Yang Xiao, Chen Jing, Zheng BiXia, Liu Xianyu, Cao Zixuan, Wang Xiaoyu
Department of Neurology, Children's Hospital of Nanjing Medical University, Nanjing, China.
Front Neurol. 2020 Apr 30;11:311. doi: 10.3389/fneur.2020.00311. eCollection 2020.
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.
[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。