Journal
WORLD JOURNAL OF CLINICAL CASES
Volume 6, Issue 12, Pages 570-576Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.12998/wjcc.v6.i12.570
Keywords
Epilepsy; Language impairment; Mental retardation; De novo mutation of CNKSR2; X-linked epilepsy-aphasia syndrome
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Funding
- Jining Medical University [JYP201740]
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The mutation in CNKSR2 leads to a broad spectrum of phenotypic variability and manifests as an X-linked intellectual disability. However, we reported that the male patient in this study not only had intellectual disability but also epileptic seizures. In addition, there were progressive language impairment, attention deficit hyperactivity disorder and autism. Electroencephalograms showed continuous spike-and-wave during sleep. Genetic testing revealed a de novo mutation of the CNKSR2 gene (c.2185C > T, p.Arg729Ter) in the child that was not detected in the parents. Therefore, the child was diagnosed with X-linked epilepsy aphasia syndrome. Deletion of the CNKSR2 gene has been rarely reported in epilepsy aphasia syndrome, but no de novo mutation has been found in this gene. This report not only adds to the spectrum of epilepsy aphasia syndrome but also helps clinicians in diagnosis and genetic counseling.
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