A case of malignant migrating partial seizures in infancy as a continuum of infantile epileptic encephalopathy

2012 ◽  
Vol 34 (9) ◽  
pp. 768-772 ◽  
Author(s):  
Eun Hye Lee ◽  
Mi-Sun Yum ◽  
Min-Hee Jeong ◽  
Kyung Yeon Lee ◽  
Tae-Sung Ko
Author(s):  
JM Smith ◽  
M Patel ◽  
Q Xu ◽  
S Uliel-Sibony ◽  
M Demos ◽  
...  

Background: The KCNT1 gene encodes subunits of the Na+-activated K+ channel, widely expressed in the CNS. Mutations of this gene have been implicated in Malignant Migrating Partial Seizures of Infancy (MMPSI). This early-onset epileptic encephalopathy represents a challenge due to pharmacoresistance. The channel-specific mutation represents the potential for targeted pharmacotherapy. Quinidine is a partial antagonist of the KCNT1 encoded channel; patients with MMPSI have been reported to have responded to doses ranging 34.4/kg/d - 60mg/kg/d. We present a case of MMPSI with a KCNTI mutation (c.G1283A:p.R428Q) trialled on quinidine. Methods: Following ineffective trials of 6 anti-seizure medications, this patient was trialled on oral quinidine. This patient was titrated up to a dose of 52mg/kg/d. Twenty-four hour EEG monitoring prior to quinidine therapy, and at target dose were compared. Results: Prior to initiation of quinidine, this patient experienced 22 electrographic seizures over 24 hours. At target dose, this patient experienced greater than 70 seizures over 24 hours. Conclusions: Quinidine has previously been reported to be effective in patients with MMPSI with the same and different mutations. We report the second case of a patient with MMPSI and KCNT1 mutation R428Q with poor clinical response to quinidine.


2016 ◽  
Vol 58 (10) ◽  
pp. 1085-1091 ◽  
Author(s):  
Carmen Barba ◽  
Francesca Darra ◽  
Raffaella Cusmai ◽  
Elena Procopio ◽  
Carlo Dionisi Vici ◽  
...  

2014 ◽  
Vol 2 ◽  
pp. 43-45 ◽  
Author(s):  
Rajesh Shankar Iyer ◽  
Thanikasalam ◽  
Mugundhan Krishnan

2000 ◽  
Vol 22 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Koji Okuda ◽  
Akihiro Yasuhara ◽  
Atsushi Kamei ◽  
Atsushi Araki ◽  
Naoyuki Kitamura ◽  
...  

2013 ◽  
Vol 17 ◽  
pp. S2-S3
Author(s):  
A McTague ◽  
E Meyer ◽  
RE Appleton ◽  
K Lascelles ◽  
A Desurkar ◽  
...  

2016 ◽  
Vol 38 (7) ◽  
pp. 658-662 ◽  
Author(s):  
Ayako Itakura ◽  
Yoshiaki Saito ◽  
Yoko Nishimura ◽  
Tetsuya Okazaki ◽  
Koyo Ohno ◽  
...  

2014 ◽  
Vol 28 (11) ◽  
pp. 84
Author(s):  
J Gordon Millichap ◽  
John J Millichap

2013 ◽  
Vol 74 (6) ◽  
pp. 873-882 ◽  
Author(s):  
Annapurna Poduri ◽  
Erin L. Heinzen ◽  
Vida Chitsazzadeh ◽  
Francesco Massimo Lasorsa ◽  
P. Christina Elhosary ◽  
...  

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