ITPA related developmental encephalopathy: Key role of neuroimaging

dc.authorid0000-0003-1513-6149
dc.contributor.authorÇavuşoğlu, Dilek
dc.contributor.authorAtaseven Kulali, Melike
dc.contributor.authorOlgaç Dündar, Nihal
dc.contributor.authorÖzer Gökaslan, Çiğdem
dc.contributor.authorAydın, Kürşad
dc.date.accessioned2022-03-28T06:12:43Z
dc.date.available2022-03-28T06:12:43Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractA 4-month-old girl presented with poor head control. She was born at term without complications. Parents were nonconsanguineous but from the same village. Her neurological examination revealed normal deep tendon reflexes with flexor plantar responses. She had microcephaly (head circumference 36 cm, -3.5 SD) and also dysmorphic features including a high arched palate, long philtrum, anteverted auricles. Metabolic studies including ammonia, serum amino acids, urine organic acids, acylcarnitine profile, lactate, pyruvate levels, and thyroid function studies were normal. Magnetic resonance imaging (MRI) of the brain showed delayed myelination (hyperintensities in the posterior limb of internal capsule) in the T2- weighted image and restricted diffusion in the posterior limb of the internal capsule, optic radiation, cerebral peduncles, substantia nigra, the pyramidal tracts in the midbrain, and cerebellar white matter [Figure 1]. After one month of follow-up, the patient exhibited intractable tonic seizures. Interictal electroencephalogram showed focal spike and slow waves in the left occipital region. She was treated with phenobarbital, levetiracetam, and topiramate. Whole–exome sequencing (WES) analysis revealed a homozygous pathogenic splice-site variant c. 124 + 1G > A located in intron 2 of ITPA gene (PVS1, PM2, PP3, PP5). This variant had been reported previously (rs376142053).{Figure 1}
dc.identifier.citationÇavuşoğlu, D., Ataseven Kulali, M., Olgaç Dündar, N., Özer Gökaslan, Ç. ve Aydın, K. (2022). ITPA related developmental encephalopathy: Key role of neuroimaging. Annals of Indian Academy of Neurology, 25(1), 133-134. https://doi.org/10.4103/aian.aian_999_21
dc.identifier.doi10.4103/aian.aian_999_21
dc.identifier.endpage134
dc.identifier.issn0972-2327
dc.identifier.issn1998-3549
dc.identifier.issue1
dc.identifier.pmid35342253
dc.identifier.scopus2-s2.0-85126555326
dc.identifier.scopusqualityQ3
dc.identifier.startpage133
dc.identifier.urihttps://doi.org/10.4103/aian.aian_999_21
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9177
dc.identifier.volume25
dc.identifier.wos000886250200025en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAydın, Kürşad
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofAnnals of Indian Academy of Neurologyen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDevelopmental Encephalopathy
dc.subjectITPA
dc.subjectNeuroimaging
dc.titleITPA related developmental encephalopathy: Key role of neuroimaging
dc.typeEditorial

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