一个患有PRRT2突变的女孩出现了良性家族婴儿,随后出现了自闭症回归
Li Zhang1, Zhen-Xia Wan2, Jin-Yi Zhu3
1Research Center for Child Health, Department of Child Health Care, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.
良性家族婴儿 (BFIS) 通常具有良好的预后. 然而,这个案例表明PRRT2突变可以导致严重的自闭症回归,需要长期监测.
科学领域:
- 遗传学 遗传学 是一个
- 神经学 神经学
- 是一种病.
背景情况:
- 良性家族性婴儿发作 (BFIS) 是一种综合征,其特征是婴儿发作和自体主导遗传.
- 它经常与PRRT2基因的异构突变有关,其中c.649dupC是最常见的.
- 一般来说,BFIS与有利的神经发育结果有关.
研究的目的:
- 报告一个罕见的BFIS病例与异常的神经发育轨迹.
- 调查PRRT2相关疾病中的基因型-表型相关性.
- 强调BFIS患者长期随访的重要性.
主要方法:
- 临床病例介绍和遗传分析.
- 在PRRT2基因中证实了异合的框架转移突变 (c.649dupC).
- 纵向神经发育评估.
主要成果:
- 一名因c.649dupC PRRT2突变而被诊断为BFIS的患者经历了典型的发展,直到15个月.
- 患者随后表现出严重的自闭症回归.
- 这一案例表明,PRRT2突变可以产生不同的神经发育结果.
结论:
- PRRT2突变与BFIS以外的一系列神经疾病有关,包括 Paroxysmal kinesigenic dyskinesia.
- 患有PRRT2突变的BFIS患者的神经发育预后可能并不总是良性的.
- 长期临床监测对于识别这些患者潜在的发育并发症至关重要.
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