关键词: EFTUD2 MFDM Mandibulofacial dysostosis with microcephaly Seizure Spliceosome

Mesh : Brain / diagnostic imaging Child DNA Mutational Analysis Developmental Disabilities / diagnostic imaging genetics physiopathology Diagnosis, Differential Face / pathology Humans Magnetic Resonance Imaging Male Mandibulofacial Dysostosis / diagnostic imaging genetics physiopathology Microcephaly / diagnostic imaging genetics physiopathology Peptide Elongation Factors / genetics Ribonucleoprotein, U5 Small Nuclear / genetics Seizures / diagnostic imaging genetics physiopathology

来  源:   DOI:10.1016/j.braindev.2016.08.008

Abstract:
We report a case of mandibulofacial dysostosis with microcephaly presenting with seizures. The proband, a 6-year-old Korean boy, had microcephaly, malar and mandibular hypoplasia, and deafness. He showed developmental delay and had suffered recurrent seizures beginning at 21months of age. Electroencephalography revealed occasional spike discharges from the right frontal area. Head magnetic resonance imaging revealed dilatation of the lateral ventricles and a small frontal lobe volume. Whole exome sequencing revealed a de novo frame shift mutation, c.2698_2701 del, of EFTUD2. The epileptic focus was consistent with the reduced frontal lobe volume on head magnetic resonance imaging. Seizures are thus a main feature of mandibulofacial dysostosis with microcephaly, which results from an embryonic development defect due to the EFTUD2 mutation.
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