Case report: LAMC3- associated cortical malformations: Case report of a novel stop-gain variant and literature review

Malformations of cortical development (MCDs) can lead to peculiar neuroradiological patterns and clinical presentations (i.e., seizures, cerebral palsy, and intellectual disability) according to the specific genetic pathway of the brain development involved; and yet a certain degree of phenotypic he...

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Bibliographic Details
Published in:Frontiers in genetics Vol. 13; p. 990350
Main Authors: Falcicchio, Giovanni, Riva, Antonella, La Neve, Angela, Iacomino, Michele, Lastella, Patrizia, Suppressa, Patrizia, Sciruicchio, Vittorio, Trojano, Maria, Striano, Pasquale
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 06-01-2023
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Summary:Malformations of cortical development (MCDs) can lead to peculiar neuroradiological patterns and clinical presentations (i.e., seizures, cerebral palsy, and intellectual disability) according to the specific genetic pathway of the brain development involved; and yet a certain degree of phenotypic heterogeneity exists even when the same gene is affected. Here we report a man with an malformations of cortical development extending beyond occipital lobes associated with a novel stop-gain variant in . The patient is a 28-year-old man suffering from drug-resistant epilepsy and moderate intellectual disability. He underwent a brain magnetic resonance imaging showing polymicrogyria involving occipital and temporal lobes bilaterally. After performing exome sequencing, a novel stop-gain variant in (c.3871C>T; p. Arg1291*) was identified. According to the cortical alteration of the temporal regions, temporal seizures were detected; instead, the patient did not report occipital seizures. Different pharmacological and non-pharmacological interventions ( vagus nerve stimulation) were unsuccessful, even though a partial seizure reduction was obtained after cenobamate administration. Our case report confirms that variants of a gene known to be related to specific clinical and neuroradiological pictures can unexpectedly lead to new phenotypes involving different areas of the brain.
Bibliography:Jared C. Roach, Institute for Systems Biology (ISB), United States
Edited by: Anupam Basu, National Institute of Biomedical Genomics (NIBMG), India
This article was submitted to Genetics of Common and Rare Diseases, a section of the journal Frontiers in Genetics
These authors share first authorship
Reviewed by: Piero Pavone, University of Catania, Italy
ISSN:1664-8021
1664-8021
DOI:10.3389/fgene.2022.990350