Epilepsy in KCNH1‐related syndromes

Aim. KCNH1 mutations have been identified in patients with Zimmermann‐Laband syndrome and Temple‐Baraitser syndrome, as well as patients with uncharacterized syndromes with intellectual disability and overlapping features. These syndromes include dysmorphic facial features, nail hypo/aplasia, thumb...

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Veröffentlicht in:Epileptic disorders 2016-06, Vol.18 (2), p.123-136
Hauptverfasser: Mastrangelo, Mario, Scheffer, Ingrid E., Bramswig, Nuria C., Nair, Lal. D.V., Myers, Candace T., Dentici, Maria Lisa, Korenke, Georg C., Schoch, Kelly, Campeau, Philippe M., White, Susan M., Shashi, Vandana, Kansagra, Sujay, Van Essen, Anthonie J., Leuzzi, Vincenzo
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container_end_page 136
container_issue 2
container_start_page 123
container_title Epileptic disorders
container_volume 18
creator Mastrangelo, Mario
Scheffer, Ingrid E.
Bramswig, Nuria C.
Nair, Lal. D.V.
Myers, Candace T.
Dentici, Maria Lisa
Korenke, Georg C.
Schoch, Kelly
Campeau, Philippe M.
White, Susan M.
Shashi, Vandana
Kansagra, Sujay
Van Essen, Anthonie J.
Leuzzi, Vincenzo
description Aim. KCNH1 mutations have been identified in patients with Zimmermann‐Laband syndrome and Temple‐Baraitser syndrome, as well as patients with uncharacterized syndromes with intellectual disability and overlapping features. These syndromes include dysmorphic facial features, nail hypo/aplasia, thumb and skeletal anomalies, intellectual disability, and seizures. We report the epilepsy phenotype in patients with KCNH1 mutations. Methods. Demographic data, electroclinical features, response to antiepileptic drugs, and results of significant diagnostic investigations of nine patients carrying mutations in KCNH1 were obtained from referring centres. Results. Epilepsy was present in 7/9 patients. Both generalized and focal tonic‐clonic seizures were observed. Complete seizure control was achieved with pharmacological treatment in 2/7 patients; polytherapy was required in 4/7 patients. Status epilepticus occurred in 4/7 patients. EEG showed a diffusely slow background in 7/7 patients with epilepsy, with variable epileptiform abnormalities. Cerebral folate deficiency and an increase in urinary hypoxanthine and uridine were observed in one patient. Conclusions. Epilepsy is a key phenotypic feature in most individuals with KCNH1‐related syndromes, suggesting a direct role of KCNH1 in epileptogenesis, although the underlying mechanism is not understood.
doi_str_mv 10.1684/epd.2016.0830
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D.V. ; Myers, Candace T. ; Dentici, Maria Lisa ; Korenke, Georg C. ; Schoch, Kelly ; Campeau, Philippe M. ; White, Susan M. ; Shashi, Vandana ; Kansagra, Sujay ; Van Essen, Anthonie J. ; Leuzzi, Vincenzo</creator><creatorcontrib>Mastrangelo, Mario ; Scheffer, Ingrid E. ; Bramswig, Nuria C. ; Nair, Lal. D.V. ; Myers, Candace T. ; Dentici, Maria Lisa ; Korenke, Georg C. ; Schoch, Kelly ; Campeau, Philippe M. ; White, Susan M. ; Shashi, Vandana ; Kansagra, Sujay ; Van Essen, Anthonie J. ; Leuzzi, Vincenzo</creatorcontrib><description>Aim. KCNH1 mutations have been identified in patients with Zimmermann‐Laband syndrome and Temple‐Baraitser syndrome, as well as patients with uncharacterized syndromes with intellectual disability and overlapping features. These syndromes include dysmorphic facial features, nail hypo/aplasia, thumb and skeletal anomalies, intellectual disability, and seizures. We report the epilepsy phenotype in patients with KCNH1 mutations. Methods. Demographic data, electroclinical features, response to antiepileptic drugs, and results of significant diagnostic investigations of nine patients carrying mutations in KCNH1 were obtained from referring centres. Results. Epilepsy was present in 7/9 patients. Both generalized and focal tonic‐clonic seizures were observed. Complete seizure control was achieved with pharmacological treatment in 2/7 patients; polytherapy was required in 4/7 patients. Status epilepticus occurred in 4/7 patients. EEG showed a diffusely slow background in 7/7 patients with epilepsy, with variable epileptiform abnormalities. Cerebral folate deficiency and an increase in urinary hypoxanthine and uridine were observed in one patient. Conclusions. Epilepsy is a key phenotypic feature in most individuals with KCNH1‐related syndromes, suggesting a direct role of KCNH1 in epileptogenesis, although the underlying mechanism is not understood.</description><identifier>ISSN: 1294-9361</identifier><identifier>EISSN: 1950-6945</identifier><identifier>DOI: 10.1684/epd.2016.0830</identifier><identifier>PMID: 27267311</identifier><language>eng</language><publisher>France: Wiley Subscription Services, Inc</publisher><subject>Abnormalities, Multiple - drug therapy ; Abnormalities, Multiple - genetics ; Abnormalities, Multiple - physiopathology ; Adolescent ; Adult ; Anticonvulsants - therapeutic use ; Brain - physiopathology ; Child ; Child, Preschool ; Convulsions &amp; seizures ; Craniofacial Abnormalities - drug therapy ; Craniofacial Abnormalities - genetics ; Craniofacial Abnormalities - physiopathology ; Electroencephalography ; Epilepsy ; Epilepsy - drug therapy ; Epilepsy - genetics ; Epilepsy - physiopathology ; Ether-A-Go-Go Potassium Channels - genetics ; Female ; Fibromatosis, Gingival - drug therapy ; Fibromatosis, Gingival - genetics ; Fibromatosis, Gingival - physiopathology ; genetic epilepsy ; Hallux - abnormalities ; Hallux - physiopathology ; Hand Deformities, Congenital - drug therapy ; Hand Deformities, Congenital - genetics ; Hand Deformities, Congenital - physiopathology ; Humans ; Infant ; Intellectual disabilities ; Intellectual Disability - drug therapy ; Intellectual Disability - genetics ; Intellectual Disability - physiopathology ; KCNH1‐related encephalopathy ; Male ; Mutation ; Nails, Malformed - drug therapy ; Nails, Malformed - genetics ; Nails, Malformed - physiopathology ; Syndrome ; Temple‐Baraitser syndrome ; Thumb - abnormalities ; Thumb - physiopathology ; undefined intellectual disability ; Young Adult ; Zimmermann‐Laband syndrome</subject><ispartof>Epileptic disorders, 2016-06, Vol.18 (2), p.123-136</ispartof><rights>2016 Epileptic Disorders</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3640-2d3bb8cf43027b0d7b3d538eb3186a58dbf786f06927cb91b06678ca824a48a3</citedby><cites>FETCH-LOGICAL-c3640-2d3bb8cf43027b0d7b3d538eb3186a58dbf786f06927cb91b06678ca824a48a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1684%2Fepd.2016.0830$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1684%2Fepd.2016.0830$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27267311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mastrangelo, Mario</creatorcontrib><creatorcontrib>Scheffer, Ingrid E.</creatorcontrib><creatorcontrib>Bramswig, Nuria C.</creatorcontrib><creatorcontrib>Nair, Lal. D.V.</creatorcontrib><creatorcontrib>Myers, Candace T.</creatorcontrib><creatorcontrib>Dentici, Maria Lisa</creatorcontrib><creatorcontrib>Korenke, Georg C.</creatorcontrib><creatorcontrib>Schoch, Kelly</creatorcontrib><creatorcontrib>Campeau, Philippe M.</creatorcontrib><creatorcontrib>White, Susan M.</creatorcontrib><creatorcontrib>Shashi, Vandana</creatorcontrib><creatorcontrib>Kansagra, Sujay</creatorcontrib><creatorcontrib>Van Essen, Anthonie J.</creatorcontrib><creatorcontrib>Leuzzi, Vincenzo</creatorcontrib><title>Epilepsy in KCNH1‐related syndromes</title><title>Epileptic disorders</title><addtitle>Epileptic Disord</addtitle><description>Aim. KCNH1 mutations have been identified in patients with Zimmermann‐Laband syndrome and Temple‐Baraitser syndrome, as well as patients with uncharacterized syndromes with intellectual disability and overlapping features. These syndromes include dysmorphic facial features, nail hypo/aplasia, thumb and skeletal anomalies, intellectual disability, and seizures. We report the epilepsy phenotype in patients with KCNH1 mutations. Methods. Demographic data, electroclinical features, response to antiepileptic drugs, and results of significant diagnostic investigations of nine patients carrying mutations in KCNH1 were obtained from referring centres. Results. Epilepsy was present in 7/9 patients. Both generalized and focal tonic‐clonic seizures were observed. Complete seizure control was achieved with pharmacological treatment in 2/7 patients; polytherapy was required in 4/7 patients. Status epilepticus occurred in 4/7 patients. EEG showed a diffusely slow background in 7/7 patients with epilepsy, with variable epileptiform abnormalities. Cerebral folate deficiency and an increase in urinary hypoxanthine and uridine were observed in one patient. Conclusions. 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D.V.</creator><creator>Myers, Candace T.</creator><creator>Dentici, Maria Lisa</creator><creator>Korenke, Georg C.</creator><creator>Schoch, Kelly</creator><creator>Campeau, Philippe M.</creator><creator>White, Susan M.</creator><creator>Shashi, Vandana</creator><creator>Kansagra, Sujay</creator><creator>Van Essen, Anthonie J.</creator><creator>Leuzzi, Vincenzo</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>Epilepsy in KCNH1‐related syndromes</title><author>Mastrangelo, Mario ; Scheffer, Ingrid E. ; Bramswig, Nuria C. ; Nair, Lal. D.V. ; Myers, Candace T. ; Dentici, Maria Lisa ; Korenke, Georg C. ; Schoch, Kelly ; Campeau, Philippe M. ; White, Susan M. ; Shashi, Vandana ; Kansagra, Sujay ; Van Essen, Anthonie J. ; Leuzzi, Vincenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3640-2d3bb8cf43027b0d7b3d538eb3186a58dbf786f06927cb91b06678ca824a48a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abnormalities, Multiple - drug therapy</topic><topic>Abnormalities, Multiple - genetics</topic><topic>Abnormalities, Multiple - physiopathology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Brain - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Convulsions &amp; seizures</topic><topic>Craniofacial Abnormalities - drug therapy</topic><topic>Craniofacial Abnormalities - genetics</topic><topic>Craniofacial Abnormalities - physiopathology</topic><topic>Electroencephalography</topic><topic>Epilepsy</topic><topic>Epilepsy - drug therapy</topic><topic>Epilepsy - genetics</topic><topic>Epilepsy - physiopathology</topic><topic>Ether-A-Go-Go Potassium Channels - genetics</topic><topic>Female</topic><topic>Fibromatosis, Gingival - drug therapy</topic><topic>Fibromatosis, Gingival - genetics</topic><topic>Fibromatosis, Gingival - physiopathology</topic><topic>genetic epilepsy</topic><topic>Hallux - abnormalities</topic><topic>Hallux - physiopathology</topic><topic>Hand Deformities, Congenital - drug therapy</topic><topic>Hand Deformities, Congenital - genetics</topic><topic>Hand Deformities, Congenital - physiopathology</topic><topic>Humans</topic><topic>Infant</topic><topic>Intellectual disabilities</topic><topic>Intellectual Disability - drug therapy</topic><topic>Intellectual Disability - genetics</topic><topic>Intellectual Disability - physiopathology</topic><topic>KCNH1‐related encephalopathy</topic><topic>Male</topic><topic>Mutation</topic><topic>Nails, Malformed - drug therapy</topic><topic>Nails, Malformed - genetics</topic><topic>Nails, Malformed - physiopathology</topic><topic>Syndrome</topic><topic>Temple‐Baraitser syndrome</topic><topic>Thumb - abnormalities</topic><topic>Thumb - physiopathology</topic><topic>undefined intellectual disability</topic><topic>Young Adult</topic><topic>Zimmermann‐Laband syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mastrangelo, Mario</creatorcontrib><creatorcontrib>Scheffer, Ingrid E.</creatorcontrib><creatorcontrib>Bramswig, Nuria C.</creatorcontrib><creatorcontrib>Nair, Lal. D.V.</creatorcontrib><creatorcontrib>Myers, Candace T.</creatorcontrib><creatorcontrib>Dentici, Maria Lisa</creatorcontrib><creatorcontrib>Korenke, Georg C.</creatorcontrib><creatorcontrib>Schoch, Kelly</creatorcontrib><creatorcontrib>Campeau, Philippe M.</creatorcontrib><creatorcontrib>White, Susan M.</creatorcontrib><creatorcontrib>Shashi, Vandana</creatorcontrib><creatorcontrib>Kansagra, Sujay</creatorcontrib><creatorcontrib>Van Essen, Anthonie J.</creatorcontrib><creatorcontrib>Leuzzi, Vincenzo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Epileptic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mastrangelo, Mario</au><au>Scheffer, Ingrid E.</au><au>Bramswig, Nuria C.</au><au>Nair, Lal. D.V.</au><au>Myers, Candace T.</au><au>Dentici, Maria Lisa</au><au>Korenke, Georg C.</au><au>Schoch, Kelly</au><au>Campeau, Philippe M.</au><au>White, Susan M.</au><au>Shashi, Vandana</au><au>Kansagra, Sujay</au><au>Van Essen, Anthonie J.</au><au>Leuzzi, Vincenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epilepsy in KCNH1‐related syndromes</atitle><jtitle>Epileptic disorders</jtitle><addtitle>Epileptic Disord</addtitle><date>2016-06</date><risdate>2016</risdate><volume>18</volume><issue>2</issue><spage>123</spage><epage>136</epage><pages>123-136</pages><issn>1294-9361</issn><eissn>1950-6945</eissn><abstract>Aim. KCNH1 mutations have been identified in patients with Zimmermann‐Laband syndrome and Temple‐Baraitser syndrome, as well as patients with uncharacterized syndromes with intellectual disability and overlapping features. These syndromes include dysmorphic facial features, nail hypo/aplasia, thumb and skeletal anomalies, intellectual disability, and seizures. We report the epilepsy phenotype in patients with KCNH1 mutations. Methods. Demographic data, electroclinical features, response to antiepileptic drugs, and results of significant diagnostic investigations of nine patients carrying mutations in KCNH1 were obtained from referring centres. Results. Epilepsy was present in 7/9 patients. Both generalized and focal tonic‐clonic seizures were observed. Complete seizure control was achieved with pharmacological treatment in 2/7 patients; polytherapy was required in 4/7 patients. Status epilepticus occurred in 4/7 patients. EEG showed a diffusely slow background in 7/7 patients with epilepsy, with variable epileptiform abnormalities. Cerebral folate deficiency and an increase in urinary hypoxanthine and uridine were observed in one patient. Conclusions. Epilepsy is a key phenotypic feature in most individuals with KCNH1‐related syndromes, suggesting a direct role of KCNH1 in epileptogenesis, although the underlying mechanism is not understood.</abstract><cop>France</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27267311</pmid><doi>10.1684/epd.2016.0830</doi><tpages>14</tpages></addata></record>
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subjects Abnormalities, Multiple - drug therapy
Abnormalities, Multiple - genetics
Abnormalities, Multiple - physiopathology
Adolescent
Adult
Anticonvulsants - therapeutic use
Brain - physiopathology
Child
Child, Preschool
Convulsions & seizures
Craniofacial Abnormalities - drug therapy
Craniofacial Abnormalities - genetics
Craniofacial Abnormalities - physiopathology
Electroencephalography
Epilepsy
Epilepsy - drug therapy
Epilepsy - genetics
Epilepsy - physiopathology
Ether-A-Go-Go Potassium Channels - genetics
Female
Fibromatosis, Gingival - drug therapy
Fibromatosis, Gingival - genetics
Fibromatosis, Gingival - physiopathology
genetic epilepsy
Hallux - abnormalities
Hallux - physiopathology
Hand Deformities, Congenital - drug therapy
Hand Deformities, Congenital - genetics
Hand Deformities, Congenital - physiopathology
Humans
Infant
Intellectual disabilities
Intellectual Disability - drug therapy
Intellectual Disability - genetics
Intellectual Disability - physiopathology
KCNH1‐related encephalopathy
Male
Mutation
Nails, Malformed - drug therapy
Nails, Malformed - genetics
Nails, Malformed - physiopathology
Syndrome
Temple‐Baraitser syndrome
Thumb - abnormalities
Thumb - physiopathology
undefined intellectual disability
Young Adult
Zimmermann‐Laband syndrome
title Epilepsy in KCNH1‐related syndromes
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