Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Korean Med Sci. 2010 Feb;25(2):324-6. doi: 10.3346/jkms.2010.25.2.324. Epub 2010 Jan 22.
Neonatal seizures represent a heterogeneous group of disorders with vastly different etiologies and outcomes. Benign familial neonatal convulsions (BFNC) are a distinctive epileptic syndrome of autosomal dominant inheritance with a favorable prognosis, characterized by the occurrence of unprovoked partial or generalized clonic seizures in the neonatal period or early infancy. Recently, mutations in two potassium channel genes, KCNQ2 and KCNQ3, have been described in this disorder. In this report, we describe a family with BFNC due to a KCNQ2 mutation, the first such family to be described in the Korean population. The diagnosis of BFNC can be made based on clinical suspicion and careful history taking with special emphasis on the familial nature of the disorder. KCNQ2 mutations may be associated with BFNC in a number of different races, as has been reported in other ethnic groups.
新生儿癫痫发作是一组具有不同病因和预后的异质性疾病。良性家族性新生儿惊厥(BFNC)是一种具有常染色体显性遗传特征的独特癫痫综合征,其特征为新生儿期或婴儿早期出现无诱因的部分或全面性阵挛性癫痫发作。最近,在这种疾病中描述了两个钾通道基因 KCNQ2 和 KCNQ3 的突变。在本报告中,我们描述了一个由于 KCNQ2 突变导致的 BFNC 家族,这是在韩国人群中首次描述的此类家族。基于临床怀疑和仔细的病史采集,特别是对疾病家族性的关注,可以做出 BFNC 的诊断。已有报道称,KCNQ2 突变可能与多种不同种族的 BFNC 有关,包括其他种族。