Compound heterozygosity with : Pushing the phenotypic envelope in genetic epilepsies.

Epilepsy Behav Case Rep

Epilepsy Genetics Program, Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, and Harvard Medical School, Boston, MA 02115, United States.

Published: February 2017

pathogenic variants have been described in benign familial infantile epilepsy, episodic ataxia, paroxysmal kinesigenic dyskinesia, and hemiplegic migraines. We describe a patient with compound heterozygous variants, infantile epilepsy with status epilepticus, paroxysmal dyskinesia and episodic ataxia. Testing revealed a pathogenic duplication (c.649dupC), and a likely pathogenic missense variant (c.916G>A). His presentation meets the severe phenotypic category with a combination of at least 3 neurological symptoms: seizures and status epilepticus, prolonged episodic ataxia, and paroxysmal dyskinesia. This further expands the clinical findings related to , and suggests that compound heterozygous variants could confer a severe phenotype.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525261PMC
http://dx.doi.org/10.1016/j.ebcr.2016.12.001DOI Listing

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