KCNT1 epilepsy with migrating focal seizures shows a temporal sequence with poor outcome, high mortality and SUDEP

Author:

Kuchenbuch Mathieu123ORCID,Barcia Giulia234,Chemaly Nicole23,Carme Emilie5,Roubertie Agathe5,Gibaud Marc6,Van Bogaert Patrick6,de Saint Martin Anne7,Hirsch Edouard7,Dubois Fanny8,Sarret Catherine9,Nguyen The Tich Sylvie10,Laroche Cecile11,des Portes Vincent1213,Billette de Villemeur Thierry14,Barthez Marie-Anne15,Auvin Stéphane1617ORCID,Bahi-Buisson Nadia2,Desguerre Isabelle2,Kaminska Anna218,Benquet Pascal1,Nabbout Rima23ORCID

Affiliation:

1. University Rennes, CHU Rennes (Department of Clinical neurophysiology), Inserm, LTSI (Laboratoire de Traitement du Signal et de l’Image), UMR-1099, F-35000 Rennes, France

2. Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker Enfants Malades Hospital, Paris Descartes University, Paris, France

3. Institut Imagine, INSERM UMR 1163, Translational research for neurological disorder, France

4. Department of Genetics, Necker Enfants Malades Hospital, Imagine Institute, France

5. Department of Pediatric Neurology, University of Montpellier, France

6. Department of Pediatric Neurology, Angers University Hospital, France

7. Department of Pediatric Neurology, Strasbourg University Hospital, France

8. Department of Pediatric Neurology, CHU Grenoble Alpes, F-38000 Grenoble, France

9. Department of Medical Genetics, CHU Clermont-Ferrand, France

10. Department of Pediatric Neurology, Lille University Hospital, France

11. Department of Pediatric Neurology, Limoges University Hospital, France

12. Department of Pediatric Neurology, CNRS UMR 5304, F- 69675 Bron, France

13. Lyon-1 University, F-69008 Lyon, France

14. Department of Pediatric Neurology, Trousseau Hospital, Assistance Publique-Hôpitaux de Paris, France

15. Department of Pediatric Neurology, Tours University Hospital, France

16. Université Paris Diderot, Sorbonne Paris Cité, INSERM UMR1141, Paris, France

17. AP-HP, Hôpital Robert Debré, Service de Neurologie Pédiatrique, Paris, France

18. AP-HP, Necker-Enfants Malades Hospital, Department of Clinical Neurophysiology, Paris, France

Abstract

Data on KCNT1 epilepsy of infancy with migrating focal seizures are heterogeneous and incomplete. Kuchenbuch et al. refine the syndrome phenotype, showing a three-step temporal sequence, poor prognosis with acquired microcephaly, high prevalence of extra-neurological manifestations and early mortality, particularly due to SUDEP. Refining the electro-clinical spectrum should facilitate early diagnosis.

Funder

French Pediatric Society

French Institute of Health and Medical Research

Clinical Neurosciences in Rennes

INCR

Publisher

Oxford University Press (OUP)

Subject

Clinical Neurology

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