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中国男性患者早发性与原钙黏蛋白19相关的癫痫:病例报告及文献综述

PCDH19-Related Epilepsy in Early Onset of Chinese Male Patient: Case Report and Literature Review.

作者信息

Yang Xiao, Chen Jing, Zheng BiXia, Liu Xianyu, Cao Zixuan, Wang Xiaoyu

机构信息

Department of Neurology, Children's Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Front Neurol. 2020 Apr 30;11:311. doi: 10.3389/fneur.2020.00311. eCollection 2020.

Abstract

Mutations in are associated with epilepsy, intellectual disability and behavioral disturbances, mostly related to females. The unique X-linked pattern of inheritance affects females predominantly, while usually is transmitted through asymptomatic males. Recently, new research has demonstrated that males with a mosaic pattern of inheritance could also be affected. As yet, mutations have been reported in hundreds of females; however, only 15 mosaic males were reported to exhibit epileptic seizures with the onset ranges between 6 and 31 months. These patients were usually reported to carry various mutations in the . Here we describe a non-sense variant at the (c.498C>G; p.Y166) in the Chinese male that exhibited early developmental delay and frequent seizures starting from the age of 5 months. We aim that this case report, focusing on studying clinical seizures, therapeutic approaches, and the patient's prognosis, will contribute to the cumulative knowledge of this rare and complex genetic disorder.

摘要

[基因名称]的突变与癫痫、智力残疾和行为障碍有关,主要涉及女性。独特的X连锁遗传模式主要影响女性,而通常通过无症状男性传播。最近,新的研究表明,具有嵌合遗传模式的男性也可能受到影响。迄今为止,已有数百名女性被报道存在[基因名称]突变;然而,只有15名嵌合男性被报道出现癫痫发作,发病年龄在6至31个月之间。这些患者通常被报道在[基因名称]中携带各种突变。在这里,我们描述了一名中国男性[基因名称](c.498C>G;p.Y166)的无义变异,该男性从5个月大开始出现早期发育迟缓并频繁发作。我们旨在通过本病例报告,重点研究临床发作、治疗方法和患者预后,为这种罕见而复杂的遗传疾病的累积知识做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cbb/7203462/7bc550bffe17/fneur-11-00311-g0001.jpg

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