In this preliminary report we summarize the results of a 4-year multid
isciplinary systematic, etiological clinicogenetic survey of 400 insti
tutionalized mentally retarded patients in Kuwait. All had an intellig
ence quotient below 50. A constitutional disorder, as the direct cause
of the mental retardation, was found in 203 patients (50.75%)): a chr
omosomal abnormality in 37 (9.25%), Mendelian disorders in 137 (34.25%
), MCA/MR in 22 (5.55%) and CNS malformations in 7 cases (1.75%). In 1
57 patients (39.35%) a pre-, peri or postnatal cause was ascertained.
No etiological diagnosis was detected in 40 patients (10%). A detailed
analysis of the ''disease profile'' is given and compared with the re
sults of previous diagnostic genetic surveys among different instituti
onalized mentally retarded populations in Western and developing count
ries.