“…Starke et al [1999] and Engelen et al [2003] summarized 15 and 18 patients, respectively, with supernumerary der(8) and a couple of single cases are described in the literature. Depending on the mosaic status and the size of the supernumerary der(8), the phenotype varied from normal [Nietzel et al, 2001; Liehr et al, 2002; Starke et al, 2003; Gole and Biswas, 2005], or mild intellectual delay [Herry et al, 2004], or dysmorphic features with [Batanian et al, 2000; Anderlid et al, 2001], or without developmental delay [Melnyk and Dewald, 1994; Batanian et al, 2000] up to some clinical features of the trisomy 8 syndrome [Engelen et al, 2003]. In 12 cases, the supernumerary der(8) was of comparable size and band designation to that of the present case: three girls and one boy were phenotypically normal at birth, at the age of 5 months, 9 months, and 2 years, respectively [Starke et al, 1999; Nietzel et al, 2001; Starke et al, 2003; Gole and Biswas, 2005].…”