8 results on '"Sandra Kenis"'
Search Results
2. Patients with KCNH1 -related intellectual disability without distinctive features of Zimmermann-Laband/Temple-Baraitser syndrome
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Sandra Whalen, Olivier Patat, Diane Doummar, Giulia Barcia, Boris Keren, Caroline Karsenty, Sandra Kenis, Julien Buratti, Mathilde Nizon, Lionel Arnaud, Stéphanie Valence, Caroline Nava, Marion Aubert Mucca, Gaetan Lesca, Eric LeGuern, Amélie Piton, Sarah Weckhuysen, Laurent Villard, Benjamin Cogné, Cyril Mignot, Imagine - Institut des maladies génétiques (IHU) (Imagine - U1163), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Marseille medical genetics - Centre de génétique médicale de Marseille (MMG), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Département de génétique médicale [Hôpital de la Timone - APHM], and Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE)-Institut National de la Santé et de la Recherche Médicale (INSERM)
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Hypertrichosis ,0303 health sciences ,medicine.medical_specialty ,Mutation ,business.industry ,[SDV]Life Sciences [q-bio] ,030305 genetics & heredity ,Aplasia ,medicine.disease ,medicine.disease_cause ,Dermatology ,Phenotype ,03 medical and health sciences ,Epilepsy ,Intellectual disability ,Genetics ,medicine ,Missense mutation ,Human medicine ,business ,Genetics (clinical) ,030304 developmental biology ,Temple Baraitser syndrome - Abstract
De novo missense variants in KCNH1 encoding Kv10.1 are responsible for two clinically recognisable phenotypes: Temple-Baraitser syndrome (TBS) and Zimmermann-Laband syndrome (ZLS). The clinical overlap between these two syndromes suggests that they belong to a spectrum of KCNH1-related encephalopathies. Affected patients have severe intellectual disability (ID) with or without epilepsy, hypertrichosis and distinctive features such as gingival hyperplasia and nail hypoplasia/aplasia (present in 20/23 reported cases).We report a series of seven patients with ID and de novo pathogenic KCNH1 variants identified by whole-exome sequencing or an epilepsy gene panel in whom the diagnosis of TBS/ZLS had not been first considered. Four of these variants, p.(Thr294Met), p.(Ala492Asp), p.(Thr493Asn) and p.(Gly496Arg), were located in the transmembrane domains S3 and S6 of Kv10.1 and one, p.(Arg693Gln), in its C-terminal cyclic nucleotide-binding homology domain (CNBHD). Clinical reappraisal by the referring clinical geneticists confirmed the absence of the distinctive gingival and nail features of TBS/ZLS.Our study expands the phenotypical spectrum of KCNH1-related encephalopathies to individuals with an attenuated extraneurological phenotype preventing a clinical diagnosis of TBS or ZLS. This subtype may be related to recurrent substitutions of the Gly496, suggesting a genotype–phenotype correlation and, possibly, to variants in the CNBHD domain.
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- 2021
3. Spontaneous spinal epidural hematoma in infancy: Review of the literature and the 'seventh' case report
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Ingrid Van Ingelghem, Johan Hellinckx, Philippe G. Jorens, An-Sofie Schoonjans, Stijn Verhulst, Paul M. Parizel, Jozef De Dooy, Berten Ceulemans, Sandra Kenis, and Tomas Menovsky
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Irritability ,Hematoma ,Epidural hematoma ,Spinal cord compression ,medicine ,Humans ,Hydromyelia ,medicine.diagnostic_test ,business.industry ,Infant ,Laminectomy ,Magnetic resonance imaging ,General Medicine ,Hematoma, Epidural, Spinal ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,Pediatrics, Perinatology and Child Health ,Female ,Human medicine ,Neurology (clinical) ,medicine.symptom ,Presentation (obstetrics) ,business - Abstract
Spontaneous spinal epidural hematomas (SSEH) are a rare cause of spinal cord compression in childhood and especially in infancy. We reviewed the literature and describe a case of an 8-month-old boy with a large spontaneous cervico-thoracic epidural hematoma. With this review we want to detail the importance of early investigation, diagnosis and treatment in infants with SSEH. In our case the infant presented with irritability and crying and an ascending paralysis within four days. Magnetic resonance imaging (MRI) of the spine demonstrated an extensive epidural hematoma between C5 and L1, serious medullar compression and secondary cervical and thoracic medullar edema and hydromyelia. An emergency laminectomy was performed with evacuation of a well organized hematoma. There was a partial recuperation of the neurologic symptoms. Based on the scarce literature which only concerns seven case reports, SSEH is a rare cause of spinal compression in infancy. The presentation is often not specific and neurological symptoms are often lacking in the beginning. However early diagnosis with MRI and prompt neurosurgical intervention are important to improve outcome.
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- 2013
4. Epilepsy in children with Down syndrome : not so benign as generally accepted
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Berten Ceulemans, Marisse Meeus, Sandra Kenis, and Marek Wojciechowski
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Male ,Down syndrome ,Pediatrics ,medicine.medical_specialty ,Neurology ,Population ,Vigabatrin ,Epilepsy ,medicine ,Humans ,education ,Child ,Neuroradiology ,Retrospective Studies ,education.field_of_study ,business.industry ,Infant ,General Medicine ,medicine.disease ,Epileptic spasms ,Treatment Outcome ,Epilepsy in children ,Anticonvulsants ,Female ,Steroids ,Neurology (clinical) ,Human medicine ,Down Syndrome ,business ,Spasms, Infantile ,medicine.drug - Abstract
Down syndrome (DS) is one of the most common causes of mental retardation in children. Many children with DS suffer from neurologic problems, including seizures. Epileptic spasms (ES) are the most frequently reported seizure type. As in the general epilepsy population, ES are rather difficult to control with anti-epileptic drugs. Different treatment regimens have been proposed in the literature, most of them containing vigabatrin or steroids. We present 12 children with DS, who were seen and treated at the Antwerp University Hospital because of seizures. Eight of them presented with ES. Different treatment regimens were used, with varying outcome. This article summarizes our experience with epilepsy in children with DS, describing the different treatment options that were used. We found a poor outcome in these children, compared to most previous reports. Although steroids play an important role in the treatment of ES worldwide, we found a low success rate (8.3 %) of these drugs.
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- 2015
5. PP14.13 – 2765: SCN cluster deletions: More than the classic Dravet syndrome?
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Berten Ceulemans, An-Sofie Schoonjans, F. Kooy, Marije E.C. Meuwissen, L. De Meirleir, Sandra Kenis, and Lieven Lagae
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Pediatrics ,medicine.medical_specialty ,business.industry ,General Medicine ,Status epilepticus ,medicine.disease ,Hypotonia ,Epilepsy ,SCN3A ,Dravet syndrome ,Pediatrics, Perinatology and Child Health ,Failure to thrive ,medicine ,Neurology (clinical) ,Copy-number variation ,medicine.symptom ,business ,Myoclonus - Abstract
Objective Dravet syndrome is a severe epileptic encephalopathy beginning in infancy. The characteristic electroclinical picture is well known. With the discovery of SCN1A, molecular confirmation is possible in 75% of the patients. In approximately 70% a mutation is found and in 3–5% a copy number variant (CNV). CNVs frequently involve deletions, which not only contain SCN1A but the whole SCN gene cluster. This cluster contains five sodium channel genes (SCN3A, SCN2A, SCN1A, SCNC9A and SCN7A) along with GRB14 and GALNT3. The aim of this study was to determine whether patients with a SCN cluster deletion show a more severe form of the Dravet syndrome or have a specific continuous gene deletion syndrome. Methods We retrospectively reviewed the files of children with a deletion of the SCN gene cluster. Results We report six patients with a SCN cluster deletion (5 confirmed by aCGH, one with MLPA). All patients have a large de novo deletion (mean 5.6 Mb, SD 2.5). The mean age of presentation was 14.8 w (SD 7.3 w). Four infants presented with myoclonus, one with a febrile status epilepticus and one with an afebrile focal seizure with secondary generalization. Three had dysmorphic features and an abnormal development prior to the onset of convulsions. All patients showed a disastrous course with a severe mental retardation, hypotonia, failure to thrive and therapy resistant epilepsy in infancy. Two patients died around the age of one year, one at the age of 15 years. Three patients (8m, 20m and 4y of age) are still in follow-up. Conclusion Patients with a SCN cluster deletion frequently show a more severe form than the classic Dravet syndrome phenotype. The slightly earlier presentations with myoclonic seizures, abnormal development prior to the onset of convulsions, severe developmental delay or dead in infancy are suggestive for the SCN cluster deletion syndrome.
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- 2015
6. Opisthotonus and intrathecal treatment with baclofen (ITB) in children
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Annick Laridon, Berten Ceulemans, Johanna van Rhijn, Tony Van Havenbergh, Ria Krols, and Sandra Kenis
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Opisthotonus ,Adult ,Male ,Baclofen ,Adolescent ,medicine.drug_class ,Neurological disorder ,Quadriplegia ,Weight Gain ,chemistry.chemical_compound ,Belgium ,Oral administration ,Medicine ,Humans ,Spasticity ,Child ,Injections, Spinal ,Retrospective Studies ,Dystonia ,Epilepsy ,business.industry ,Muscle Relaxants, Central ,Muscle relaxant ,Retrospective cohort study ,Infusion Pumps, Implantable ,medicine.disease ,Treatment Outcome ,chemistry ,Scoliosis ,Muscle Spasticity ,Anesthesia ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,Human medicine ,medicine.symptom ,business ,Follow-Up Studies - Abstract
Opisthotonus is a relatively rare, but challenging neurological symptom of spasticity or dystonia that most often results from a dramatic event such as near-drowning. The classic treatment option for opisthotonus is the oral administration of medication such as benzodiazepines and baclofen. However, results with these medications are usually not very beneficial. Numerous studies however have shown that intrathecal treatment with baclofen (ITB) is an efficient and safe treatment for generalized therapy-resistant spasticity, even in children. In this retrospective study, we describe 11 children (mean age 9 years) with pronounced opisthotonus and quadriplegia caused by different types of acquired lesions who were treated with intrathecal baclofen. Results show that in addition to an expected decrease in muscle tonus, there was also a clear improvement in patient comfort and nursing. A remarkable weight gain was observed in most patients, even when calorie intake did not change. This increase in weight might be due to a reduction in energy expenditure as a result of the decrease in spasticity. Intrathecal treatment with baclofen should be considered in every child with opisthotonus.
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- 2006
7. O8 – 2053 Epileptic spasms beyond infancy. Is LOES more than a description?
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A Van de Vel, Berten Ceulemans, An-Sofie Schoonjans, Sandra Kenis, and Kristien Verhaert
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Epileptic spasms ,Pediatrics ,medicine.medical_specialty ,business.industry ,Pediatrics, Perinatology and Child Health ,medicine ,Neurology (clinical) ,General Medicine ,medicine.disease ,business - Published
- 2013
8. HCP03 The development of severe refractory epilepsy during rehabilitation after near-drowning is highly correlated with a disastrous prognosis
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M. Moens, J. van Rhijn, Sandra Kenis, Berten Ceulemans, L. Schuddinck, and Marc Boel
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medicine.medical_specialty ,Rehabilitation ,business.industry ,medicine.medical_treatment ,General Medicine ,Near Drowning ,medicine.disease ,Pediatrics, Perinatology and Child Health ,Refractory epilepsy ,Medicine ,Neurology (clinical) ,Medical emergency ,business ,Intensive care medicine - Published
- 2007
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