Defining the phenotypic spectrum of SLC6A1 mutations

Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients. Methods We collected 24 SLC6A1 probands and 6 affected f...

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Published inEpilepsia (Copenhagen) Vol. 59; no. 2; pp. 389 - 402
Main Authors Johannesen, Katrine M., Gardella, Elena, Linnankivi, Tarja, Courage, Carolina, Saint Martin, Anne, Lehesjoki, Anna‐Elina, Mignot, Cyril, Afenjar, Alexandra, Lesca, Gaetan, Abi‐Warde, Marie‐Thérèse, Chelly, Jamel, Piton, Amélie, Merritt, J. Lawrence, Rodan, Lance H., Tan, Wen‐Hann, Bird, Lynne M., Nespeca, Mark, Gleeson, Joseph G., Yoo, Yongjin, Choi, Murim, Chae, Jong‐Hee, Czapansky‐Beilman, Desiree, Reichert, Sara Chadwick, Pendziwiat, Manuela, Verhoeven, Judith S., Schelhaas, Helenius J., Devinsky, Orrin, Christensen, Jakob, Specchio, Nicola, Trivisano, Marina, Weber, Yvonne G., Nava, Caroline, Keren, Boris, Doummar, Diane, Schaefer, Elise, Hopkins, Sarah, Dubbs, Holly, Shaw, Jessica E., Pisani, Laura, Myers, Candace T., Tang, Sha, Tang, Shan, Pal, Deb K., Millichap, John J., Carvill, Gemma L., Helbig, Kathrine L., Mecarelli, Oriano, Striano, Pasquale, Helbig, Ingo, Rubboli, Guido, Mefford, Heather C., Møller, Rikke S.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.02.2018
Wiley
Subjects
Online AccessGet full text
ISSN0013-9580
1528-1167
1528-1167
DOI10.1111/epi.13986

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Abstract Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients. Methods We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects. Results Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg). Significance Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
AbstractList Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients. We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects. Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg). Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.OBJECTIVEPathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.METHODSWe collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).RESULTSCognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.SIGNIFICANCEMost patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
ObjectivePathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients.MethodsWe collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.ResultsCognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).SignificanceMost patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1-mutated patients.METHODS: We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects.RESULTS: Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure-free, with valproic acid being the most effective drug. There was no clear-cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5-3.5 Hz spikes/polyspikes-and-slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg).SIGNIFICANCE: Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the phenotypic spectrum in a larger cohort of SCL6A1‐mutated patients. Methods We collected 24 SLC6A1 probands and 6 affected family members. Four previously published cases were included for further electroclinical description. In total, we reviewed the electroclinical data of 34 subjects. Results Cognitive development was impaired in 33/34 (97%) subjects; 28/34 had mild to moderate ID, with language impairment being the most common feature. Epilepsy was diagnosed in 31/34 cases with mean onset at 3.7 years. Cognitive assessment before epilepsy onset was available in 24/31 subjects and was normal in 25% (6/24), and consistent with mild ID in 46% (11/24) or moderate ID in 17% (4/24). Two patients had speech delay only, and 1 had severe ID. After epilepsy onset, cognition deteriorated in 46% (11/24) of cases. The most common seizure types were absence, myoclonic, and atonic seizures. Sixteen cases fulfilled the diagnostic criteria for MAE. Seven further patients had different forms of generalized epilepsy and 2 had focal epilepsy. Twenty of 31 patients became seizure‐free, with valproic acid being the most effective drug. There was no clear‐cut correlation between seizure control and cognitive outcome. Electroencephalography (EEG) findings were available in 27/31 patients showing irregular bursts of diffuse 2.5‐3.5 Hz spikes/polyspikes‐and‐slow waves in 25/31. Two patients developed an EEG pattern resembling electrical status epilepticus during sleep. Ataxia was observed in 7/34 cases. We describe 7 truncating and 18 missense variants, including 4 recurrent variants (Gly232Val, Ala288Val, Val342Met, and Gly362Arg). Significance Most patients carrying pathogenic SLC6A1 variants have an MAE phenotype with language delay and mild/moderate ID before epilepsy onset. However, ID alone or associated with focal epilepsy can also be observed.
Author Gardella, Elena
Merritt, J. Lawrence
Reichert, Sara Chadwick
Choi, Murim
Carvill, Gemma L.
Helbig, Ingo
Chae, Jong‐Hee
Myers, Candace T.
Mecarelli, Oriano
Nava, Caroline
Christensen, Jakob
Trivisano, Marina
Doummar, Diane
Courage, Carolina
Nespeca, Mark
Saint Martin, Anne
Tang, Sha
Møller, Rikke S.
Mignot, Cyril
Verhoeven, Judith S.
Afenjar, Alexandra
Keren, Boris
Yoo, Yongjin
Rubboli, Guido
Hopkins, Sarah
Tang, Shan
Johannesen, Katrine M.
Pal, Deb K.
Schelhaas, Helenius J.
Gleeson, Joseph G.
Specchio, Nicola
Lehesjoki, Anna‐Elina
Shaw, Jessica E.
Devinsky, Orrin
Helbig, Kathrine L.
Weber, Yvonne G.
Abi‐Warde, Marie‐Thérèse
Lesca, Gaetan
Piton, Amélie
Pendziwiat, Manuela
Dubbs, Holly
Tan, Wen‐Hann
Rodan, Lance H.
Striano, Pasquale
Linnankivi, Tarja
Schaefer, Elise
Millichap, John J.
Czapansky‐Beilman, Desiree
Bird, Lynne M.
Pisani, Laura
Mefford, Heather C.
Chelly, Jamel
AuthorAffiliation 40 Northwestern University Feinberg School of Medicine, Chicago, IL, USA
11 Claude Bernard Lyon I University, Lyon, France
41 Department of Neurology and Psychiatry, Neurophysiopathology and Neuromuscular Diseases, University of Sapeinza, Rome, Italy
15 Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA
39 Epilepsy Center and Division of Neurology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA
25 Department of Neuropediatrics, University Medical Center Schleswig-Holstein, Kiel, Germany
30 Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tüebingen, Tüebingen, Germany
9 APHP, Genetic Services, Hospital Trousseau, Paris, France
12 Lyon Neuroscience Research Center, CNRS UMRS5292, INSERM U1028, Lyon, France
14 Laboratory of Genetic Diagnosis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
37 Division of Clinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA
7 Refer
AuthorAffiliation_xml – name: 2 Institute for Regional Health Services Research, University of Southern Denmark, Odense, Denmark
– name: 15 Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA
– name: 4 The Folkhälsan Institute of Genetics, University of Helsinki, Helsinki, Finland
– name: 16 Boston Children’s Hospital, Boston, MA, USA
– name: 34 Medical Genetics, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
– name: 43 University of Copenhagen, Copenhagen, Denmark
– name: 21 Department of Biomedical Sciences, Seoul National University School of Medicine, Seoul, South Korea
– name: 40 Northwestern University Feinberg School of Medicine, Chicago, IL, USA
– name: 6 Department of Pediatrics, Pediatric Neurology, University Hospital of Strasbourg, Strasbourg, France
– name: 11 Claude Bernard Lyon I University, Lyon, France
– name: 42 Pediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, University of Genoa ‘G. Gaslini” Institute, Genova, Italy
– name: 26 Department of Neurology, Academic Center for Epileptology, Heeze, The Netherlands
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– name: 35 Division of Neurology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA
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– name: 32 Sorbonne Universities, UPMC Univ Paris 06, UMR S 1127, Inserm U 1127, CNRS UMR 7225, ICM, Paris, France
– name: 39 Epilepsy Center and Division of Neurology, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA
– name: 25 Department of Neuropediatrics, University Medical Center Schleswig-Holstein, Kiel, Germany
– name: 24 Children’s Minnesota, Minneapolis, MN, USA
– name: 29 Neurology Unit, Department of Neuroscience, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
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– name: 37 Division of Clinical Genomics, Ambry Genetics, Aliso Viejo, CA, USA
– name: 9 APHP, Genetic Services, Hospital Trousseau, Paris, France
– name: 10 Department of Genetics, Lyon University Hospitals, Lyon, France
– name: 12 Lyon Neuroscience Research Center, CNRS UMRS5292, INSERM U1028, Lyon, France
– name: 28 Department of Neurology, Aarhus University Hospital, Aarhus, Denmark
– name: 19 Division of Neurology, Rady Children’s Hospital, University of California, San Diego, CA, USA
– name: 23 Pediatric Neurology, Gillette Children’s Specialty Healthcare, Burnsville, MN, USA
– name: 38 Department of Basic and Clinical Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK
– name: 18 Division of Genetics, Department of Pediatrics, Rady Children’s Hospital San Diego, University of California San Diego, San Diego, CA, USA
– name: 31 Department of Genetics, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
– name: 30 Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tüebingen, Tüebingen, Germany
– name: 36 Division of Clinical Genetics, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA
– name: 33 Assistance Publique-Hôpitaux de Paris, Neuropediatric Services, Hospital Armand Trousseau, Paris, France
– name: 7 Reference Center for Rare Epilepsies, Strasbourg, France
– name: 3 Department of Child Neurology, Children’s Hospital, Helsinki University Hospital Helsinki, University of Helsinki, Helsinki, Finland
– name: 14 Laboratory of Genetic Diagnosis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
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  organization: University of Southern Denmark
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  givenname: Elena
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  email: elga@filadelfia.dk
  organization: University of Southern Denmark
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  organization: Harvard Medical School
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  organization: University of California San Diego
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  organization: University of California
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  organization: University of California
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  organization: Children's Minnesota
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  organization: University Medical Center Schleswig‐Holstein
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  organization: Academic Center for Epileptology
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  organization: Academic Center for Epileptology
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  surname: Devinsky
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  organization: NYU Epilepsy Center
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  organization: Aarhus University Hospital
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  organization: IRCCS
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  organization: ICM
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  organization: King's College London
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  organization: Northwestern University Feinberg School of Medicine
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  organization: Northwestern University Feinberg School of Medicine
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ContentType Journal Article
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Wiley Periodicals, Inc. © 2018 International League Against Epilepsy.
Copyright © 2018 International League Against Epilepsy
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Issue 2
Keywords MAE
epilepsy
epilepsy genetics
SLC6A1
Language English
License http://onlinelibrary.wiley.com/termsAndConditions#vor
Wiley Periodicals, Inc. © 2018 International League Against Epilepsy.
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Johannesen and Gardella contributed equally to this paper
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References 1992; 6
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  doi: 10.1016/j.ajhg.2008.04.020
– ident: e_1_2_9_10_1
  doi: 10.1016/j.ajhg.2015.02.016
– volume: 6
  start-page: 163
  year: 1992
  ident: e_1_2_9_16_1
  article-title: Myoclonic‐astatic epilepsy
  publication-title: Epilepsy Res Suppl.
– ident: e_1_2_9_4_1
  doi: 10.3389/fncel.2014.00161
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Snippet Summary Objective Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set...
Pathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to define the...
ObjectivePathogenic SLC6A1 variants were recently described in patients with myoclonic atonic epilepsy (MAE) and intellectual disability (ID). We set out to...
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StartPage 389
SubjectTerms Adolescent
Adult
Anticonvulsants - therapeutic use
Ataxia
Ataxia - complications
Ataxia - genetics
Ataxia - physiopathology
Child
Child, Preschool
Cognitive ability
Cohort Studies
Convulsions & seizures
EEG
Electroencephalography
Epilepsies, Myoclonic - complications
Epilepsies, Myoclonic - drug therapy
Epilepsies, Myoclonic - genetics
Epilepsies, Myoclonic - physiopathology
Epilepsies, Partial - complications
Epilepsies, Partial - drug therapy
Epilepsies, Partial - genetics
Epilepsies, Partial - physiopathology
Epilepsy
epilepsy genetics
Epilepsy, Generalized - complications
Epilepsy, Generalized - drug therapy
Epilepsy, Generalized - genetics
Epilepsy, Generalized - physiopathology
Female
GABA Plasma Membrane Transport Proteins - genetics
Genetic Association Studies
Genetics
Human genetics
Humans
Intellectual Disability - complications
Intellectual Disability - genetics
Intellectual Disability - physiopathology
Language
Language Development Disorders - complications
Language Development Disorders - genetics
Language Development Disorders - physiopathology
Life Sciences
MAE
Male
Mutation
Mutation, Missense
Neurodevelopmental Disorders - complications
Neurodevelopmental Disorders - genetics
Phenotype
Phenotypes
Seizures
SLC6A1
Sleep
Speech
Treatment Outcome
Valproic acid
Valproic Acid - therapeutic use
Young Adult
Title Defining the phenotypic spectrum of SLC6A1 mutations
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fepi.13986
https://www.ncbi.nlm.nih.gov/pubmed/29315614
https://www.proquest.com/docview/1994553879
https://www.proquest.com/docview/1989558310
https://hal.sorbonne-universite.fr/hal-01973517
https://pubmed.ncbi.nlm.nih.gov/PMC5912688
Volume 59
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