一个表现为过度运动障碍的 SCN1A 基因突变新病例

S. Mohinish, L. Cornelius, Neeraj Elango, Jered Livingston
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摘要

SCN1A 基因突变最常见于以严重脑病为特征的德拉沃综合征(Dravet Syndrome)。SCN1A 突变的另一种表现是发育性癫痫性脑病-6B(DEE6B)。这是一种严重的神经发育障碍,其特点是早发型癫痫发作、智力发育严重受损和运动功能亢进。我们在此报告了一例罕见的新型 SCN1A 基因突变病例,患者为一名 12 岁男孩,表现为多灶性肌张力障碍和运动麻痹,在使用钠通道阻滞剂后病情加重。
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A Novel Case of SCN1A Mutation Presenting as Hyperkinetic Movement Disorder
SCN1A mutation is most often associated with Dravet syndrome, which is characterized by severe encephalopathy. One of the other presentations of SCN1A mutation is developmental and epileptic encephalopathy-6B (DEE6B). It is a severe neurodevelopmental disorder characterized by early-infantile seizure onset, profoundly impaired intellectual development, and a hyperkinetic movement disorder. Here we report a rare case of novel SCN1A mutation presenting as hyperkinetic movement disorder in the form of multifocal dystonia and parakinesia in a 12-year-old boy, which aggravated with the use of sodium channel blockers.
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