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Clinical and Genetic Features in Patients With Reflex Bathing Epilepsy.


ABSTRACT:

Objective

To describe the clinical and genetic findings in a cohort of individuals with bathing epilepsy, a rare form of reflex epilepsy.

Methods

We investigated by Sanger and targeted resequencing the SYN1 gene in 12 individuals from 10 different families presenting with seizures triggered primarily by bathing or showering. An additional 12 individuals with hot-water epilepsy were also screened.

Results

In all families with bathing epilepsy, we identified 8 distinct pathogenic or likely pathogenic variants and 2 variants of unknown significance in SYN1, 9 of which are novel. Conversely, none of the individuals with hot-water epilepsy displayed SYN1 variants. In mutated individuals, seizures were typically triggered by showering or bathing regardless of the water temperature. Additional triggers included fingernail clipping, haircutting, or watching someone take a shower. Unprovoked seizures and a variable degree of developmental delay were also common.

Conclusion

Bathing epilepsy is genetically distinct reflex epilepsy caused mainly by SYN1 mutations.

SUBMITTER: Accogli A 

PROVIDER: S-EPMC8424500 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Publications

Clinical and Genetic Features in Patients With Reflex Bathing Epilepsy.

Accogli Andrea A   Wiegand Gert G   Scala Marcello M   Cerminara Caterina C   Iacomino Michele M   Riva Antonella A   Carlini Barbara B   Camerota Letizia L   Belcastro Vincenzo V   Prontera Paolo P   Fernández-Jaén Alberto A   Bebek Nerses N   Scudieri Paolo P   Baldassari Simona S   Salpietro Vincenzo V   Novelli Giuseppe G   De Luca Chiara C   von Stülpnagel Celina C   Kluger Felicitas F   Kluger Gerhard Josef GJ   Wohlrab Gabriele Christine GC   Ramantani Georgia G   Lewis-Smith David D   Thomas Rhys H RH   Lai Ming M   Verrotti Alberto A   Striano Salvatore S   Depienne Christel C   Minetti Carlo C   Benfenati Fabio F   Brancati Francesco F   Zara Federico F   Striano Pasquale P  

Neurology 20210602 6


<h4>Objective</h4>To describe the clinical and genetic findings in a cohort of individuals with bathing epilepsy, a rare form of reflex epilepsy.<h4>Methods</h4>We investigated by Sanger and targeted resequencing the <i>SYN1</i> gene in 12 individuals from 10 different families presenting with seizures triggered primarily by bathing or showering. An additional 12 individuals with hot-water epilepsy were also screened.<h4>Results</h4>In all families with bathing epilepsy, we identified 8 distinct  ...[more]

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