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Developmental and epileptic encephalopathy 116(DEE116)

MedGen UID:
1857742
Concept ID:
C5935615
Disease or Syndrome
Synonyms: DEE116; DEVELOPMENTAL AND EPILEPTIC ENCEPHALOPATHY 116
 
Gene (location): GLUL (1q25.3)
 
Monarch Initiative: MONDO:0970945
OMIM®: 620806

Definition

Developmental and epileptic encephalopathy-116 (DEE116) is an autosomal dominant disorder characterized by severe developmental delay, seizures, and white matter abnormalities but normal plasma and cerebrospinal fluid biochemistry (Jones et al., 2024). [from OMIM]

Clinical features

From HPO
Dilation of Virchow-Robin spaces
MedGen UID:
342926
Concept ID:
C1853618
Finding
Increased dimensions of the Virchow-Robin spaces (also known as perivascular spaces), which surround the walls of vessels as they course from the subarachnoid space through the brain parenchyma. Perivascular spaces are commonly microscopic, and not visible on conventional neuroimaging. This term refers to an increase of size of these spaces such that they are visible on neuroimaging (usually magnetic resonance imaging). The dilatations are regular cavities that always contain a patent artery.
Generalized-onset seizure
MedGen UID:
115963
Concept ID:
C0234533
Disease or Syndrome
A generalized-onset seizure is a type of seizure originating at some point within, and rapidly engaging, bilaterally distributed networks. The networks may include cortical and subcortical structures but not necessarily the entire cortex.
Tonic seizure
MedGen UID:
82855
Concept ID:
C0270844
Disease or Syndrome
A tonic seizure is a type of motor seizure characterized by unilateral or bilateral limb stiffening or elevation, often with neck stiffening.
Epilepsy with myoclonic atonic seizures
MedGen UID:
98284
Concept ID:
C0393702
Disease or Syndrome
SLC6A1-related neurodevelopmental disorder (SLC6A1-NDD) is characterized by mild-to-severe developmental delay and/or intellectual disability, hypotonia, epilepsy, movement disorders (e.g., tremor, stereotypies, ataxia), and neurobehavioral and/or psychiatric manifestations (e.g., autism spectrum disorder, attention-deficit/hyperactivity disorder, aggression, anxiety, and/or sleep disturbances). Language skills, particularly expressive language, are often more significantly affected than motor development. Developmental regression has been reported. Gastrointestinal manifestations (e.g., constipation, diarrhea) are also common.
Bilateral tonic-clonic seizure
MedGen UID:
141670
Concept ID:
C0494475
Sign or Symptom
A bilateral tonic-clonic seizure is a seizure defined by a tonic (bilateral increased tone, lasting seconds to minutes) and then a clonic (bilateral sustained rhythmic jerking) phase.
Epileptic encephalopathy
MedGen UID:
452596
Concept ID:
C0543888
Disease or Syndrome
A condition in which epileptiform abnormalities are believed to contribute to the progressive disturbance in cerebral function. Epileptic encephalaopathy is characterized by (1) electrographic EEG paroxysmal activity that is often aggressive, (2) seizures that are usually multiform and intractable, (3) cognitive, behavioral and neurological deficits that may be relentless, and (4) sometimes early death.
Focal-onset seizure
MedGen UID:
199670
Concept ID:
C0751495
Disease or Syndrome
A focal-onset seizure is a type of seizure originating within networks limited to one hemisphere. They may be discretely localized or more widely distributed, and may originate in subcortical structures.
Focal clonic seizure
MedGen UID:
155749
Concept ID:
C0752323
Disease or Syndrome
A focal clonic seizure is a type of focal motor seizure characterized by sustained rhythmic jerking, that is regularly repetitive.
Profound global developmental delay
MedGen UID:
766364
Concept ID:
C3553450
Disease or Syndrome
A profound delay in the achievement of motor or mental milestones in the domains of development of a child.
Infantile spasms
MedGen UID:
854616
Concept ID:
C3887898
Disease or Syndrome
Infantile spasms represent a subset of "epileptic spasms". Infantile Spasms are epileptic spasms starting in the first year of life (infancy).
Focal myoclonic seizure
MedGen UID:
869083
Concept ID:
C4023501
Disease or Syndrome
A type of focal motor seizure characterized by sudden, brief (<100 ms) involuntary single or multiple contraction(s) of muscles(s) or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus.
CNS hypomyelination
MedGen UID:
892446
Concept ID:
C4025616
Finding
Reduced amount of myelin in the central nervous system resulting from defective myelinogenesis.
Generalized non-motor (absence) seizure
MedGen UID:
1385688
Concept ID:
C4316903
Disease or Syndrome
A generalized non-motor (absence) seizure is a type of a type of dialeptic seizure that is of electrographically generalized onset. It is a generalized seizure characterized by an interruption of activities, a blank stare, and usually the person will be unresponsive when spoken to. Any ictal motor phenomena are minor in comparison to these non-motor features.
Myoclonic seizure
MedGen UID:
1385980
Concept ID:
C4317123
Sign or Symptom
A myoclonic seizure is a type of motor seizure characterized by sudden, brief (<100 ms) involuntary single or multiple contraction of muscles or muscle groups of variable topography (axial, proximal limb, distal). Myoclonus is less regularly repetitive and less sustained than is clonus.
Decreased CSF glutamine concentration
MedGen UID:
1707750
Concept ID:
C5139583
Finding
Abnormally decreased levels of glutamine in cerebrospinal fluid.
Thin corpus callosum
MedGen UID:
1785336
Concept ID:
C5441562
Anatomical Abnormality
An abnormally thin corpus callous, due to atrophy, hypoplasia or agenesis. This term is intended to be used in situations where it is not known if thinning of the corpus callosum (for instance, as visualized by magnetic resonance tomography) is due to abnormal development (e.g. a leukodystrophy) or atrophy following normal development (e.g. neurodegeneration).
Hypotonia
MedGen UID:
10133
Concept ID:
C0026827
Finding
Hypotonia is an abnormally low muscle tone (the amount of tension or resistance to movement in a muscle). Even when relaxed, muscles have a continuous and passive partial contraction which provides some resistance to passive stretching. Hypotonia thus manifests as diminished resistance to passive stretching. Hypotonia is not the same as muscle weakness, although the two conditions can co-exist.
Hypoglutaminemia
MedGen UID:
1671003
Concept ID:
C4732901
Finding
Decreased amount of glutamine in the blood.

Professional guidelines

PubMed

Cutts A, Savoie H, Hammer MF, Schreiber J, Grayson C, Luzon C, Butterfield N, Pimstone SN, Aycardi E, Harden C, Yonan C, Jen E, Nguyen T, Carmack T, Haubenberger D
Seizure 2022 Apr;97:50-57. Epub 2022 Mar 10 doi: 10.1016/j.seizure.2022.03.008. PMID: 35325842
Masri A, Chung SK, Rees MI
Brain Dev 2017 Apr;39(4):306-311. Epub 2016 Nov 11 doi: 10.1016/j.braindev.2016.10.010. PMID: 27843043
Shi XY, Tomonoh Y, Wang WZ, Ishii A, Higurashi N, Kurahashi H, Kaneko S, Hirose S; Epilepsy Genetic Study Group, Japan
Brain Dev 2016 Jan;38(1):40-6. Epub 2015 Jul 13 doi: 10.1016/j.braindev.2015.06.008. PMID: 26183863

Recent clinical studies

Etiology

Lauxmann S, Heuer D, Heckelmann J, Fischer FP, Schreiber M, Schriewer E, Widman G, Weber Y, Lerche H, Alber M, Schuh-Hofer S, Wolking S
J Neurol 2024 Oct;271(10):6596-6604. Epub 2024 Jul 1 doi: 10.1007/s00415-024-12510-1. PMID: 38954033Free PMC Article
Schoeler NE, Marston L, Lyons L, Halsall S, Jain R, Titre-Johnson S, Balogun M, Heales SJR, Eaton S, Orford M, Neal E, Reilly C, Eltze C, Stephen E, Mallick AA, O'Callaghan F, Agrawal S, Parker A, Kirkpatrick M, Brunklaus A, McLellan A, McCullagh H, Samanta R, Kneen R, Tan HJ, Devlin A, Prasad M, Rattihalli R, Basu H, Desurkar A, Williams R, Fallon P, Nazareth I, Freemantle N, Cross JH; KIWE study group
Lancet Neurol 2023 Dec;22(12):1113-1124. doi: 10.1016/S1474-4422(23)00370-8. PMID: 37977712
Gulcebi MI, Bartolini E, Lee O, Lisgaras CP, Onat F, Mifsud J, Striano P, Vezzani A, Hildebrand MS, Jimenez-Jimenez D, Junck L, Lewis-Smith D, Scheffer IE, Thijs RD, Zuberi SM, Blenkinsop S, Fowler HJ, Foley A; Epilepsy Climate Change Consortium, Sisodiya SM
Epilepsy Behav 2021 Mar;116:107791. Epub 2021 Feb 10 doi: 10.1016/j.yebeh.2021.107791. PMID: 33578223Free PMC Article
Moya-Mendez ME, Mueller DM, Pratt M, Bonner M, Elliott C, Hunanyan A, Kucera G, Bock C, Prange L, Jasien J, Keough K, Shashi V, McDonald M, Mikati MA
Epilepsy Behav 2021 Mar;116:107732. Epub 2021 Jan 23 doi: 10.1016/j.yebeh.2020.107732. PMID: 33493807Free PMC Article
Park JT, Fernandez-Baca Vaca G, Tangen RB, Cohen ML, Miller JP
World Neurosurg 2018 Aug;116:268-273. Epub 2018 Jun 1 doi: 10.1016/j.wneu.2018.05.182. PMID: 29864567

Diagnosis

Çapan ÖY, Yapıcı Z, Özbil M, Çağlayan HS
Seizure 2024 Mar;116:51-64. Epub 2023 Jun 12 doi: 10.1016/j.seizure.2023.06.009. PMID: 37353388
Paprocka J, Kaminiów K, Yetkin O, Tekturk P, Baykan B, Leiz S, Kluger G, Striano P
Seizure 2024 Mar;116:14-23. Epub 2022 Dec 8 doi: 10.1016/j.seizure.2022.12.001. PMID: 36526544
Katyayan A, Takacs DS, Vanderslice K, Riviello JJ
Seizure 2022 Apr;97:102-105. Epub 2022 Mar 24 doi: 10.1016/j.seizure.2022.03.016. PMID: 35390640
Morrison-Levy N, Borlot F, Jain P, Whitney R
Pediatr Neurol 2021 Mar;116:85-94. Epub 2020 Dec 13 doi: 10.1016/j.pediatrneurol.2020.12.001. PMID: 33515866
Chang RS, Leung CYW, Ho CCA, Yung A
J Formos Med Assoc 2017 Oct;116(10):736-741. Epub 2017 Jun 23 doi: 10.1016/j.jfma.2017.06.001. PMID: 28648375

Therapy

Lauxmann S, Heuer D, Heckelmann J, Fischer FP, Schreiber M, Schriewer E, Widman G, Weber Y, Lerche H, Alber M, Schuh-Hofer S, Wolking S
J Neurol 2024 Oct;271(10):6596-6604. Epub 2024 Jul 1 doi: 10.1007/s00415-024-12510-1. PMID: 38954033Free PMC Article
Zou DF, Li XY, Lu XG, Wang HL, Song W, Zhang MW, Liu XR, Li BM, Liao JX, Zhong JM, Meng H, Li B
Seizure 2024 Mar;116:37-44. Epub 2023 Mar 11 doi: 10.1016/j.seizure.2023.03.003. PMID: 36941137
Schoeler NE, Marston L, Lyons L, Halsall S, Jain R, Titre-Johnson S, Balogun M, Heales SJR, Eaton S, Orford M, Neal E, Reilly C, Eltze C, Stephen E, Mallick AA, O'Callaghan F, Agrawal S, Parker A, Kirkpatrick M, Brunklaus A, McLellan A, McCullagh H, Samanta R, Kneen R, Tan HJ, Devlin A, Prasad M, Rattihalli R, Basu H, Desurkar A, Williams R, Fallon P, Nazareth I, Freemantle N, Cross JH; KIWE study group
Lancet Neurol 2023 Dec;22(12):1113-1124. doi: 10.1016/S1474-4422(23)00370-8. PMID: 37977712
Katyayan A, Takacs DS, Vanderslice K, Riviello JJ
Seizure 2022 Apr;97:102-105. Epub 2022 Mar 24 doi: 10.1016/j.seizure.2022.03.016. PMID: 35390640
Gulcebi MI, Bartolini E, Lee O, Lisgaras CP, Onat F, Mifsud J, Striano P, Vezzani A, Hildebrand MS, Jimenez-Jimenez D, Junck L, Lewis-Smith D, Scheffer IE, Thijs RD, Zuberi SM, Blenkinsop S, Fowler HJ, Foley A; Epilepsy Climate Change Consortium, Sisodiya SM
Epilepsy Behav 2021 Mar;116:107791. Epub 2021 Feb 10 doi: 10.1016/j.yebeh.2021.107791. PMID: 33578223Free PMC Article

Prognosis

Lugli L, Bariola MC, Guidotti I, Pugliese M, Roversi MF, Bedetti L, Della Casa Muttini E, Miselli F, Ori L, Lucaccioni L, Bertoncelli N, Rossi K, Crestani S, Bergonzini P, Iughetti L, Ferrari F, Berardi A
Eur J Paediatr Neurol 2024 Mar;49:17-26. Epub 2024 Jan 28 doi: 10.1016/j.ejpn.2024.01.007. PMID: 38324990
Schoeler NE, Marston L, Lyons L, Halsall S, Jain R, Titre-Johnson S, Balogun M, Heales SJR, Eaton S, Orford M, Neal E, Reilly C, Eltze C, Stephen E, Mallick AA, O'Callaghan F, Agrawal S, Parker A, Kirkpatrick M, Brunklaus A, McLellan A, McCullagh H, Samanta R, Kneen R, Tan HJ, Devlin A, Prasad M, Rattihalli R, Basu H, Desurkar A, Williams R, Fallon P, Nazareth I, Freemantle N, Cross JH; KIWE study group
Lancet Neurol 2023 Dec;22(12):1113-1124. doi: 10.1016/S1474-4422(23)00370-8. PMID: 37977712
Gulcebi MI, Bartolini E, Lee O, Lisgaras CP, Onat F, Mifsud J, Striano P, Vezzani A, Hildebrand MS, Jimenez-Jimenez D, Junck L, Lewis-Smith D, Scheffer IE, Thijs RD, Zuberi SM, Blenkinsop S, Fowler HJ, Foley A; Epilepsy Climate Change Consortium, Sisodiya SM
Epilepsy Behav 2021 Mar;116:107791. Epub 2021 Feb 10 doi: 10.1016/j.yebeh.2021.107791. PMID: 33578223Free PMC Article
Moya-Mendez ME, Mueller DM, Pratt M, Bonner M, Elliott C, Hunanyan A, Kucera G, Bock C, Prange L, Jasien J, Keough K, Shashi V, McDonald M, Mikati MA
Epilepsy Behav 2021 Mar;116:107732. Epub 2021 Jan 23 doi: 10.1016/j.yebeh.2020.107732. PMID: 33493807Free PMC Article
Park JT, Fernandez-Baca Vaca G, Tangen RB, Cohen ML, Miller JP
World Neurosurg 2018 Aug;116:268-273. Epub 2018 Jun 1 doi: 10.1016/j.wneu.2018.05.182. PMID: 29864567

Clinical prediction guides

Lauxmann S, Heuer D, Heckelmann J, Fischer FP, Schreiber M, Schriewer E, Widman G, Weber Y, Lerche H, Alber M, Schuh-Hofer S, Wolking S
J Neurol 2024 Oct;271(10):6596-6604. Epub 2024 Jul 1 doi: 10.1007/s00415-024-12510-1. PMID: 38954033Free PMC Article
Lugli L, Bariola MC, Guidotti I, Pugliese M, Roversi MF, Bedetti L, Della Casa Muttini E, Miselli F, Ori L, Lucaccioni L, Bertoncelli N, Rossi K, Crestani S, Bergonzini P, Iughetti L, Ferrari F, Berardi A
Eur J Paediatr Neurol 2024 Mar;49:17-26. Epub 2024 Jan 28 doi: 10.1016/j.ejpn.2024.01.007. PMID: 38324990
Schoeler NE, Marston L, Lyons L, Halsall S, Jain R, Titre-Johnson S, Balogun M, Heales SJR, Eaton S, Orford M, Neal E, Reilly C, Eltze C, Stephen E, Mallick AA, O'Callaghan F, Agrawal S, Parker A, Kirkpatrick M, Brunklaus A, McLellan A, McCullagh H, Samanta R, Kneen R, Tan HJ, Devlin A, Prasad M, Rattihalli R, Basu H, Desurkar A, Williams R, Fallon P, Nazareth I, Freemantle N, Cross JH; KIWE study group
Lancet Neurol 2023 Dec;22(12):1113-1124. doi: 10.1016/S1474-4422(23)00370-8. PMID: 37977712
Gulcebi MI, Bartolini E, Lee O, Lisgaras CP, Onat F, Mifsud J, Striano P, Vezzani A, Hildebrand MS, Jimenez-Jimenez D, Junck L, Lewis-Smith D, Scheffer IE, Thijs RD, Zuberi SM, Blenkinsop S, Fowler HJ, Foley A; Epilepsy Climate Change Consortium, Sisodiya SM
Epilepsy Behav 2021 Mar;116:107791. Epub 2021 Feb 10 doi: 10.1016/j.yebeh.2021.107791. PMID: 33578223Free PMC Article
Moya-Mendez ME, Mueller DM, Pratt M, Bonner M, Elliott C, Hunanyan A, Kucera G, Bock C, Prange L, Jasien J, Keough K, Shashi V, McDonald M, Mikati MA
Epilepsy Behav 2021 Mar;116:107732. Epub 2021 Jan 23 doi: 10.1016/j.yebeh.2020.107732. PMID: 33493807Free PMC Article

Recent systematic reviews

Paprocka J, Kaminiów K, Yetkin O, Tekturk P, Baykan B, Leiz S, Kluger G, Striano P
Seizure 2024 Mar;116:14-23. Epub 2022 Dec 8 doi: 10.1016/j.seizure.2022.12.001. PMID: 36526544
Banach R, Boskovic R, Einarson T, Koren G
Drug Saf 2010 Jan 1;33(1):73-9. doi: 10.2165/11317640-000000000-00000. PMID: 20000869

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