Expanding Phenotype of - Related Disorders: A Case Series
Neurologic disorders caused by mutations in the ATP1A3 gene were originally reported as three distinct rare clinical syndromes: Alternating Hemiplegia of Childhood (AHC), Rapid-onset Dystonia Parkinsonism (RDP) and Cerebellar ataxia, Areflexia, Pes cavus, Opticus atrophy and Sensorineural hearing lo...
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2021
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oai:doaj.org-article:d07d7dc9bd334c7088482ef36bd113502021-11-03T21:33:34ZExpanding Phenotype of - Related Disorders: A Case Series2329-048X10.1177/2329048X211048068https://doaj.org/article/d07d7dc9bd334c7088482ef36bd113502021-11-01T00:00:00Zhttps://doi.org/10.1177/2329048X211048068https://doaj.org/toc/2329-048XNeurologic disorders caused by mutations in the ATP1A3 gene were originally reported as three distinct rare clinical syndromes: Alternating Hemiplegia of Childhood (AHC), Rapid-onset Dystonia Parkinsonism (RDP) and Cerebellar ataxia, Areflexia, Pes cavus, Opticus atrophy and Sensorineural hearing loss (CAPOS). In this case series, we describe 3 patients. A mother and her daughter showed an intermediate phenotype different from each other with the same heterozygous missense mutation (p.[R756C]), recently described in literature as Relapsing Encephalopathy With Cerebellar Ataxia (RECA). In addition, a third patient showed an intermediate AHC-RDP phenotype and had a likely pathogenic novel de novo missense mutation (p.[L100 V]). These patients support the growing evidence that AHC, RDP and RECA are part of a continuous ATP1A3 mutation spectrum that is still expanding. Three common features were a sudden onset, asymmetrical neurological symptoms, as well as the presence of triggering factors. When present, the authors argue to perform exome sequencing in an early stage.Jelena De Vrieze MDIngrid M.B.H. van de Laar MD, PhDJohanneke F. de Rijk-van Andel MD, PhDErik-Jan Kamsteeg MD, PhDIrene A.W. Kotsopoulos MD, PhDStella A. de Man MD, PhDSAGE PublishingarticlePediatricsRJ1-570Neurology. Diseases of the nervous systemRC346-429ENChild Neurology Open, Vol 8 (2021) |
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Pediatrics RJ1-570 Neurology. Diseases of the nervous system RC346-429 |
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Pediatrics RJ1-570 Neurology. Diseases of the nervous system RC346-429 Jelena De Vrieze MD Ingrid M.B.H. van de Laar MD, PhD Johanneke F. de Rijk-van Andel MD, PhD Erik-Jan Kamsteeg MD, PhD Irene A.W. Kotsopoulos MD, PhD Stella A. de Man MD, PhD Expanding Phenotype of - Related Disorders: A Case Series |
description |
Neurologic disorders caused by mutations in the ATP1A3 gene were originally reported as three distinct rare clinical syndromes: Alternating Hemiplegia of Childhood (AHC), Rapid-onset Dystonia Parkinsonism (RDP) and Cerebellar ataxia, Areflexia, Pes cavus, Opticus atrophy and Sensorineural hearing loss (CAPOS). In this case series, we describe 3 patients. A mother and her daughter showed an intermediate phenotype different from each other with the same heterozygous missense mutation (p.[R756C]), recently described in literature as Relapsing Encephalopathy With Cerebellar Ataxia (RECA). In addition, a third patient showed an intermediate AHC-RDP phenotype and had a likely pathogenic novel de novo missense mutation (p.[L100 V]). These patients support the growing evidence that AHC, RDP and RECA are part of a continuous ATP1A3 mutation spectrum that is still expanding. Three common features were a sudden onset, asymmetrical neurological symptoms, as well as the presence of triggering factors. When present, the authors argue to perform exome sequencing in an early stage. |
format |
article |
author |
Jelena De Vrieze MD Ingrid M.B.H. van de Laar MD, PhD Johanneke F. de Rijk-van Andel MD, PhD Erik-Jan Kamsteeg MD, PhD Irene A.W. Kotsopoulos MD, PhD Stella A. de Man MD, PhD |
author_facet |
Jelena De Vrieze MD Ingrid M.B.H. van de Laar MD, PhD Johanneke F. de Rijk-van Andel MD, PhD Erik-Jan Kamsteeg MD, PhD Irene A.W. Kotsopoulos MD, PhD Stella A. de Man MD, PhD |
author_sort |
Jelena De Vrieze MD |
title |
Expanding Phenotype of - Related Disorders: A Case Series |
title_short |
Expanding Phenotype of - Related Disorders: A Case Series |
title_full |
Expanding Phenotype of - Related Disorders: A Case Series |
title_fullStr |
Expanding Phenotype of - Related Disorders: A Case Series |
title_full_unstemmed |
Expanding Phenotype of - Related Disorders: A Case Series |
title_sort |
expanding phenotype of - related disorders: a case series |
publisher |
SAGE Publishing |
publishDate |
2021 |
url |
https://doaj.org/article/d07d7dc9bd334c7088482ef36bd11350 |
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