A Novel De Novo Variant in KCNH5 in a Patient with Refractory Epileptic Encephalopathy.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Internal Medicine Pub Date : 2025-03-01 Epub Date: 2024-08-01 DOI:10.2169/internalmedicine.3999-24
Akihiko Mitsutake, Takashi Matsukawa, Tatsuhiko Naito, Hiroyuki Ishiura, Jun Mitsui, Hiroaki Harada, Keishi Fujio, Jun Fujishiro, Harushi Mori, Shinichi Morishita, Shoji Tsuji, Tatsushi Toda
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Abstract

We herein report a novel de novo KCNH5 variant in a patient with refractory epileptic encephalopathy. The patient exhibited seizures at 1 year and 7 months old, which gradually worsened, leading to a bedridden status. Brain magnetic resonance imaging (MRI) showed cerebral atrophy and cerebellar hypoplasia. A trio whole-exome sequence analysis identified a de novo heterozygous c.640A>C, p.Lys214Gln variant in KCNH5 that was predicted to be deleterious. Recent studies have linked KCNH5 to various epileptic encephalopathies, with many patients showing normal MRI findings. The present case expands the clinical spectrum of the disease, as it is characterized by severe neurological prognosis, cerebral atrophy, and cerebellar hypoplasia.

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一名难治性癫痫性脑病患者的 KCNH5 新变异体
我们在此报告了一名难治性癫痫性脑病患者的新型 KCNH5 基因变异。患者在一岁零七个月时出现癫痫发作,病情逐渐加重,导致卧床不起。脑磁共振成像(MRI)显示患者有脑萎缩和小脑发育不全。三组全外显子组序列分析发现,KCNH5中存在一个新发杂合c.640A>C,p.Lys214Gln变异,预计该变异具有遗传性。最近的研究表明,KCNH5 与多种癫痫性脑病有关,但许多患者的磁共振成像结果显示正常。本病例扩大了该病的临床范围,因为它以严重的神经系统预后、脑萎缩和小脑发育不全为特征。
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来源期刊
Internal Medicine
Internal Medicine 医学-医学:内科
CiteScore
1.90
自引率
8.30%
发文量
0
审稿时长
2.2 months
期刊介绍: Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.
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