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与基因突变相关的轻度表型:一例报告并文献复习

Mild Phenotype Associated with Gene Mutation: A Case Report with Literature Review.

作者信息

Posar Annio, Visconti Paola

机构信息

IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria Infantile, Bologna, Italia.

Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italia.

出版信息

J Pediatr Neurosci. 2019 Apr-Jun;14(2):100-102. doi: 10.4103/jpn.JPN_2_19.

Abstract

The Solute Carrier Family 6 Member 1 () gene encodes the gamma-aminobutyric acid (GABA) transporter 1, which is one of the main GABA transporters. The clinical picture of gene mutations is characterized by a broader spectrum including a mild-to-moderate intellectual disability, speech difficulties, behavioral problems, epilepsy (often with myoclonic-atonic and atypical absence seizures, characterizing a myoclonic-atonic epilepsy), and neurological signs. We describe a boy with an mutation and a milder phenotype, characterized by a learning disorder without intellectual disability, nonspecific dysmorphisms, and an electroencephalogram picture closely resembling that of myoclonic-atonic epilepsy with brief absence seizures that have appeared during the follow-up, responsive to valproic acid.

摘要

溶质载体家族6成员1()基因编码γ-氨基丁酸(GABA)转运体1,它是主要的GABA转运体之一。该基因突变的临床症状具有更广泛的谱系,包括轻度至中度智力障碍、言语困难、行为问题、癫痫(常伴有肌阵挛-失张力和非典型失神发作,特征为肌阵挛-失张力癫痫)以及神经体征。我们描述了一名患有该基因突变且表型较轻的男孩,其特征为无智力障碍的学习障碍、非特异性畸形,以及脑电图表现与随访期间出现的伴有短暂失神发作的肌阵挛-失张力癫痫极为相似,对丙戊酸有反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ff/6712924/a93d7ed2b945/JPN-14-100-g001.jpg

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