Recently, numerous studies have reported convincing data suggesting that chromosome instability may not be only a trigger of cancers but a possible mechanism for a wide spectrum of brain diseases. According to our original experience, chromosome instability is commonly observed during karyotyping of children with neuropsychiatric diseases and congenital malformations. To understand the mechanisms of non-cancerous diseases potentially mediated by chromosome instability, which may represent an important target for molecular diagnosis and therapeutic interventions, new algorithms for molecular cytogenetic diagnostics appear to be required. Here, we address the potential of cytogenetic, molecular cytogenetic and bioinformatic analysis in children with intellectual disability,