Elwan Menatalla, Fowkes Ross, Lewis-Smith David, Winder Amy, Baker Mark R, Thomas Rhys H
Department of Neurology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, United Kingdom.
Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
Epilepsy Behav Rep. 2022 Jun 2;19:100556. doi: 10.1016/j.ebr.2022.100556. eCollection 2022.
variants are known to cause Cornelia de Lange Syndrome (CdLS) which encompasses a clinical spectrum of intellectual disability, dysmorphic features (long or thick eyebrows, a hypomorphic philtrum and small nose) and, in some cases, epilepsy. More recently, truncating variants have been described as the cause of a neurodevelopmental disorder with early-childhood onset drug-resistant epilepsy with seizures that occur in clusters, similar to that seen in -related epilepsy, but without the classical features of CdLS. Here, we report the case of a 28-year-old woman with a heterozygous truncating variant in who unusually presented with seizures at the late age of 12 years and had normal development into adulthood.
已知这些变异会导致科妮莉亚·德·朗格综合征(CdLS),该综合征包含智力残疾、畸形特征(长而浓密的眉毛、发育不全的人中及小鼻子)等一系列临床症状,在某些情况下还会引发癫痫。最近,截短变异被描述为一种神经发育障碍的病因,这种障碍在幼儿期发病,伴有耐药性癫痫,发作呈簇状,类似于相关癫痫,但没有CdLS的典型特征。在此,我们报告一例28岁女性病例,其存在杂合截短变异,该患者不同寻常地在12岁高龄时出现癫痫发作,且成年后发育正常。