Table 1 Epileptic Individuals with no periventricular nodular heterotopia arising from FLNA variants.

From: Hemizygous FLNA variant in West syndrome without periventricular nodular heterotopia

 

Case 1

Case 2a

Case 3

Our Case

Age at onset

9 months

5 months

Unknown

9 months

Sex

Female

Male

Female

Male

Mutation

c.5324C>T p.Leu1775Pro de novo

c.4579G>A p.Asp1527Asn maternal inherited

c.2662G>T p.Glu888* heterozygous

c.4804G>A p.Gly1602Serb de novo hemizygous

Phenotype

Lennox-Gastaut syndrome

Epileptic encephalopathies, infantile

Epilepsy (generalized or focal)

Cryptogenic West syndrome

Allele frequency (number of homozygotes, hemizygotes) in gnomAD

0 (0,0)

8.83e−5 (0,2)

0 (0,0)

0 (0,0)

SIFT

0.22

0.21

-

0

Polyphen2

0.905

0.452

-

0.996

CADD

22.9

23.4

41

27.0

Brain imaging

Parietal venous angioma

Normal

Not available

Normal

Source

Allen et al.17

Wei et al.18

DiFrancesco et al.19

This report

  1. aCase 2, from a paper written in Chinese, is a boy diagnosed with moderate infantile epileptic encephalopathy with an onset age of 5 months. Wei et al. created a customized kit covering all exonic regions associated with 4000 monogenic genetic diseases in the OMIM databases, performed NGS using the Illumina platform, and detected an FLNA heterozygous missense variant. They described that the FLNA variant is likely pathogenic in association with PVNH1, but no abnormality was seen in brain MRI.
  2. bIn gnomAD, there is a missense variant (allele frequency: 1.11e−5 and number of hemizygotes: 1) that affects the same amino acid but leads to a different amino acid substitution (p.Gly1602Arg). In silico scores of that variant are SIFT: 0, Polyphen: 0.999 and CADD: 28.1.