{"id":1527,"date":"2024-06-17T16:50:00","date_gmt":"2024-06-17T13:50:00","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2024\/06\/17\/riaduk-sluchai-na-epileptichna-encefalopatia-pri-deca-pack2-sindrom\/"},"modified":"2025-05-16T15:21:12","modified_gmt":"2025-05-16T12:21:12","slug":"riaduk-sluchai-na-epileptichna-encefalopatia-pri-deca-pack2-sindrom","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2024\/06\/17\/riaduk-sluchai-na-epileptichna-encefalopatia-pri-deca-pack2-sindrom\/","title":{"rendered":"A Rare Case of Infantile-Onset Epileptic Encephalopathy in PACS2 Syndrome"},"content":{"rendered":"\n\n\t\t<div class=\"icon-box featured-box icon-box-left text-left is-small\"  >\n\t\t\t\t\t<div class=\"icon-box-img\" style=\"width: 20px\">\n\t\t\t\t<div class=\"icon\">\n\t\t\t\t\t<div class=\"icon-inner\" >\n\t\t\t\t\t\t<img decoding=\"async\" width=\"48\" height=\"48\" src=\"https:\/\/pediatria-spisanie.eu\/wp-content\/uploads\/2024\/12\/icons8-user-48.png\" class=\"attachment-medium size-medium\" alt=\"\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div class=\"icon-box-text last-reset\">\n\t\t\t\t\t\t\t\t\t\n<h3> Z. Chuperkova, V. Iotova, I. Litvinenko, M. Stoyanova <\/h3>\n<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Abstract<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Developmental and Epileptic Encephalopathies (DEEs) include severe neonatal and childhood epilepsies characterized by delay or regression in neuropsychiatric development with recurrent seizures and frequent interictal epileptiform discharges. Their genetic causes can serve as a marker of their severity and evolution. Mutations in the gene encoding Phosphofurin acidic cluster sorting protein 2 (PACS2) are among the extremely rare DEEs. The PACS2 syndrome phenotype is characterized by facial dysmorphism, muscle hypotonia, global developmental delay, intellectual deficit with or without autistic features, and cerebellar dysgenesis with abnormalities of cerebellar folia. We present a clinical case of a 13-year-old girl affected by the most frequent mutation in the PACS2 gene, c.625G&gt;A (p.Glu209Lys), debuting with epileptic encephalopathy in infancy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Key words: <\/em><\/strong><em>epileptic encephalopathy, rare diseases, whole exome sequencing, PACS2 syndrome<\/em><\/p>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\t\t<div class=\"wp-block-woocommerce-memberships-member-content\">\n\t\t\t\t\t<div class=\"woocommerce\">\n\t\t\t<div class=\"woocommerce-info wc-memberships-restriction-message wc-memberships-message wc-memberships-content-restricted-message\">\n\t\t\t\tTo access this content, you must purchase <span class=\"wc-memberships-products-grant-access\"><a href=\"https:\/\/pediatria-spisanie.eu\/en\/produkt\/godishen-abonament\/\">\u0413\u043e\u0434\u0438\u0448\u0435\u043d \u0430\u0431\u043e\u043d\u0430\u043c\u0435\u043d\u0442<\/a><\/span>.\t\t    <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\n\n<h2 class=\"wp-block-heading\"><strong>Bibliography<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li> <strong>Olson, H.E., N. Jean-Mar\u00e7ais, E. Yang, et al.<\/strong>, <em>A Recurrent De Novo PACS2 Heterozygous Missense Variant Causes Neonatal-Onset Developmental Epileptic Encephalopathy, Facial Dysmorphism, and Cerebellar Dysgenesis.<\/em> Am J Hum Genet. 2018. 102(5): p. 995-1007.<\/li>\n\n\n\n<li>&nbsp; <strong>Raga, S., N. Specchio, S. Rheims, et al.<\/strong>, <em>Developmental and epileptic encephalopathies: recognition and approaches to care.<\/em> Epileptic Disord. 2021. 23(1): p. 40-52.<\/li>\n\n\n\n<li> <strong>Happ, H.C. and G.L. Carvill<\/strong>, <em>A 2020 View on the Genetics of Developmental and Epileptic Encephalopathies.<\/em> Epilepsy Curr. 2020. 20(2): p. 90-96.<\/li>\n\n\n\n<li>&nbsp; <strong>Allen, A.S., S.F. Berkovic, P. Cossette, et al.<\/strong>, <em>De novo mutations in epileptic encephalopathies.<\/em> Nature. 2013. 501(7466): p. 217-21.<\/li>\n\n\n\n<li><strong>Zhang, Q., J. Li, Y. Zhao, et al.<\/strong>, <em>Gene mutation analysis of 175 Chinese patients with early-onset epileptic encephalopathy.<\/em> Clin Genet. 2017. 91(5): p. 717-724.<\/li>\n\n\n\n<li> <strong>Burgess, R., S. Wang, A. McTague, et al.<\/strong>, <em>The Genetic Landscape of Epilepsy of Infancy with Migrating Focal Seizures.<\/em> Ann Neurol. 2019. 86(6): p. 821-831.<\/li>\n\n\n\n<li> <strong>Michaud, J.L., M. Lachance, F.F. Hamdan, et al.<\/strong>, <em>The genetic landscape of infantile spasms.<\/em> Hum Mol Genet. 2014. 23(18): p. 4846-58.<\/li>\n\n\n\n<li> <strong>Specchio, N. and P. Curatolo<\/strong>, <em>Developmental and epileptic encephalopathies: what we do and do not know.<\/em> Brain. 2021. 144(1): p. 32-43.<\/li>\n\n\n\n<li>&nbsp; <strong>Zang, R.X., M.J. Mumby, and J.D. Dikeakos<\/strong>, <em>The Phosphofurin Acidic Cluster Sorting Protein 2 (PACS-2) E209K Mutation Responsible for PACS-2 Syndrome Increases Susceptibility to Apoptosis.<\/em> ACS Omega. 2022. 7(38): p. 34378-34388.<\/li>\n\n\n\n<li><strong>Terrone, G., F. Marchese, M.S. Vari, et al.<\/strong>, <em>A further contribution to the delineation of epileptic phenotype in PACS2-related syndrome.<\/em> Seizure. 2020. 79: p. 53-55.<\/li>\n\n\n\n<li> <strong>Wu, M.J., C.H. Hu, J.H. Ma, et al.<\/strong>, <em>[Early infantile epileptic encephalopathy caused by PACS2 gene variation: three cases report and literature review].<\/em> Zhonghua Er Ke Za Zhi. 2021. 59(7): p. 594-599.<\/li>\n\n\n\n<li>&nbsp; <strong>Cesaroni, E., S. Matricardi, S. Cappanera, et al.<\/strong>, <em>First reported case of an inherited PACS2 pathogenic variant with variable expression.<\/em> Epileptic Disord. 2022. 24(3): p. 572-576.<\/li>\n\n\n\n<li> <strong>Mizuno, T., R. Miyata, A. Hojo, et al.<\/strong>, <em>Clinical variations of epileptic syndrome associated with PACS2 variant.<\/em> Brain Dev. 2021. 43(2): p. 343-347.<\/li>\n\n\n\n<li><strong>S\u00e1nchez-Soler, M.J., A.T. Serrano-Ant\u00f3n, V. L\u00f3pez-Gonz\u00e1lez, et al.<\/strong>, <em>New case with the recurrent c.625G&gt;A pathogenic variant in the PACS2 gene: expanding the phenotype.<\/em> Neurologia (Engl Ed). 2021. 36(9): p. 716-719.<\/li>\n\n\n\n<li><strong>Dentici, M.L., S. Barresi, M. Niceta, et al.<\/strong>, <em>Expanding the clinical spectrum associated with PACS2 mutations.<\/em> Clin Genet. 2019. 95(4): p. 525-531.<\/li>\n\n\n\n<li> <strong>Checri, R., B. Dozieres-Puyravel, M. Elmaleh-Berges, et al.<\/strong>, <em>PACS2 pathogenic variant associated with malformation of cortical development and epilepsy.<\/em> Epileptic Disord. 2023.<\/li>\n<\/ol>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><strong><em>Address for correspondence:<\/em><\/strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Second Pediatric Clinic, UMHAT St. Marina<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>1, \u201cHristo Smirnenski\u201d<\/em>,<em> Blvd.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>9010, Varna<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Bulgaria<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>e-mail: dr_chuperkova@mail.bg<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Z. Chuperkova, V. Iotova, I. Litvinenko, M. Stoyanova<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_pediatria_doi":"","footnotes":""},"categories":[1301,1336],"tags":[1611,1623,1626,1612,1613,1614,1625,1615,1624,1616,1617,1618,1619,1620,1621,1622],"class_list":["post-1527","post","type-post","status-publish","format-standard","hentry","category-articles","category-issue-2-2024","tag-epileptic-encephalopathy-en","tag-i-litvinenko-2","tag-m-stoyanova-2","tag-pacs2-syndrome-en","tag-pacs2-sindrom-en","tag-rare-diseases-en","tag-v-iotova","tag-whole-exome-sequencing-en","tag-z-chuperkova","tag-violeta-jotova-en","tag-epileptichna-enczefalopatiya-en","tag-zhivka-chuperkova-en","tag-ivan-litvinenko-en","tag-redki-zabolyavaniya-en","tag-ryadak-sluchaj-na-epileptichna-enczefalopatiya-pri-pacs2-sindrom-s-debyut-v-karmacheska-vazrast-en","tag-czyaloekzomen-sekvenaczionen-analiz-en"],"_links":{"self":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/comments?post=1527"}],"version-history":[{"count":2,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1527\/revisions"}],"predecessor-version":[{"id":1530,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1527\/revisions\/1530"}],"wp:attachment":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/media?parent=1527"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/categories?post=1527"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/tags?post=1527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}