Table 2. Overview of the
SCN1A mutations inherited pattern in variety phenotype (# cases)
Inherited pattern |
SME
|
EE |
PE & PEFS+ |
|
GEFS+ and/or FS |
Unclassified |
Unknown |
Total |
|||||
SMEI |
SMEB |
SME(U) |
PE |
PEFS+ |
|
GE |
GEFS+ |
FS+/FS |
|||||
Inherited |
59(5.8) |
9(5.8) |
12(4.3) |
10(9.6) |
10(52.6) |
17(54.8) |
|
2(22.2) |
35(64.8) |
4(30.8) |
4(12.9) |
1(5.6) |
163(9.4) |
De novo |
608 |
77 |
51 |
33 |
7 |
9 |
|
4 |
2 |
2 |
15 |
5 |
813 (47.1) |
Unknown |
345 |
68 |
219 |
61 |
2 |
5 |
|
3 |
17 |
7 |
12 |
12 |
751 (43.5) |
Total |
1012 |
154 |
282 |
104 |
19 |
31 |
|
9 |
54 |
13 |
31 |
18 |
1727 |
Legend:
SMEI: severe myoclonic epilepsy of
infancy or classical Dravet syndrome (DS). SMEB: SMEI borderline, which also
included intractable childhood epilepsy with generalized tonic-clonic seizures
(ICEGTC) and incomplete Dravet syndrome (IDS). SME (U): indicated the phenotype that
was diagnosed to Dravet syndrome in the original articles, but lacked of
sufficient clinical information to further classify into SMEI or SMEB. EE: epileptic encephalopathy,
which included acute necrotizing encephalopathy (ANE), acute encephalopathy
with biphasic seizures and late reduced diffusion (AESD), classical Dravet
syndrome like or SMEI-like (DS-like), early onset epileptic encephalopathies
(EOEE), epilepsy-aphasia, epilepsy-aphasia with febrile seizure plus,
hemiconvulsions hemiplegia epilepsy (HHE), intractable epilepsy (IE), infantile
spasms (IS), Lennox-Gastaut syndrome (LGS), LGS (late-onset), myoclonic astatic
epilepsy (MAE), malignant migrating partial seizures in infancy (MMPSI),
progressive myoclonic epilepsy (PME ), Rasmussen encephalitis (RE), severe
idiopathic generalized epilepsy of infancy (SIGEI), and severe infantile
multifocal epilepsy (SIMFE). PEFS+: partial epilepsy and febrile seizures
plus, which also included cryptogenic focal epilepsy with febrile seizures
(CFE&FS), temporal lobe epilepsy with febrile seizures (FS&TLE), and
atypical multifocal DS lacks generalized seizures. PE: partial epilepsy, which
included autosomal dominant nocturnal frontal lobe epilepsy (ANDFLE), acute
encephalitis with refractory, repetitive partial seizures (AERRPS), cryptogenic
focal epilepsy (CFE), familial hemiplegic migraine with benign occipital
epilepsy (FHM+BOE), familial hemiplegic migraine with epilepsy (FHM+EP), focal
epilepsy with malformations of cortical development (FE&MCDs), and
Panayiotopoulos syndrome (PS). GE: generalized epilepsy, which included
cryptogenic generalized epilepsy (CGE), juvenile absence epilepsy (JAE),
juvenile myoclonic epilepsy (JME), and symptomatic generalized epilepsy (SGE). FS: febrile seizures. FS+:
febrile seizures
plus, cryptogenic generalized epilepsy with febrile seizures (CGE&FS) was
also included. Partial genomic rearrangement included partial gene
duplication/deletion and translocation. Whole gene duplication also included whole
gene amplification.