[Clinical phenotypes of TBC1D24 gene related epilepsy].

医学 肌阵挛 癫痫 Dravet综合征 进行性肌阵挛性癫痫 癫痫持续状态 磁共振成像 肌阵挛性癫痫 儿科 萎缩 神经影像学 病理 麻醉 放射科 精神科
作者
J Zhang,Yuezhen Zhang,J Y Chen,L P Zhang,Qi Zeng,Xiaojuan Tian,Zhixiao Yang,Yuan Wu,Xiaojun Yang,Xinhai Wu
出处
期刊:PubMed 卷期号:56 (9): 667-673 被引量:4
标识
DOI:10.3760/cma.j.issn.0578-1310.2018.09.007
摘要

Objective: To summarize the clinical features of TBC1D24 gene mutations associated with epilepsy. Methods: All the patients with TBC1D24 gene compound heterozygous mutations were retrospectively collected at the Pediatric Department of Peking University First Hospital from March 2015 to July 2017, and the features of clinical manifestations, electroencephalogram, and neuroimaging were analyzed. Results: Eighteen cases with TBC1D24 gene compound heterozygous mutations were included. The age of seizure onset was 1 day to 8 months, and the median age was 90 days. Seizure types included generalized tonic-clonic seizures (GTCS) in 3 cases, focal seizures in 18 cases, myoclonus in 18 cases, and 17 cases had focal myoclonus and myoclonus status. The focal myoclonus involving one or multiple muscle groups, sometimes migrating and alternating, lasting up to minutes to several days, and could be terminated by sleep or sedation drugs. In 11 cases, myoclonus was exacerbated by fever or infections, and 2 cases developed into myoclonic status during infection, in a severe case with the loss of consciousness. The magnetic resonance imaging (MRI) of seven patients was abnormal, including cerebral atrophy or cerebellar atrophy with abnormal signals. Segment myoclonus was captured in 10 patients, but without correlated epileptiform discharges. There were ten cases had varying degrees of developmental delay, 7 were normal, and one patient died of status epilepticus at the age of 4 months. Three cases had hearing disorders. In the 18 patients, the clinical phenotype of 4 cases consisted of epilepsy of infancy with migrating focal seizures, 2 with progressive myoclonus epilepsies, 1 with Dravet syndrome, 1 with DOORS syndrome, and 3 with unclassified epileptic encephalopathy. Conclusions: The clinical feature of TBC1D24 gene mutation related epilepsy was focal myoclonus, and tended to develop into myoclonic status epilepticus, and could be aggravated by infections, and terminated by sleep or sedation drugs. Mental retardation involved or not, neuroimaging could present with cerebral atrophy or cerebellar atrophy with abnormal signals.目的: 总结TBC1D24基因突变相关癫痫的临床特点。 方法: 回顾性收集2015年3月至2017年7月在北京大学第一医院儿科就诊的TBC1D24基因复合杂合突变的癫痫患儿,总结其临床表现、脑电图及影像学特点。 结果: 共收集TBC1D24基因复合杂合突变的癫痫患儿18例,起病年龄为1日龄~8月龄,中位起病年龄为90日龄。癫痫发作表现中全面强直阵挛发作3例;局灶性发作18例;肌阵挛发作18例,其中17例为局灶性肌阵挛发作且有持续状态。局灶性肌阵挛可表现为一个部位或多个部位同步或不同步快速节律性抽搐,持续时间数分钟至数天不等,所有患儿均有入睡或镇静药物诱导睡眠使发作缓解的特点。11例患儿在感染或发热时易出现发作,其中2例感染期间发作呈持续状态,严重时伴意识障碍。7例患儿头颅磁共振成像有异常,包括大脑皮层或小脑萎缩及小脑异常信号,10例脑电图监测到局灶性肌阵挛发作,但同期未见与发作存在锁时关系的痫样放电。10例患儿有不同程度的智力、运动发育落后,7例正常,1例4月龄因癫痫持续状态死亡。3例患儿有听力障碍。18例患儿中,表型符合婴儿癫痫伴游走性局灶性发作4例,进行性肌阵挛癫痫2例,Dravet综合征和DOORS综合征各1例,不能分类的癫痫性脑病3例。 结论: TBC1D24基因突变相关癫痫的临床特点为局灶性肌阵挛发作,易发生持续状态,感染时发作易加重,使用镇静剂或睡眠可终止发作;智力、运动发育可正常或落后;影像学可表现为大脑皮层或小脑萎缩及小脑异常信号。.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
1秒前
1秒前
小燕子发布了新的文献求助10
2秒前
3秒前
顺顺完成签到,获得积分10
4秒前
jiachun完成签到,获得积分10
4秒前
jiaolulu发布了新的文献求助10
4秒前
小王发布了新的文献求助10
5秒前
queen814完成签到,获得积分10
5秒前
简单发布了新的文献求助10
6秒前
一只呆果蝇完成签到,获得积分10
6秒前
Eternity完成签到,获得积分10
7秒前
研友_VZG7GZ应助落后从阳采纳,获得10
7秒前
乐观寻绿完成签到,获得积分10
8秒前
Hover完成签到,获得积分0
8秒前
莫晓岚完成签到,获得积分10
8秒前
123完成签到 ,获得积分10
9秒前
所所应助JSY采纳,获得30
9秒前
默默的立辉完成签到,获得积分10
9秒前
Yh完成签到,获得积分10
9秒前
引子完成签到,获得积分10
11秒前
机智的阿振完成签到,获得积分10
12秒前
KatzeBaliey完成签到,获得积分10
13秒前
量子星尘发布了新的文献求助10
14秒前
yar应助大饼采纳,获得10
15秒前
mammer应助一朵云采纳,获得20
15秒前
15秒前
Jason完成签到,获得积分10
16秒前
害羞凤灵完成签到,获得积分10
16秒前
芳芳完成签到,获得积分10
17秒前
风起枫落完成签到 ,获得积分10
17秒前
xkhxh完成签到 ,获得积分10
18秒前
zzq778发布了新的文献求助10
18秒前
小马甲应助双儿采纳,获得10
19秒前
江南烟雨如笙完成签到 ,获得积分10
20秒前
王洋应助枕星采纳,获得10
23秒前
笨笨寒天完成签到,获得积分10
23秒前
Hello应助zzq778采纳,获得10
23秒前
24秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038368
求助须知:如何正确求助?哪些是违规求助? 3576068
关于积分的说明 11374313
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029