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病例报告:波里耶 - 比安弗尼神经发育综合征患者6p21.33区域涉及该基因的新型缺失及文献综述

Case report: Novel deletions in the 6p21.33 involving the gene in patients with Poirier-Bienvenu neurodevelopmental syndrome and literature review.

作者信息

Zhang Xuan, Lu Hongjuan, Ji Yichen, Sun Wei

机构信息

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

出版信息

Front Med (Lausanne). 2024 Oct 18;11:1441573. doi: 10.3389/fmed.2024.1441573. eCollection 2024.

Abstract

BACKGROUND

Seizures have been identified in most patients with -related Poirer-Bienvenu Neurodevelopment syndrome (POBINDS). Detailed descriptions of seizure phenotypes, various genotypes, and long-term follow-up visits are required for clinicians to provide reasonable clinical management for such patients.

CASE SUMMARY

We report two new Chinese patients with varying sizes of 6p21.33 deletions encompassing the gene who presented with intellectual disability and seizures. Furthermore, we conducted a literature review of previously reported patients with 6p21.33 deletions or variants. We summarized and analyzed the clinical characteristics of these patients with seizures. The occurrence of a biphasic pattern of epilepsy and pharmacoresistant epilepsy in patients with variants is severely underestimated. One of our patients underwent a long follow-up period and presented with comprehensive disease progression.

CONCLUSION

Our data suggest that the variant or 6p21.33 deletion should be considered in patients with intellectual disability and epilepsy, especially those characterized by biphasic patterns and digital anomalies.

摘要

背景

大多数患有与波里尔-比恩韦努神经发育综合征(POBINDS)相关疾病的患者已被确定存在癫痫发作。临床医生需要对癫痫发作表型、各种基因型以及长期随访进行详细描述,以便为这类患者提供合理的临床管理。

病例总结

我们报告了两名新的中国患者,他们患有不同大小的6p21.33缺失,包含该基因,表现为智力残疾和癫痫发作。此外,我们对先前报道的6p21.33缺失或该基因变异的患者进行了文献综述。我们总结并分析了这些癫痫患者的临床特征。该基因变异患者中癫痫双相模式和药物抵抗性癫痫的发生率被严重低估。我们的一名患者接受了长期随访,并呈现出全面的疾病进展情况。

结论

我们的数据表明,对于智力残疾和癫痫患者,尤其是那些具有双相模式和手指异常特征的患者,应考虑该基因变异或6p21.33缺失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad9f/11527643/6e4691cef946/fmed-11-1441573-g001.jpg

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