中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2012年
3期
304-306
,共3页
刘建明%孟繁鑫%满丽%贾茹%王艳%刘智良
劉建明%孟繁鑫%滿麗%賈茹%王豔%劉智良
류건명%맹번흠%만려%가여%왕염%류지량
癫痫%热性惊厥附加症%家系
癲癇%熱性驚厥附加癥%傢繫
전간%열성량궐부가증%가계
Epilepsy%Generalized epilepsy with febrile seizures plus%Pedigree
目的 分析并确定一个全面性癫痫伴热性惊厥附加症(GEFS+)家系临床表型. 方法 收集先证者及其家系成员临床资料进行分析总结并建立完善的家系谱. 结果 该家系为典型GEFS+家系,6代共有20例受累成员,临床表型9例为热性惊厥(FS),4例为热性惊厥附加症(FS+). 结论 GEFS+具有表型异质性和遗传异质性,常见表型为FS和FS+,为常染色体显性遗传,家族史调查是诊断该病的关键.
目的 分析併確定一箇全麵性癲癇伴熱性驚厥附加癥(GEFS+)傢繫臨床錶型. 方法 收集先證者及其傢繫成員臨床資料進行分析總結併建立完善的傢繫譜. 結果 該傢繫為典型GEFS+傢繫,6代共有20例受纍成員,臨床錶型9例為熱性驚厥(FS),4例為熱性驚厥附加癥(FS+). 結論 GEFS+具有錶型異質性和遺傳異質性,常見錶型為FS和FS+,為常染色體顯性遺傳,傢族史調查是診斷該病的關鍵.
목적 분석병학정일개전면성전간반열성량궐부가증(GEFS+)가계림상표형. 방법 수집선증자급기가계성원림상자료진행분석총결병건립완선적가계보. 결과 해가계위전형GEFS+가계,6대공유20례수루성원,림상표형9례위열성량궐(FS),4례위열성량궐부가증(FS+). 결론 GEFS+구유표형이질성화유전이질성,상견표형위FS화FS+,위상염색체현성유전,가족사조사시진단해병적관건.
Objective To identify and analyze the genotype-phenotype correlations in a Chinese family with generalized epilepsy with febrile seizures plus (GEFS+) and its inheritance. Methods The clinical data of the proband and other available members in the GETS+ family were investigated and analyzed; their MRI and electroencephalogram were provided; the drug therapy was adjusted in patients still having seizures; at last,complete family constellation was set up. Results There were 20 affected members in the six-generation family,in which 9 were with febrile seizures (FS) and 4 with febrile seizures plus (FS+).Three patients died at an early age,and their treatment methods were un-known; 10patients accepted informal anti-epileptic treatment, and the other 7 accepted anti-epileptic treatments and/or other treatments.All patients,except the proband,had a good prognosis; most patients were seizure-free before the age of puberty; only 3 patients had occasional seizures after the puberty.Conclusion The heterogeneity of phenotypes and genetics may be the hallmarks of GETS+; FS and FS+are the common phenotypes; it is speculated that the hereditary pattern of GEFS+ conforms to be the autosomal dominant inheritance; family history is the key of final diagnosis.