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重复综合征:一例长期演变病例的电临床特征

duplication syndrome: The electroclinical features of a case with long-term evolution.

作者信息

Cani Ilaria, Muccioli Lorenzo, Mignani Francesco, Licchetta Laura, Tinuper Paolo, Provini Federica, Bisulli Francesca

机构信息

Department of Biomedical and NeuroMotor Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.

IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

出版信息

Epilepsy Behav Rep. 2022 Apr 19;19:100541. doi: 10.1016/j.ebr.2022.100541. eCollection 2022.

DOI:10.1016/j.ebr.2022.100541
PMID:35520952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9062211/
Abstract

MECP2 duplication syndrome (MDS) is a rare and severe neurodevelopmental disorder frequently associated with epilepsy. Different seizure types and electroencephalographic (EEG) patterns were described in patients with MDS, although it lacks a specific phenotype. We report on an adult patient with long-term epilepsy showing an evolution of the EEG pattern that progressively changed into burst suppression (BS) during sleep. As BS has not been previously reported in MDS, this report expands the neurophysiological phenotype of MDS and further suggest the possible occurrence of a longitudinal spectrum of seizure types and EEG patterns in MDS.

摘要

甲基化CpG结合蛋白2重复综合征(MDS)是一种罕见且严重的神经发育障碍,常与癫痫相关。尽管MDS缺乏特定的表型,但已有研究描述了MDS患者的不同癫痫发作类型和脑电图(EEG)模式。我们报告了一名患有长期癫痫的成年患者,其EEG模式在睡眠期间逐渐演变为爆发抑制(BS)。由于此前尚未在MDS中报道过BS,本报告扩展了MDS的神经生理表型,并进一步提示MDS可能存在癫痫发作类型和EEG模式的纵向谱系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f69/9062211/b8563a979fc0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f69/9062211/8675dd002d0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f69/9062211/b8563a979fc0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f69/9062211/8675dd002d0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f69/9062211/b8563a979fc0/gr2.jpg

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本文引用的文献

1
Electroclinical Features in Duplication Syndrome: Pediatric Case Series.重复综合征的电临床特征:儿科病例系列
J Child Neurol. 2021 Oct;36(12):1086-1094. doi: 10.1177/08830738211030804. Epub 2021 Sep 6.
2
Phenotypic features in MECP2 duplication syndrome: Effects of age.MECP2 重复综合征的表型特征:年龄的影响。
Am J Med Genet A. 2021 Feb;185(2):362-369. doi: 10.1002/ajmg.a.61956. Epub 2020 Nov 10.
3
Spectrum and time course of epilepsy and the associated cognitive decline in duplication syndrome.重复综合征的癫痫发作谱和时间进程及其相关认知衰退。
Neurology. 2019 Jan 8;92(2):e108-e114. doi: 10.1212/WNL.0000000000006742. Epub 2018 Dec 14.
4
What does burst suppression really mean?爆发抑制究竟是什么意思?
Epilepsy Behav. 2015 Aug;49:234-7. doi: 10.1016/j.yebeh.2015.06.012. Epub 2015 Jul 17.
5
Late onset epileptic spasms is frequent in MECP2 gene duplication: electroclinical features and long-term follow-up of 8 epilepsy patients.晚发性癫痫性痉挛在MECP2基因重复中很常见:8例癫痫患者的临床电生理特征及长期随访
Eur J Paediatr Neurol. 2014 Jul;18(4):475-81. doi: 10.1016/j.ejpn.2014.03.005. Epub 2014 Mar 26.
6
Deep brain stimulation for the management of seizures in MECP2 duplication syndrome.深部脑刺激用于治疗MECP2重复综合征中的癫痫发作
Seizure. 2014 May;23(5):405-7. doi: 10.1016/j.seizure.2014.01.021. Epub 2014 Feb 2.
7
Eating-induced epileptic spasms in a boy with MECP2 duplication syndrome: insights into pathogenesis of genetic epilepsies.进食诱发的 MECP2 重复综合征男孩癫痫性痉挛:遗传性癫痫发病机制的新见解。
Epileptic Disord. 2012 Dec;14(4):414-7. doi: 10.1684/epd.2012.0546.
8
Electroclinical pattern in MECP2 duplication syndrome: eight new reported cases and review of literature.MECP2 重复综合征的电临床特征:8 例新报告病例及文献复习。
Epilepsia. 2012 Jul;53(7):1146-55. doi: 10.1111/j.1528-1167.2012.03501.x. Epub 2012 May 11.
9
The MECP2 duplication syndrome.MECP2 重复综合征。
Am J Med Genet A. 2010 May;152A(5):1079-88. doi: 10.1002/ajmg.a.33184.
10
Submicroscopic duplication in Xq28 causes increased expression of the MECP2 gene in a boy with severe mental retardation and features of Rett syndrome.Xq28区域的亚显微重复导致一名患有严重智力障碍和雷特综合征特征的男孩体内MECP2基因表达增加。
J Med Genet. 2005 Feb;42(2):e12. doi: 10.1136/jmg.2004.023804.