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Spectrum of movement disorders in GNAO1 encephalopathy: in-depth phenotyping and case-by-case analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Soo Yeon | - |
dc.contributor.author | Shim, YoungKyu | - |
dc.contributor.author | Ko, Young Joon | - |
dc.contributor.author | Park, Soojin | - |
dc.contributor.author | Jang, Se Song | - |
dc.contributor.author | Lim, Byung Chan | - |
dc.contributor.author | Kim, Ki Joong | - |
dc.contributor.author | Chae, Jong-Hee | - |
dc.date.accessioned | 2021-03-09T07:34:31Z | - |
dc.date.available | 2021-03-09T16:38:25Z | - |
dc.date.issued | 2020-12-09 | - |
dc.identifier.citation | Orphanet Journal of Rare Diseases. 2020 Dec 09;15(1):343 | ko_KR |
dc.identifier.issn | 1750-1172 | - |
dc.identifier.uri | https://doi.org/10.1186/s13023-020-01594-3 | - |
dc.identifier.uri | https://hdl.handle.net/10371/173456 | - |
dc.description.abstract | Background
GNAO1 encephalopathy is a rare neurodevelopmental disorder characterized by distinct movement presentations and early onset epileptic encephalopathy. Here, we report the in-depth phenotyping of genetically confirmed patients with GNAO1 encephalopathy, focusing on movement presentations. Results Six patients who participated in Korean Undiagnosed Disease Program were diagnosed to have pathogenic or likely pathogenic variants in GNAO1 using whole exome sequencing. All medical records and personal video clips were analyzed with a literature review. Three of the 6 patients were male. Median follow-up duration was 41months (range 7–78months) and age at last examination was 7.4years (range 3.3–16.9years). Initial complaints were hypotonia or developmental delay in 5 and right-hand clumsiness in 1 patient, which were noticed at median age of 3months (range 0–75months). All patients showed global developmental delay and 4 had severely retarded development. Five patients (5/6, 83.3%) had many different movement symptoms with various onset and progression. The symptoms included stereotyped hands movement, non-epileptic myoclonus, dyskinesia, dystonia and choreoathetosis. Whole exome sequencing identified 6 different variants in GNAO1. Three were novel de novo variants and atypical presentation was noted in a patient. One variant turned out to be inherited from patients mother who had mosaic variant. Distinct and characteristics movement phenotypes in patients with variant p.Glu246Lys and p.Arg209His were elucidated by in-depth phenotyping and literature review. Conclusions We reported 6 patients with GNAO1 encephalopathy showing an extremely diverse clinical spectrum on video. Some characteristic movement features identified by careful inspection may also provide important diagnostic insight and practice guidelines. | ko_KR |
dc.description.sponsorship | This study was supported by a research program funded by the Korea Centers for Disease Control and Prevention (Grant No. 2018-ER6901-02). | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | GNAO1 | - |
dc.subject | GNAO1 encephalopathy | - |
dc.subject | Movement disorder | - |
dc.subject | Early-onset dystonia | - |
dc.subject | Early-onset chorea | - |
dc.title | Spectrum of movement disorders in GNAO1 encephalopathy: in-depth phenotyping and case-by-case analysis | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 김수연 | - |
dc.contributor.AlternativeAuthor | 심영규 | - |
dc.contributor.AlternativeAuthor | 고영준 | - |
dc.contributor.AlternativeAuthor | 박수진 | - |
dc.contributor.AlternativeAuthor | 장세송 | - |
dc.contributor.AlternativeAuthor | 임병찬 | - |
dc.contributor.AlternativeAuthor | 김기중 | - |
dc.contributor.AlternativeAuthor | 채종희 | - |
dc.citation.journaltitle | Orphanet Journal of Rare Diseases | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2021-01-27T10:05:13Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 343 | ko_KR |
dc.citation.volume | 15 | ko_KR |
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