Publications by authors named "D Hoffman-Zacharska"

Article Synopsis
  • Genetic testing for developmental and epileptic encephalopathies (DEE) is becoming more common in clinical settings, particularly for diagnosing conditions like pyridoxine-dependent epilepsy (PDE-ALDH7A1).
  • A newborn with early seizures and resistance to standard treatments was diagnosed with PDE-ALDH7A1 through targeted next-generation sequencing, revealing pathogenic mutations in the related gene.
  • The diagnostic approach faced challenges due to limitations in identifying key biomarkers in urine, which were affected by the overlapping chemical properties of other substances in the analysis.
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Since 1991, several genetic disorders caused by unstable trinucleotide repeats (TNRs) have been identified, collectively referred to as triplet repeat diseases (TREDs). They share a common mutation mechanism: the expansion of repeats (dynamic mutations) due to the propensity of repeated sequences to form unusual DNA structures during replication. TREDs are characterized as neurodegenerative diseases or complex syndromes with significant neurological components.

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Background: Voltage-gated sodium channels are involved in the initial depolarisation of neurones. As such, they play important roles in neurotransmission. Variants in the genes encoding these channels may lead to altered functionality and neurodevelopmental disorders.

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Background: This report focuses on the treatment histories of 21 patients diagnosed with Dravet syndrome (DRVT) under the care of the Mother and Child Institute in Warsaw. This paper aims to present typical treatment schemes for patients with drug-resistant epilepsy, as well as to highlight the influence of genetic diagnosis on pharmacotherapeutic management and to present an economic analysis of hospitalization costs. This paper will also summarize the effectiveness of the latest drugs used in DRVT.

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Benign hereditary chorea (BHC) is an inherited neurological disorder consisting of childhood-onset, nonprogressive chorea, generally without any other manifestations. In most reported cases, the inheritance of BHC is autosomal dominant but both incomplete penetrance and variable expressivity are observed and can be caused by NKX2-1 mutations. The spectrum contains choreoathetosis, congenital hypothyroidism, and neonatal respiratory distress syndrome.

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