Homozygosity for a Novel

EIEE23 UPhD UPiD cortical blindness cortical visual impairment early infantile epileptic encephalopathy 23 loss of heterozygosity (LOH) mUPiD uniparental disomy (UPD)

Journal

International journal of molecular sciences
ISSN: 1422-0067
Titre abrégé: Int J Mol Sci
Pays: Switzerland
ID NLM: 101092791

Informations de publication

Date de publication:
02 Jul 2022
Historique:
received: 03 06 2022
revised: 19 06 2022
accepted: 29 06 2022
entrez: 9 7 2022
pubmed: 10 7 2022
medline: 14 7 2022
Statut: epublish

Résumé

Early infantile epileptic encephalopathy (EIEE) is a severe neurologic and neurodevelopmental disease that manifests in the first year of life. It shows a high degree of genetic heterogeneity, but the genetic origin is only identified in half of the cases. We report the case of a female child initially diagnosed with Leber congenital amaurosis (LCA), an early-onset retinal dystrophy due to photoreceptor cell degeneration in the retina. The first examination at 9 months of age revealed no reaction to light or objects and showed wandering eye movements. Ophthalmological examination did not show any ocular abnormalities. The patient displayed mildly dysmorphic features and a global developmental delay. Brain MRI demonstrated pontine hypo-/dysplasia. The patient developed myoclonic epileptic seizures and epileptic spasms with focal and generalized epileptiform discharges on electroencephalogram (EEG) at the age of 16 months. Genetic screening for a potentially pathogenic DNA sequence variant by whole-exome sequencing (WES) revealed a novel, conserved, homozygous frameshift variant (c.5391delA, p.(Ala1798Leu

Identifiants

pubmed: 35806387
pii: ijms23137382
doi: 10.3390/ijms23137382
pmc: PMC9266905
pii:
doi:

Substances chimiques

DOCK7 protein, human 0
GTPase-Activating Proteins 0
Guanine Nucleotide Exchange Factors 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Fatma Kivrak Pfiffner (F)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.

Samuel Koller (S)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.

Anika Ménétrey (A)

Department of Pediatric Neurology, University Children's Hospital, University of Zurich, 8032 Zurich, Switzerland.

Urs Graf (U)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.

Luzy Bähr (L)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.

Alessandro Maspoli (A)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.

Annette Hackenberg (A)

Department of Pediatric Neurology, University Children's Hospital, University of Zurich, 8032 Zurich, Switzerland.

Raimund Kottke (R)

Department of Diagnostic Imaging, University Children's Hospital, University of Zurich, 8032 Zurich, Switzerland.

Christina Gerth-Kahlert (C)

Department of Ophthalmology, University Hospital, 8091 Zurich, Switzerland.

Wolfgang Berger (W)

Institute of Medical Molecular Genetics, University of Zurich, Wagistrasse 12, 8952 Schlieren, Switzerland.
Neuroscience Center Zurich, University and ETH Zurich, 8057 Zurich, Switzerland.
Center for Integrative Human Physiology, University of Zurich, 8057 Zurich, Switzerland.

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Classifications MeSH