Academic Journal
Vanishing white matter disease with different faces
| العنوان: | Vanishing white matter disease with different faces |
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| المؤلفون: | Güngör, Gülay, Güngör, Olcay, Çakmaklı, Seda, Maraş Genç, Hülya, İnce, Hülya, Yeşil, Gözde, Dilber, Cengiz, Aydın, Kürşad |
| بيانات النشر: | Springer |
| سنة النشر: | 2020 |
| المجموعة: | İstanbul Medipol University Institutional Repository (DSpace@Medipol) |
| مصطلحات موضوعية: | Brugada Syndrome, EIF2B Gene, Epilepsy, MRI, Vanishing White Matter (VWM) |
| الوصف: | Purpose: The goal of this study was to better understand vanishing white matter (VWM) disease, which is one of the most common hereditary white matter disorders, and its relationship to radiologic features, genetic analyses, and clinical findings. Methods: We performed a study on 11 patients to describe the clinical and neuroimaging features of VWM. Patients were grouped into “infantile,” “early childhood,” and “juvenile” based on their onset age. EIF2B1–5 genes encoding five subunits of eukaryotic translation initiation factor 2B (eIF2B) were analyzed in all patients with clinically suspected VWM disease. Results: In brain magnetic resonance imaging (MRI), all patients showed white matter abnormalities with various degrees. The initial clinical presentation in five of patients was ataxia, with severe refractory epilepsy in three patients. In children with infantile-onset VWM, a rapid deterioration of motor function was detected, and the frequency of epilepsy was higher. Two patients showed manifestations of end-stage VWM disease, and one of them had chronic subdural hematoma. One of our patients and his father were diagnosed with Brugada syndrome. Sequencing of the exons and exon-intron boundaries of the EIF2B1–5 genes revealed mutations in the genes EIF2B5 (5 cases), EIF2B3 (3 cases), and EIF2B4 (2 cases). We also found a novel mutation in one patient: c.323_325delGAA in the EIF2B1 gene. Conclusions: In this study, in addition to classical clinical and radiological findings, we wanted to emphasize that we may be confronted with refractory epilepsy (early infancy), cardiac problems, and intracranial complications that may occur in advanced stages. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0256-7040 1433-0350 |
| Relation: | Child's Nervous System; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; Güngör, G., Güngör, O., Çakmaklı, S., Maraş Genç, H., İnce, H., Yeşil, G. . Aydın, K. (2020). Vanishing white matter disease with different faces. Child's Nervous System, 36(2), 353-361. https://doi.org/10.1007/s00381-019-04334-6; https://doi.org/10.1007/s00381-019-04334-6; https://hdl.handle.net/20.500.12511/4714; 36; 353; 361; Q4; Q2 |
| DOI: | 10.1007/s00381-019-04334-6 |
| الاتاحة: | https://hdl.handle.net/20.500.12511/4714 https://doi.org/10.1007/s00381-019-04334-6 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.F5FBB7CF |
| قاعدة البيانات: | BASE |
| تدمد: | 02567040 14330350 |
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| DOI: | 10.1007/s00381-019-04334-6 |