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家族性颞叶癫痫伴听觉先兆的临床特征及基因检测

The clinical characters and gene detection in a familial temporal lobe epilepsy with auditory aura.

机构信息

Department of Pediatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China; Beijing Key Laboratory of Neuromodulation, Beijing, China.

出版信息

J Clin Neurosci. 2020 Apr;74:268-270. doi: 10.1016/j.jocn.2020.01.091. Epub 2020 Feb 5.

Abstract

Auditory aura was the very important clinical character in familial temporal Lobe epilepsy. LGI1 was the main pathogenic gene. The inheritance mode of this disease was autosomal dominant. We describes the clinical characters and gene detection in 7 patients in a temporal lobe epilepsy family with auditory aura. All patients in this family were diagnosed as temporal lobe epilepsy and had the same mutation: the splice site mutation in No. 2 base of the intron after the first exon in gene LGI1, c.215+2T>A, which induced the abnormal expression of peptide protein after the No. 71 amino acid encoded by LGI1. Some of the antiepileptic drugs, such as carbamazepine, oxcarbazepine, could be effective.

摘要

听觉先兆是家族性颞叶癫痫的重要临床特征。LGI1 是主要的致病基因。该疾病的遗传模式为常染色体显性遗传。我们描述了一个具有听觉先兆的颞叶癫痫家系的 7 例患者的临床特征和基因检测。该家系所有患者均诊断为颞叶癫痫,且携带相同的突变:LGI1 基因第 1 外显子后第 2 号碱基的剪接位点突变,c.215+2T>A,导致 LGI1 编码的第 71 位氨基酸后的肽蛋白异常表达。卡马西平、奥卡西平等一些抗癫痫药物可能有效。

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