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ID 68908
フルテキストURL
著者
Mitsutake, Akihiko Department of Neurology, Graduate School of Medicine, The University of Tokyo
Matsukawa, Takashi Department of Neurology, Graduate School of Medicine, The University of Tokyo
Naito, Tatsuhiko Department of Neurology, Graduate School of Medicine, The University of Tokyo
Ishiura, Hiroyuki Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Mitsui, Jun Department of Neurology, Graduate School of Medicine, The University of Tokyo
Harada, Hiroaki Department of Rheumatology and Allergy, Graduate School of Medicine, The University of Tokyo
Fujio, Keishi Department of Rheumatology and Allergy, Graduate School of Medicine, The University of Tokyo
Fujishiro, Jun Department of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo
Mori, Harushi Department of Radiology, School of Medicine, Jichi Medical University
Morishita, Shinichi Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo
Tsuji, Shoji Department of Neurology, Graduate School of Medicine, The University of Tokyo
Toda, Tatsushi Department of Neurology, Graduate School of Medicine, The University of Tokyo
抄録
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.
キーワード
epileptic encephalopathy
whole-exome sequencing
KCNH5
de novo variant
発行日
2025-03-01
出版物タイトル
Internal Medicine
64巻
5号
出版者
Japanese Society of Internal Medicine
開始ページ
759
終了ページ
762
ISSN
0918-2918
NCID
AA10827774
資料タイプ
学術雑誌論文
言語
英語
OAI-PMH Set
岡山大学
著作権者
© 2025 by The Japanese Society of Internal Medicine
論文のバージョン
publisher
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.2169/internalmedicine.3999-24
ライセンス
https://creativecommons.org/licenses/ by-nc-nd/4.0/
助成機関名
Japan Agency for Medical Research and Development
助成番号
20ek0109491h0001
21ek0109491h0002
22ek0109491h0003
23ek0109673h0001