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KCNQ2相关性新生儿癫痫性脑病合并室性心动过速:一例报告

KCNQ2-Neonatal Epileptic Encephalopathy Complicated by Ventricular Tachycardia: A Case Report.

作者信息

Geng Yuehang, Hou Xinlin

机构信息

Department of Pediatrics, Peking University First Hospital, Beijing, China.

出版信息

Front Neurol. 2020 Apr 17;11:263. doi: 10.3389/fneur.2020.00263. eCollection 2020.

DOI:10.3389/fneur.2020.00263
PMID:32362866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7180217/
Abstract

Mutations in are related to a spectrum of neonatal epileptic phenotypes. Here we report a case of KCNQ2-related neonatal epileptic encephalopathy (KCNQ2-NEE) that is complicated by an incidentally found ventricular tachycardia. An infant boy presented with very early onset refractory focal tonic seizures and developmental delay, and was diagnosed with epilepsy. Trio-whole exome sequencing identified a previously reported mutation in [c.794C>T; . (Ala265Val)], a known pathogenic variant for KCNQ2-NEE. Interestingly, ventricular tachycardia was incidentally found on electrocardiography. We here suggest the possibility of a potential electrophysiologic link between the two phenotypes and that they may be attributable to the same mutation.

摘要

相关基因突变与一系列新生儿癫痫表型有关。在此,我们报告一例与KCNQ2相关的新生儿癫痫性脑病(KCNQ2-NEE),该病例并发了偶然发现的室性心动过速。一名男婴出现极早发的难治性局灶性强直发作和发育迟缓,被诊断为癫痫。三联全外显子测序在[基因名称]中鉴定出一个先前报道的突变[c.794C>T;(丙氨酸265缬氨酸)],这是KCNQ2-NEE的一个已知致病变体。有趣的是,心电图检查偶然发现了室性心动过速。我们在此提出两种表型之间可能存在潜在电生理联系的可能性,并且它们可能归因于同一个[基因名称]突变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7314/7180217/2e379eb5a401/fneur-11-00263-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7314/7180217/9d52e02538e5/fneur-11-00263-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7314/7180217/2e379eb5a401/fneur-11-00263-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7314/7180217/9d52e02538e5/fneur-11-00263-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7314/7180217/2e379eb5a401/fneur-11-00263-g0002.jpg

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本文引用的文献

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Epilepsy in patients with long QT syndrome type 1: A Norwegian family.1型长QT综合征患者的癫痫:一个挪威家庭。
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Targeted next-generation sequencing provides novel clues for associated epilepsy and cardiac conduction disorder/SUDEP.靶向二代测序为相关性癫痫和心脏传导障碍/癫痫性猝死提供了新线索。
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Epilepsy-Associated KCNQ2 Channels Regulate Multiple Intrinsic Properties of Layer 2/3 Pyramidal Neurons.癫痫相关的KCNQ2通道调节第2/3层锥体神经元的多种内在特性。
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Further evidence of the association between LQT syndrome and epilepsy in a family with KCNQ1 pathogenic variant.一个携带KCNQ1致病变异的家族中,长QT综合征与癫痫之间关联的进一步证据。
Seizure. 2015 Feb;25:65-7. doi: 10.1016/j.seizure.2015.01.003. Epub 2015 Jan 9.
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Genetic and forensic implications in epilepsy and cardiac arrhythmias: a case series.癫痫与心律失常的遗传学及法医学意义:病例系列
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