Alternating hemiplegia of childhood (AHC)

Evidence-based neurology checklist on alternating hemiplegia of childhood (ahc): Genetics This is caused by mutations in the ATP1A3, ADCY5, TBC1D24, and RHOBTB2 genes It is however usually a sporadic neurodevelopmental disorder The onset is sudden in early age: this is usually <18 months of age…

Genetics

  • This is caused by mutations in the ATP1A3, ADCY5, TBC1D24, and RHOBTB2 genes
  • It is however usually a sporadic neurodevelopmental disorder
  • The onset is sudden in early age: this is usually <18 months of age

ATP1A3 mutation associated disorders

ADCY5 mutation associated disorders

TBC1D24 mutation associated disorders

Major neurological features

Associated neurological features

Cardiac features

Triggers

Differential diagnosis

Treatment

References

  1. Heinzen EL, Swoboda KJ, Hitomi Y, et al. De novo mutations in ATP1A3 cause alternating hemiplegia of childhood. Nat Genet 2012; 44:1030-1034.
  2. Rosewich H, Thiele H, Ohlenbusch A, et al. Heterozygous de-novo mutations in ATP1A3 in patients with alternating hemiplegia of childhood: a whole-exome sequencing gene-identification study. Lancet Neurol 2012; 11:764-773.
  3. Ragona F, Castellotti B, Salis B, et al. Alternating hemiplegia and epilepsia partialis continua: a new phenotype for a novel compound TBC1D24 mutation. Seizure 2017; 47:71-73.
  4. Zagaglia S, Steel D, Krithika S, et al. RHOBTB2 mutations expand the phenotypic spectrum of alternating hemiplegia of childhood. Neurology 2021; 96:e1539-e1550. 
  5. Sweney MT, Newcomb TM, Swoboda KJ. The expanding spectrum of neurological phenotypes in children with ATP1A3 mutations, alternating hemiplegia of childhood, rapid-onset dystonia-Parkinsonism, CAPOS and beyond. Pediatr Neurol 2014; pii: S0887-8994(14)00589-X.
  6. And 9 more. Subscribe to see the full list

Related checklists

Loading...