GNAO1 encephalopathy: management

Evidence-based neurology checklist on gnao1 encephalopathy: management: Brain magnetic resonance imaging (MRI): features Thin corpus callosum Dilated ventricles Hypoplastic caudate nuclei Cerebral atrophy Diffuse astrocytoma in one case Restricted diffusion during exacerbations…

Brain magnetic resonance imaging (MRI): features

  • Thin corpus callosum
  • Dilated ventricles
  • Hypoplastic caudate nuclei
  • Cerebral atrophy
  • Diffuse astrocytoma in one case
  • Restricted diffusion during exacerbations

Electroencephalogram (EEG): features

Treatment

References

  1. Arya R, Spaeth C, Gilbert DL, Leach JL, Holland KD. GNAO1-associated epileptic encephalopathy and movement disorders: c.607G>A variant represents a probable mutation hotspot with a distinct phenotype. Epileptic Disord 2017; 19:67-75.
  2. Waak M, Mohammad SS, Coman D, et al. GNAO1-related movement disorder with life-threatening exacerbations: movement phenomenology and response to DBS. JNNP 2017; pii: jnnp-2017-315653 (Epub ahead of print).
  3. Kobayashi Y, Tohyama J, Kato M, et al. High prevalence of genetic alterations in early-onset epileptic encephalopathies associated with infantile movement disorders. Brain Dev 2016; 38:285-292. 
  4. Moseley BD, Dhamija R, Wirrell EC, Nickels KC. Historic, clinical, and prognostic features of epileptic encephalopathies caused by CDKL5 mutations. Pediatr Neurol 2012; 46:101-105.
  5. Saitsu H, Fukai R, Ben-Zeev B, et al. Phenotypic spectrum of GNAO1 variants: epileptic encephalopathy to involuntary movements with severe developmental delay. Eur J Hum Genet 2016; 24:129-134.
  6. And 6 more. Subscribe to see the full list

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