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10.1016/j.pediatrneurol.2016.03.011

http://scihub22266oqcxt.onion/10.1016/j.pediatrneurol.2016.03.011
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suck abstract from ncbi


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pmid27343026
      Pediatr+Neurol 2016 ; 60 (ä): 83-7
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  • PEHO Syndrome May Represent Phenotypic Expansion at the Severe End of the Early-Onset Encephalopathies #MMPMID27343026
  • Gawlinski P ; Posmyk R ; Gambin T ; Sielicka D ; Chorazy M ; Nowakowska B ; Jhangiani SN ; Muzny DM ; Bekiesinska-Figatowska M ; Bal J ; Boerwinkle E ; Gibbs RA ; Lupski JR ; Wiszniewski W
  • Pediatr Neurol 2016[Jul]; 60 (ä): 83-7 PMID27343026 show ga
  • BACKGROUND: Progressive encephalopathy with edema, hypsarrhythmia and optic atrophy (PEHO) syndrome is a distinct neurodevelopmental disorder. Patients without optic nerve atrophy and brain imaging abnormalities but fulfilling other PEHO criteria are often described as a PEHO-like syndrome. The molecular bases of both clinically defined conditions remain unknown in spite of the widespread application of genome analyses in both clinic and research. METHODS: We enrolled two patients with a prior diagnosis of PEHO and two individuals with PEHO-like syndrome. All four individuals subsequently underwent whole-exome sequencing and comprehensive genomic analysis. RESULTS: We identified disease-causing mutations in known genes associated with neurodevelopmental disorders including GNAO1 and CDKL5 in two of four individuals. One patient with PEHO syndrome and a de novoGNAO1 mutation was found to have an additional de novo mutation in HESX1 that is associated with optic atrophy. CONCLUSIONS: We hypothesize that PEHO and PEHO-like syndrome may represent a severe end of the spectrum of the early-onset encephalopathies and, in some instances, its complex phenotype may result from an aggregated effect of mutations at two loci.
  • |Brain Edema/diagnostic imaging/*genetics/pathology [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Female [MESH]
  • |GTP-Binding Protein alpha Subunits, Gi-Go/genetics [MESH]
  • |Humans [MESH]
  • |Infant [MESH]
  • |Male [MESH]
  • |Mutation [MESH]
  • |Neurodegenerative Diseases/diagnostic imaging/*genetics/pathology [MESH]
  • |Optic Atrophy/diagnostic imaging/*genetics/pathology [MESH]
  • |Phenotype [MESH]
  • |Protein Serine-Threonine Kinases/genetics [MESH]


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