Two Missense CACNA1A Variants in a Single Family with Variable Neurobehavioral, Cerebellar, Epileptic, and Oculomotor Features

Author:

Ko Pin-Yi1,Glass Ian A.234,Crandall Suzanne5,Weiss Avery6,Dorschner Michael O.4,Kelly John P.6,Phillips James O.7,Lopez Jonathan1

Affiliation:

1. Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United States

2. Center for Integrative Brain Research, Seattle, Washington, United States

3. Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, United States

4. Division of Medical Genetics, Department of Medicine, University of Washington, Seattle, Washington, United States

5. Department of Neurology, Saint Luke's Hospital of Kansas City, Kansas City, Missouri, United States

6. Department of Ophthalmology, University of Washington, Seattle, Washington, United States

7. Department of Otolaryngology-HNS, University of Washington, Seattle, Washington, United States

Abstract

AbstractWe describe two novel missense variants in CACNA1A segregating in a family with variable severity of ataxia/oculomotor dysfunction, neurobehavioral impairments, and epilepsy. The most severe outcome occurred in a compound heterozygous proband, which could represent variable expression of the paternal allele or biallelic modulation of calcium channel function. Acetazolamide and lamotrigine were effective for seizure control.

Publisher

Georg Thieme Verlag KG

Subject

Clinical Neurology,General Medicine,Pediatrics, Perinatology, and Child Health

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Genotype–phenotype relations for episodic ataxia genes: MDSGene systematic review;European Journal of Neurology;2023-07-17

2. CACNA1A-Related Channelopathies: Clinical Manifestations and Treatment Options;Voltage-gated Ca2+ Channels: Pharmacology, Modulation and their Role in Human Disease;2023

3. Biallelic CACNA1A variants: Review of literature and report of a child with drug‐resistant epilepsy and developmental delay;American Journal of Medical Genetics Part A;2022-09-05

4. Diversity of CACNA1A-related disorders;Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova;2021

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