1. Teaching NeuroImages: When the Teeth are the Clue to the Etiology of an Epileptic Encephalopathy
- Author
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Marcelo Rodrigues Masruha, Victor Hugo Pantoja Leão, Marcelo de Melo Aragão, and Ricardo Silva Pinho
- Subjects
Pediatrics ,medicine.medical_specialty ,Amelogenesis Imperfecta ,Day of life ,Compound heterozygosity ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Intellectual disability ,Brain mri ,Humans ,Medicine ,030212 general & internal medicine ,Global developmental delay ,Exome sequencing ,Epilepsy ,Symporters ,Tooth Abnormalities ,business.industry ,Epileptic encephalopathy ,medicine.disease ,Mutation ,Etiology ,Dementia ,Epilepsy, Generalized ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
A 24-year-old woman with severe intellectual disability presented with refractory epilepsy since the first day of life. She had global developmental delay and remarkable abnormalities in both primary and secondary teeth (figure). Brain MRI was normal. A whole exome sequencing revealed SLC13A5 compound heterozygous mutations C>T at chr17:6.606.350, p.Gly219Arg, and G>A at chr17:6.590.909, p.Pro505Leu.
- Published
- 2020
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