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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Autores principales: 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
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Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/d07d7dc9bd334c7088482ef36bd11350
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Pediatrics
RJ1-570
Neurology. Diseases of the nervous system
RC346-429
spellingShingle 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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