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Recurrent generalized seizures, visual loss, and palinopsia as phenotypic features of neuronal ceroid lipofuscinosis due to progranulin gene mutation

Summary We detail the phenotype of a novel form of neuronal ceroid lipofuscinosis due to a homozygous progranulin gene mutation (c.813_816del; CLN11 MIM #614706). The symptoms appeared in two young adult siblings, and included progressive retinopathy, recurrent generalized seizures, moderate ataxia,...

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Published in:Epilepsia (Copenhagen) 2014-06, Vol.55 (6), p.e56-e59
Main Authors: Canafoglia, Laura, Morbin, Michela, Scaioli, Vidmer, Pareyson, Davide, D'Incerti, Ludovico, Fugnanesi, Valeria, Tagliavini, Fabrizio, Berkovic, Samuel F., Franceschetti, Silvana
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creator Canafoglia, Laura
Morbin, Michela
Scaioli, Vidmer
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Fugnanesi, Valeria
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Berkovic, Samuel F.
Franceschetti, Silvana
description Summary We detail the phenotype of a novel form of neuronal ceroid lipofuscinosis due to a homozygous progranulin gene mutation (c.813_816del; CLN11 MIM #614706). The symptoms appeared in two young adult siblings, and included progressive retinopathy, recurrent generalized seizures, moderate ataxia, and subtle cognitive dysfunction. Long‐lasting episodes of palinopsia were a recurring symptom and associated with polyphasic visual‐evoked potential waveform that suggested hyperexcitability of the occipital cortex. Electroencephalography showed rare spike‐wave paroxysms, and magnetic resonance imaging revealed selective cerebellar atrophy. Skin biopsy revealed fingerprint storage and the absence of progranulin protein. Electron microscopy of peripheral blood leukocytes showed fingerprint profiles in 1/100 lymphocytes. These findings define a novel phenotype and provide clues for better understanding of progranulin function. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here.
doi_str_mv 10.1111/epi.12632
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ispartof Epilepsia (Copenhagen), 2014-06, Vol.55 (6), p.e56-e59
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subjects Atrophy
Brain
Brain - pathology
Brain - physiopathology
Cerebellum - pathology
Electroencephalography
Evoked Potentials, Visual
Frontotemporal dementia
Humans
Intercellular Signaling Peptides and Proteins - genetics
Kufs' disease
Magnetic Resonance Imaging
Male
Mutation
Neuroimaging
Neuronal Ceroid-Lipofuscinoses - genetics
Neuronal Ceroid-Lipofuscinoses - physiopathology
Palinopsia
Phenotype
Progranulin
Recessive ataxia
Recurrence
Retinal Diseases - genetics
Seizures - genetics
Siblings
Young Adult
title Recurrent generalized seizures, visual loss, and palinopsia as phenotypic features of neuronal ceroid lipofuscinosis due to progranulin gene mutation
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