Abstract
Purpose: To describe the clinical and genetic findings of seven additional pedigrees with autosomal dominant lateral temporal epilepsy (ADLTE). Methods: A personal and family history was obtained from each affected and unaffected member, along with a physical and neurologic examination. Routine and sleep EEGs, computed tomography (CT), or magnetic resonance imaging (MRI) were performed in almost all the patients. DNAs from family members were typed with several microsatellite markers localized on either side of LGI1 at 10q24 and screened for LGI1 mutations. Results: The seven families included a total of 34 affected individuals (10 deceased). The age at onset ranged between 8 and 50 years (average, 22 years). Twenty-six patients had clear-cut focal (elementary, complex, or secondarily generalized) seizures, characterized by prominent auditory auras in 68% of the cases. Less frequent ictal symptoms were visual, psychic, or aphasic seizures, the latter occurring in isolation in one family. The attacks were rare and well controlled by antiepileptic drug treatment but recurred after drug discontinuation. Interictal EEGs were usually unrevealing. MRI or CT scans were negative. Analysis of LGI1/Epitempin exons failed to show mutations in three pedigrees. Linkage analysis strongly suggested exclusion of linkage in one of these families. We found two novel missense mutations, a T→C substitution in exon 6 at position 598, and a T→A transition in exon 8 at position 1295, the latter being detected in a family with aphasic seizures. Conclusions: Our data confirm the inclusion of aphasic seizures within the ADLTE clinical spectrum, suggest the existence of locus heterogeneity in ADLTE, and provide new familial cases with LGI1 missense mutations associated with the disease.
| Original language | English |
|---|---|
| Pages (from-to) | 1289-1297 |
| Number of pages | 9 |
| Journal | Epilepsia |
| Volume | 44 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Oct 2003 |
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Keywords
- Auditory features
- Autosomal dominant lateral temporal epilepsy
- LGI1/Epitempin gene
- Missense mutations
ASJC Scopus subject areas
- Clinical Neurology
- Neuroscience(all)
Cite this
Autosomal Dominant Lateral Temporal Epilepsy : Clinical Spectrum, New Epitempin Mutations, and Genetic Heterogeneity in Seven European Families. / Michelucci, Roberto; Poza, Juan Jose; Sofia, Vito; De Feo, Maria Rita; Binelli, Simona; Bisulli, Francesca; Scudellaro, Evan; Simionati, Barbara; Zimbello, Rosanna; D'Orsi, Giuseppe; Passarelli, Daniela; Avoni, Patrizia; Avanzini, Giuliano; Tinuper, Paolo; Biondi, Roberto; Valle, Giorgio; Mautner, Victor F.; Stephani, Ulrich; Tassinari, Carlo Alberto; Moschonas, Nicholas K.; Siebert, Reiner; Lopez de Munain, Adolpho L.; Perez-Tur, Jordi; Nobile, Carlo.
In: Epilepsia, Vol. 44, No. 10, 10.2003, p. 1289-1297.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Autosomal Dominant Lateral Temporal Epilepsy
T2 - Clinical Spectrum, New Epitempin Mutations, and Genetic Heterogeneity in Seven European Families
AU - Michelucci, Roberto
AU - Poza, Juan Jose
AU - Sofia, Vito
AU - De Feo, Maria Rita
AU - Binelli, Simona
AU - Bisulli, Francesca
AU - Scudellaro, Evan
AU - Simionati, Barbara
AU - Zimbello, Rosanna
AU - D'Orsi, Giuseppe
AU - Passarelli, Daniela
AU - Avoni, Patrizia
AU - Avanzini, Giuliano
AU - Tinuper, Paolo
AU - Biondi, Roberto
AU - Valle, Giorgio
AU - Mautner, Victor F.
AU - Stephani, Ulrich
AU - Tassinari, Carlo Alberto
AU - Moschonas, Nicholas K.
AU - Siebert, Reiner
AU - Lopez de Munain, Adolpho L.
AU - Perez-Tur, Jordi
AU - Nobile, Carlo
PY - 2003/10
Y1 - 2003/10
N2 - Purpose: To describe the clinical and genetic findings of seven additional pedigrees with autosomal dominant lateral temporal epilepsy (ADLTE). Methods: A personal and family history was obtained from each affected and unaffected member, along with a physical and neurologic examination. Routine and sleep EEGs, computed tomography (CT), or magnetic resonance imaging (MRI) were performed in almost all the patients. DNAs from family members were typed with several microsatellite markers localized on either side of LGI1 at 10q24 and screened for LGI1 mutations. Results: The seven families included a total of 34 affected individuals (10 deceased). The age at onset ranged between 8 and 50 years (average, 22 years). Twenty-six patients had clear-cut focal (elementary, complex, or secondarily generalized) seizures, characterized by prominent auditory auras in 68% of the cases. Less frequent ictal symptoms were visual, psychic, or aphasic seizures, the latter occurring in isolation in one family. The attacks were rare and well controlled by antiepileptic drug treatment but recurred after drug discontinuation. Interictal EEGs were usually unrevealing. MRI or CT scans were negative. Analysis of LGI1/Epitempin exons failed to show mutations in three pedigrees. Linkage analysis strongly suggested exclusion of linkage in one of these families. We found two novel missense mutations, a T→C substitution in exon 6 at position 598, and a T→A transition in exon 8 at position 1295, the latter being detected in a family with aphasic seizures. Conclusions: Our data confirm the inclusion of aphasic seizures within the ADLTE clinical spectrum, suggest the existence of locus heterogeneity in ADLTE, and provide new familial cases with LGI1 missense mutations associated with the disease.
AB - Purpose: To describe the clinical and genetic findings of seven additional pedigrees with autosomal dominant lateral temporal epilepsy (ADLTE). Methods: A personal and family history was obtained from each affected and unaffected member, along with a physical and neurologic examination. Routine and sleep EEGs, computed tomography (CT), or magnetic resonance imaging (MRI) were performed in almost all the patients. DNAs from family members were typed with several microsatellite markers localized on either side of LGI1 at 10q24 and screened for LGI1 mutations. Results: The seven families included a total of 34 affected individuals (10 deceased). The age at onset ranged between 8 and 50 years (average, 22 years). Twenty-six patients had clear-cut focal (elementary, complex, or secondarily generalized) seizures, characterized by prominent auditory auras in 68% of the cases. Less frequent ictal symptoms were visual, psychic, or aphasic seizures, the latter occurring in isolation in one family. The attacks were rare and well controlled by antiepileptic drug treatment but recurred after drug discontinuation. Interictal EEGs were usually unrevealing. MRI or CT scans were negative. Analysis of LGI1/Epitempin exons failed to show mutations in three pedigrees. Linkage analysis strongly suggested exclusion of linkage in one of these families. We found two novel missense mutations, a T→C substitution in exon 6 at position 598, and a T→A transition in exon 8 at position 1295, the latter being detected in a family with aphasic seizures. Conclusions: Our data confirm the inclusion of aphasic seizures within the ADLTE clinical spectrum, suggest the existence of locus heterogeneity in ADLTE, and provide new familial cases with LGI1 missense mutations associated with the disease.
KW - Auditory features
KW - Autosomal dominant lateral temporal epilepsy
KW - LGI1/Epitempin gene
KW - Missense mutations
UR - http://www.scopus.com/inward/record.url?scp=0142136078&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0142136078&partnerID=8YFLogxK
U2 - 10.1046/j.1528-1157.2003.20003.x
DO - 10.1046/j.1528-1157.2003.20003.x
M3 - Article
C2 - 14510822
AN - SCOPUS:0142136078
VL - 44
SP - 1289
EP - 1297
JO - Epilepsia
JF - Epilepsia
SN - 0013-9580
IS - 10
ER -