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Developmental and Epileptic Encephalopathy Type 25
EIEE25

Presentation

Diagnosis [ edit ] The diagnosis is based on the clinical presentation and on typical electroencephalographic patterns. [19] Treatment [ edit ] Treatment outlook is poor. [en.wikipedia.org]

We report that all the patients carrying the p.A294V mutation presented the clinical and EEG characteristics of EOEE. [germaco.net]

Clinical description Onset of EIEE occurs within the first 3 months of life but some present within the first few weeks after birth. [orpha.net]

Epilepsy syndromes that present in infancy or early childhood are usually severe and characterized by seizures as the primary manifestation, without associated metabolic or structural brain abnormalities. [bcbst.com]

Epileptic encephalopathy usually presents in the neonatal and (less frequently) early infantile period. [jmg.bmj.com]

Workup

The diagnostic workup of EIEEs remains challenging because of frequent difficulties in defining etiologies. [dnatesting.uchicago.edu]

The initial workup showed a partial deficit of the complex II of the respiratory chain in muscle and liver. [germaco.net]

Treatment

However, more research is needed in this area to definitely proof the effect of this treatment option. What you need to know. [epilepsygenetics.net]

Currently, there are no effective treatments, but some antiepileptic drugs targeting the γ-aminobutyric acid system reduce seizure frequency. [molmed.org]

Risk and treatment management includes, but is not limited to [6] : For ALDH7A1 related pyridoxine-dependent epilepsy and PNPO related pyridoxamine 5′-phosphate oxidase deficiency: Treatment Pyridoxine should be used For KCNQ2 related early infantile [swisscheckup.com]

Oral citrate, for the treatment of neurological symptoms related to citrate transporter deficiency, a disease with no existing treatment, will be discussed. Study Supported by: NA Disclosure: Dr. Al Ghamdi has nothing to disclose. Dr. [n.neurology.org]

TREATMENT Anti-seizure medication is often used for treatment, however, with Ohtahara syndrome, the seizures are near impossible to control. That is not to say that seizure freedom has not occurred, it has for a handful of children on medication. [sites.google.com]

Prognosis

Although the prognosis is not good, we as an organization and as parents, want to do what we can to provide a quality of life these children deserve. Through funding, support, and research, we are praying that this is a very real possibility. [sites.google.com]

Prognosis Prognosis is poor with death usually occurring in infancy (50% before age of 2). Survivors have severe psychomotor impairments with continuing seizures. The documents contained in this web site are presented for information purposes only. [orpha.net]

Prognosis The prognosis is related to the underlying disorder. The severity of developmental impairment varies with the type of epilepsy. Early infantile epileptic encephalopathy (Ohtahara syndrome) The prognosis is very poor. [emedicine.medscape.com]

Depending on the severity, types of seizures, and prognosis, EEs can be classified into several major subtypes: Early Infantile EE (EIEE) or Ohtahara Syndrome is one of the most severe forms of EE and is characterized by the following: Presentation within [centogene.com]

The authors discuss the main problems related to the suppressionburst pattern and the long-term prognosis of this abnormality. [link.springer.com]

Etiology

Structural brain etiologies Genetic etiologies (STXBP1, SLC25A22, CDKL5, ARX, SPTAN1, PCDH19, KCNQ2, SCN2A and others) Metabolic etiologies (mitochondrial disorders, non-ketotic hyperglyinemia, pyridoxine/pyridoxal-5-phosphate disorders, carnitine palmitoyl [epilepsydiagnosis.org]

Etiology EIEE may be the result of different etiologies. Many cases have been associated with structural brain abnormalities. [orpha.net]

Many etiological factors including hereditary and non-hereditary conditions have been reported. However, in up to a third of all cases determining the underlying cause is not possible. [research.unipd.it]

The developmental prognosis partially depends on the etiology. When classified by etiology, normal development was described in 51% of cryptogenic cases versus only 6% of symptomatic cases. [emedicine.medscape.com]

Etiologic considerations Identification of the underlying etiology is also an important issue when considering appropriate management of neonatal seizures. [dovepress.com]

Epidemiology

Epidemiology of pyridoxine dependent and pyridoxine responsive seizures in the UK. Arch. Dis. Child. 1999; 81(5):431-3. PMID: 10519720 Trevathan, E, et al. The descriptive epidemiology of infantile spasms among Atlanta children. [invitae.com]

From basic mechanisms and epidemiology, through diagnosis and therapy, to quality of life issues, the new edition of this established reference covers every aspect of childhood epilepsy and will continue to be the definitive core text for all professionals [books.google.com]

Summary Epidemiology Incidence has been estimated at 1/100 000 births in Japan and 1/50,000 births in the U.K. Clinical description Onset of EIEE occurs within the first 3 months of life but some present within the first few weeks after birth. [orpha.net]

[Epidemiological and clinical study of West syndrome in Nagasaki Prefecture, Japan]. No To Hattatsu. 2001;33(1):15-20.Ormrod D, McClellan K. Topiramate: a review of its use in childhood epilepsy. [malattierare.regione.veneto.it]

Epidemiology of epilepsy in childhood: a cohort of 440 consecutive patients. Pediatr Neurol. 1998 Jan. 18(1):46-50. [Medline]. Aicardi J, Ohtahara S. Severe neonatal epilepsies with suppression-burst pattern. [emedicine.medscape.com]

Pathophysiology

Pathophysiology The epileptic encephalopathies are a group of age-specific epilepsy syndromes of diverse etiologies that share the potential for causing significant cognitive impairment. [emedicine.medscape.com]

While these gene discoveries initially had no direct link to the more severe epileptic encephalopathies, they laid the general pathophysiological concept, such as the channelopathy concept of the human epilepsies [Steinlein, 2004], which eventually provided [karger.com]

Polysomnographical assessment of the pathophysiology of West syndrome. Brain Dev. 2001;23(7):523-7.Hayashi M. Neuropathology of the limbic system and brainstem in West syndrome. [malattierare.regione.veneto.it]

Moreover, emphasis on pathophysiology reflects the increasing importance of personalized therapy in patients with epileptic encephalopathy. [thieme-connect.com]

Prevention

Preventing cancer cells from getting enough energy represents a therapeutic strategy for cancer. [cusabio.com]

This helps avoid repeated freeze-thaw cycles, as well as prevent loss of virus. To maintain accurate titer, aliquot in at least 20ul per tube. [vectorbiolabs.com]

Research on SLC13A5 has focused on its role in obesity and diabetes; knocking out the SLC13A5 gene in mice prevents high-fat diet–induced obesity. [asbmb.org]

Here are a few of the companies that can test for SLC13A5 mutations: Centogene AG-the rare Disease Company, Germany GeneDx, United States Prevention Genetics, United States Genetic Services Laboratory, University of Chicago Blueprint Genetics, Finland [tessresearch.org]

Strasbourg (HUS), Strasbourg, France 4 Institut de Génétique et de Biologie Moléculaire and Cellulaire-Centre Européen de Recherche en Biologie et en Médecine, Université de Strasbourg, IGBMC-CERBM CNRS UMR7104, INSERM U964, Illkirch, France 5 Department of Preventive [jmg.bmj.com]

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