Genetic testing in infantile spasms identifies a chromosome 13q deletion and retinoblastoma

Kevin Jones, Berge A. Minassian

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Infantile spasms is an epileptic encephalopathy and the common final manifestation of numerous disparate insults to the developing brain during infancy. The varied etiologies may be structural, metabolic, genetic, or unknown. Etiological diagnosis is important as it may lead to specific therapy, which may affect developmental outcome. Patient We report a case of infantile spasms of unknown etiology with dysmorphic features, in which genetic copy number variation microarray testing was included in the investigation of the cause of the disease. Results A large deletion of chromosome 13 was identified in the region 13q13 to 13q21.3 encompassing the retinoblastoma gene (13q14.2). Urgent ophthalmological evaluation revealed an asymptomatic retinoblastoma of the left eye, leading to early treatment. Conclusion This is the first case report of infantile spasms specifically associated with a chromosome 13q deletion. Chromosomal region 13q13 to 13q21.3 may contain one or more genes whose hemizygous loss leads to infantile spasms. Copy number variation testing for cryptogenic infantile spasms led to the discovery of a mutation responsible for retinoblastoma, enabling early diagnosis and treatment of a potentially life-threatening cancer. High-sensitivity molecular diagnosis improves health care and substantially reduces expenses. This shift in diagnostic evaluation is broadly relevant to health care.

Original languageEnglish (US)
Pages (from-to)522-524
Number of pages3
JournalPediatric Neurology
Volume50
Issue number5
DOIs
StatePublished - Jan 1 2014

Fingerprint

Infantile Spasms
Retinoblastoma
Genetic Testing
Retinoblastoma Genes
Delivery of Health Care
Chromosomes, Human, Pair 13
Brain Diseases
Early Diagnosis
Therapeutics
13q deletion syndrome
Mutation
Brain
Genes
Neoplasms

Keywords

  • chromosome 13q deletion
  • genetic testing
  • infantile spasms
  • retinoblastoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

Cite this

Genetic testing in infantile spasms identifies a chromosome 13q deletion and retinoblastoma. / Jones, Kevin; Minassian, Berge A.

In: Pediatric Neurology, Vol. 50, No. 5, 01.01.2014, p. 522-524.

Research output: Contribution to journalArticle

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