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10.1016/j.braindev.2018.10.012

http://scihub22266oqcxt.onion/10.1016/j.braindev.2018.10.012
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30414707!ä!30414707

suck abstract from ncbi


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pmid30414707      Brain+Dev 2019 ; 41 (4): 378-381
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  • An acute encephalopathy with reduced diffusion in BRAF-associated cardio-facio-cutaneous syndrome #MMPMID30414707
  • Okuzono S; Fukai R; Noda M; Miyake N; Lee S; Kaku N; Sanefuji M; Akamine S; Kanno S; Ishizaki Y; Torisu H; Kira R; Matsumoto N; Sakai Y; Ohga S
  • Brain Dev 2019[Apr]; 41 (4): 378-381 PMID30414707show ga
  • BACKGROUND: Cardio-facio-cutaneous syndrome (CFCS) is a rare genetic disorder characterized by cardiovascular anomalies, dysmorphic faces, ectodermal abnormalities and developmental delays. Mutations in BRAF and other RAS-MAPK pathway-associated genes are commonly identified in patients with CFCS. While this molecular pathway is known to be associated with neuro-inflammatory conditions, only one case with CFCS has been reported thus far to develop acute encephalopathy in childhood. CASE REPORT: A 3-year-old boy with dysmorphic features and mild psychomotor delay developed acute encephalopathy. After a 45-min long, generalized seizure, the magnetic resonance imaging revealed that the restricted diffusion signals spread to the bilateral subcortical white matters on day 1 of illness. Despite the 14?days of intensive care, the acute symptoms of encephalopathy left him intractable epilepsy and severe neurocognitive impairments. The whole-exome sequencing analysis identified a de novo heterozygous mutation of BRAF (NM_004333:p.Thr241Met) in this case. CONCLUSION: The present case suggests that the hyperactive condition of ERK signals might augment the development of acute encephalopathy and post-encephalopathic epilepsy in childhood.
  • |Abnormalities, Multiple/genetics[MESH]
  • |Brain Diseases/complications/*etiology/genetics[MESH]
  • |Child[MESH]
  • |Drug Resistant Epilepsy/complications[MESH]
  • |Ectodermal Dysplasia/complications/*physiopathology[MESH]
  • |Facies[MESH]
  • |Failure to Thrive/complications/*physiopathology[MESH]
  • |Heart Defects, Congenital/complications/*physiopathology[MESH]
  • |Humans[MESH]
  • |Magnetic Resonance Imaging/methods[MESH]
  • |Male[MESH]
  • |Mutation[MESH]


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