Pallister-Killian syndrome is a clinically recognizable syndrome chara
cterized by tissue-limited mosaicism for an extra 12p isochromosome. V
ery little is known about the underlying mechanism of this rare rearra
ngement. Microsatellite markers were studied from three fetuses with P
allister-Killian syndrome and their parents to determine the parent of
origin and the cell division yielding the additional isochromosome. I
n two cases the isochromosome contained the same allele(s) as a normal
transmitted chromosome 12, one paternal and one maternal in origin. A
third case showed inheritance of two different maternal alleles, indi
cating that at least one meiotic error was involved in the ultimate fo
rmation of the extra isochromosome.