Abstract:
:Epileptic encephalopathies are severe brain disorders with the epileptic component contributing to the worsening of cognitive and behavioral manifestations. Acquired epileptic aphasia (Landau-Kleffner syndrome, LKS) and continuous spike and waves during slow-wave sleep syndrome (CSWSS) represent rare and closely related childhood focal epileptic encephalopathies of unknown etiology. They show electroclinical overlap with rolandic epilepsy (the most frequent childhood focal epilepsy) and can be viewed as different clinical expressions of a single pathological entity situated at the crossroads of epileptic, speech, language, cognitive and behavioral disorders. Here we demonstrate that about 20% of cases of LKS, CSWSS and electroclinically atypical rolandic epilepsy often associated with speech impairment can have a genetic origin sustained by de novo or inherited mutations in the GRIN2A gene (encoding the N-methyl-D-aspartate (NMDA) glutamate receptor α2 subunit, GluN2A). The identification of GRIN2A as a major gene for these epileptic encephalopathies provides crucial insights into the underlying pathophysiology.
journal_name
Nat Genetjournal_title
Nature geneticsauthors
Lesca G,Rudolf G,Bruneau N,Lozovaya N,Labalme A,Boutry-Kryza N,Salmi M,Tsintsadze T,Addis L,Motte J,Wright S,Tsintsadze V,Michel A,Doummar D,Lascelles K,Strug L,Waters P,de Bellescize J,Vrielynck P,de Saint Martin Adoi
10.1038/ng.2726subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1061-6issue
9eissn
1061-4036issn
1546-1718pii
ng.2726journal_volume
45pub_type
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