2014 Volume 27, Issue 2, Page(s) 240–247)<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>konnte gezeigt werden, dass sich Hirnstrukturen wie das Sprechverhalten zum Positiven verändern lassen.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Viele Grüße<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Beate Birner-Janusch <o:p></o:p></span></p><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>------------------------------------- <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Beate Birner-Janusch<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Dipl.-Logopädin, PROMPT-Instruktorin, Lehrlogopädin (dbl)<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Schräderheide 70a<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>D-48157 Münster<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Telefon +49 251 92260555<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Telefax +49 251 92260556<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Mobil +49 177 7472458<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'>Mail <a href="mailto:birner-janusch@taktkin.de">birner-janusch@taktkin.de</a><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Von:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Sprachstoerung [mailto:sprachstoerung-bounces@lists.uni-halle.de] <b>Im Auftrag von </b>Wachweger, Dietrich<br><b>Gesendet:</b> Montag, 22. Juli 2019 17:37<br><b>An:</b> 'Kofler Elisabeth'; sprachstoerung@lists.uni-halle.de<br><b>Betreff:</b> Re: [SES-interdisziplinär] Prognose? FOXP2<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hallo,</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>bin aus anderem Grunde gerade über FOXP2 gestolpert und habe in ‚gene reviews‘ dies dazu gefunden (leider auf Englisch)</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Herzliche Grüße</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>D. Wachweger, Landau/Pf.</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><i><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Clinical characteristics.</span></i><o:p></o:p></p><p class=MsoNormal><i><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>All FOXP2-related speech and language disorders, regardless of the underlying genetic alteration, have a core phenotype: childhood apraxia of speech (CAS), a disorder of speech motor programming or planning that affects the production, sequencing, timing, and stress of sounds, syllables, and words. All individuals with CAS – whether caused by an alteration of FOXP2 or of an unknown cause – have difficulties in automatically and accurately sequencing speech sounds into syllables, syllables into words, and words into sentences with the correct prosody. Additional findings in FOXP2-related speech and language disorders can include oral motor dyspraxia (difficulty planning or programming oral movements on command); dysarthria (a neuromuscular-based speech disorder that may affect nasal resonance, voice quality, prosody, and breath support for speech); moderate to severe receptive and expressive language disorder; and reading and spelling impairments.</span></i><o:p></o:p></p><p class=MsoNormal><i><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span></i><o:p></o:p></p><p class=MsoNormal><i><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>The underlying genetic cause of FOXP2-related speech and language disorders is either disruption of FOXP2 only (referred to in this GeneReview as FOXP2-only-related speech and language disorder) or large copy number variants (i.e., contiguous gene deletions), structural variants (i.e., chromosome translocation or inversion), or maternal uniparental disomy of chromosome 7 (UPD7) involving FOXP2 (here referred to as FOXP2-plus speech and language disorders). The genetic alteration determines if only speech and language problems are present (FOXP2-only-related speech and language disorder) or if more global developmental and behavioral issues are likely to be present as well (FOXP2-plus speech and language disorder). In FOXP2-only-related disorders, nonverbal (performance) IQ is typically more preserved compared to verbal IQ. Fine motor skills may be impaired (e.g., buttoning clothes, tying shoelaces), yet gross motor skills are normal. Autistic features and dysmorphic findings have been reported in a few affected individuals. In FOXP2-plus-related disorders oral motor deficits, global developmental delay, and autism spectrum disorder are common.</span></i><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="https://www.ncbi.nlm.nih.gov/books/NBK368474/">https://www.ncbi.nlm.nih.gov/books/NBK368474/</a></span><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Diese Nachricht kommt von ...</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Dr. Dietrich Wachweger</span></b><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Facharzt für Kinder- und Jugendmedizin</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Caritas Betriebsträgergesellschaft mbH Speyer</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Frühförderzentrum (Sozialpädiatrisches Zentrum & Frühförderstelle)</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Caritasförderzentrum St. Laurentius und Paulus</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Queichheimer Hauptstr. 235</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>D-76829 Landau/Pf.</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Tel: 06341/599-281 oder 599-280 (Mo, Di, Fr)</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'> </span><span lang=EN-US style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>06341/599-124 (Sekretariat)</span><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Fax: 06341/599-252</span><o:p></o:p></p><p class=MsoNormal><span lang=EN-US style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>E-Mail: </span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'><a href="mailto:dietrich.wachweger@cbs-speyer.de"><span lang=EN-US>dietrich.wachweger@cbs-speyer.de</span></a></span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Internet: <a href="http://www.st-laurentiusundpaulus-cbs-speyer.de/">www.st-laurentiusundpaulus-cbs-speyer.de</a></span><o:p></o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D'>Sie finden uns im Internet unter <a href="http://www.caritas-speyer.de/">www.caritas-speyer.de</a></span><o:p></o:p></p><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:red'><br>"Sozial braucht Digital"<br></span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Unsere Caritas-Kampagne 2019: </span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:black'><a href="http://www.sozialbrauchtdigital.de"><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>www.sozialbrauchtdigital.de</span></a></span><o:p></o:p></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'> </span><o:p></o:p></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0cm 0cm 0cm'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>Von:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Sprachstoerung [mailto:sprachstoerung-bounces@lists.uni-halle.de] <b>Im Auftrag von </b>Kofler Elisabeth<br><b>Gesendet:</b> Freitag, 19. Juli 2019 11:57<br><b>An:</b> sprachstoerung@lists.uni-halle.de<br><b>Betreff:</b> [SES-interdisziplinär] Prognose?</span><o:p></o:p></p></div></div><p class=MsoNormal> <o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>Sehr geehrte Fachleute, </span><o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>bei einem Kind mit psychomotorischer Entwicklungsstörung und fehlender Sprachentwicklung wurde die Mikrodeletion 7q31.1q31.2 nachgewiesen. Laut ärztlichem Befundbericht sei diese Chromosomenveränderung in der Literatur bisher bei keinem anderen Patienten nachgewiesen worden (Stand 2014). </span><o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>Im Rahmen dieser Chromosomenveränderung wurde u.a. der Verlust des FOXP2-Gens nachgewiesen, welches in Zusammenhang mit Sprech- und Sprachentwicklungsstörungen beschrieben wird. </span><o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>Hat jemand Erfahrung mit Kindern mit ähnlicher Diagnose? Welcher Sprachstand ist prognostisch bis zu welchem Alter zu erwarten? </span><o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>Mit freundlichen Grüßen, </span><o:p></o:p></p><p style='line-height:150%'><span style='font-family:"Verdana","sans-serif";color:black'>Elisabeth Kofler, akademische Sprachtherapeutin</span><o:p></o:p></p></div></body></html>