Pregled bibliografske jedinice broj: 1048138
Neurologic phenotypes associated with COL4A1/2 mutations
Neurologic phenotypes associated with COL4A1/2 mutations // Neurology, 91 (2018), 22; e2078-e2088 doi:10.1212/wnl.0000000000006567 (međunarodna recenzija, članak, znanstveni)
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Naslov
Neurologic phenotypes associated with COL4A1/2 mutations
Autori
Zagaglia, Sara ; Selch, Christina ; Nisevic, Jelena Radic ; Mei, Davide ; Michalak, Zuzanna ; Hernandez-Hernandez, Laura ; Krithika, S. ; Vezyroglou, Katharina ; Varadkar, Sophia M. ; Pepler, Alexander ; Biskup, Saskia ; Leão, Miguel ; Gärtner, Jutta ; Merkenschlager, Andreas ; Jaksch, Michaela ; Møller, Rikke S. ; Gardella, Elena ; Kristiansen, Britta Schlott ; Hansen, Lars Kjærsgaard ; Vari, Maria Stella ; Helbig, Katherine L. ; Desai, Sonal ; Smith-Hicks, Constance L. ; Hino-Fukuyo, Naomi ; Talvik, Tiina ; Laugesaar, Rael ; Ilves, Pilvi ; Õunap, Katrin ; Körber, Ingrid ; Hartlieb, Till ; Kudernatsch, Manfred ; Winkler, Peter ; Schimmel, Mareike ; Hasse, Anette ; Knuf, Markus ; Heinemeyer, Jan ; Makowski, Christine ; Ghedia, Sondhya ; Subramanian, Gopinath M. ; Striano, Pasquale ; Thomas, Rhys H. ; Micallef, Caroline ; Thom, Maria ; Werring, David J. ; Kluger, Gerhard Josef ; Cross, J. Helen ; Guerrini, Renzo ; Balestrini, Simona ; Sisodiya, Sanjay M.
Izvornik
Neurology (0028-3878) 91
(2018), 22;
E2078-e2088
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
COL4A2 protein, human ; White Matter ; Porencephaly
Sažetak
Childhood-onset focal seizures, frequently complicated by status epilepticus and resistance to antiepileptic drugs, was the most commonphenotype.EEGtypicallyshowedfocalepileptiformdischargesinthecontextofotherabnormalities, includinggeneralized sharpwavesorslowing.In46.4%ofnewpatientswithfocalseizures, porencephaliccystsonbrainMRIcolocalizedwiththeareaofthe focal epileptiform discharges. In patients with porencephalic cysts, brain MRI frequently also showed extensive white matter abnormalities, consistent withthe findingof diffusecerebraldisturbanceonEEG.Notably, wealsoidentifiedasubgroup ofpatients with epilepsy as their main clinical feature, in which brain MRI showed nonspecific findings, in particular periventricular leukoencephalopathyandventricularasymmetry.Analysisof15pedigreessuggestedaworseningoftheseverityofclinicalphenotypein succeedinggenerations, particularlywhenmaternallyinherited.Mutationsassociatedwithepilepsywerespreadacross COL4A1 and a clear genotype –phenotype correlation did not emerge. Conclusion COL4A1/COL4A2 mutations typically cause a severe neurologic condition and a broader spectrum of milder phenotypes, in which epilepsy is the predominant feature. Early identification of patients carrying COL4A1/COL4A2 mutations may have important clinical consequences, while for research efforts, omission from large-scale epilepsy sequencing studies of individuals with abnormalities on brain MRI may generate misleading estimates of the genetic contribution to the epilepsies overall.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
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Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE