Uridine‐responsive epileptic encephalopathy due to inherited variants in CAD: A Tale of Two Siblings

Autor: Christopher M. McGraw, Sonal Mahida, Parul Jayakar, Hyun Yong Koh, Alan Taylor, Trevor Resnick, Lance Rodan, Marc A. Schwartz, Ayesha Ejaz, Vijay G. Sankaran, Gerard Berry, Annapurna Poduri
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Annals of Clinical and Translational Neurology, Vol 8, Iss 3, Pp 716-722 (2021)
Druh dokumentu: article
ISSN: 2328-9503
DOI: 10.1002/acn3.51272
Popis: Abstract We report two siblings with intractable epilepsy, developmental regression, and progressive cerebellar atrophy due to biallelic variants in the gene CAD. For the affected girl, uridine started at age 5 resulted in dramatic improvements in seizure control and development, cessation of cerebellar atrophy, and resolution of hematological abnormalities. Her older brother had a more severe course and only modest response to uridine started at 14 years old. Treatment of this progressive condition via uridine supplementation provides an example of precision diagnosis and treatment using clear outcome measures and biomarkers to monitor efficacy.
Databáze: Directory of Open Access Journals