Three Generations of FLNA-Associated Periventricular Nodular Heterotopia

We present a family with 3 generations of FLNA gene-associated periventricular nodular heterotopia (PVNH), with a unique presentation in a fetus with multiple neurologic malformations. Neurologic abnormalities were noted on routine fetal imaging for a 33-year-old G1P0 woman; absence of the corpus ca...

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Veröffentlicht in:Case Reports in Neurology 2021-12, Vol.13 (3), p.776-780
Hauptverfasser: Eisenbiegler, Grace E., Brown, Stephen A.
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description We present a family with 3 generations of FLNA gene-associated periventricular nodular heterotopia (PVNH), with a unique presentation in a fetus with multiple neurologic malformations. Neurologic abnormalities were noted on routine fetal imaging for a 33-year-old G1P0 woman; absence of the corpus callosum and PVNH was confirmed on follow-up MRI. This prompted genetic evaluation, revealing a nonsense mutation in the FLNA gene. Familial genetic analysis and neuroimaging revealed the same variant and MRI evidence of PVNH in the fetus’s asymptomatic mother, and maternal grandmother, who had a long history of seizure disorder. Such phenotypic variability within a single family demonstrates the spectrum of PVNH and the importance of genetic counseling for patients with PVNH. This case also adds to existing literature on the rare but not unique presentation of FLNA-associated fetal malformations.
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subjects Asymptomatic
Birth defects
Care and treatment
case report
Case reports
congenital neurologic malformation
Convulsions & seizures
Diagnosis
Families & family life
fetal mri
Fetuses
flna
Genetic counseling
Magnetic resonance imaging
Medical genetics
Medical imaging
Methods
Mutation
Patients
periventricular nodular heterotopia
Pregnancy
Proteins
Risk factors
Single Case – General Neurology
Single Case − General Neurology
Ultrasonic imaging
X chromosomes
title Three Generations of FLNA-Associated Periventricular Nodular Heterotopia
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