Epilepsy and Other Neuropsychiatric Manifestations in Children and Adolescents with 22q11.2 Deletion Syndrome.
- Author:
Eun Hee KIM
1
;
Mi Sun YUM
;
Beom Hee LEE
;
Hyo Won KIM
;
Hyun Jeoung LEE
;
Gu Hwan KIM
;
Yun Jeong LEE
;
Han Wook YOO
;
Tae Sung KO
Author Information
- Publication Type:Original Article
- Keywords: chromosome 22q11.2 deletion syndrome; distal; neurological manifestation; epilepsy; mental disorders
- MeSH: Adolescent*; Child*; DiGeorge Syndrome*; Epilepsy*; Genetic Loci; Growth Charts; Humans; Male; Malformations of Cortical Development; Medical Records; Mental Disorders; Neurologic Manifestations; Retrospective Studies; Seizures
- From:Journal of Clinical Neurology 2016;12(1):85-92
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND AND PURPOSE: 22q11.2 deletion syndrome (22q11.2DS) is the most common microdeletion syndrome. Epilepsy and other neuropsychiatric (NP) manifestations of this genetic syndrome are not uncommon, but they are also not well-understood. We sought to identify the characteristics of epilepsy and other associated NP manifestations in patients with 22q11.2DS. METHODS: We retrospectively analyzed the medical records of 145 child and adolescent patients (72 males and 73 females) with genetically diagnosed 22q11.2DS. The clinical data included seizures, growth chart, psychological reports, development characteristics, school performance, other clinical manifestations, and laboratory findings. RESULTS: Of the 145 patients with 22q11.2DS, 22 (15.2%) had epileptic seizures, 15 (10.3%) had developmental delay, and 5 (3.4%) had a psychiatric illness. Twelve patients with epilepsy were classified as genetic epilepsy whereas the remaining were classified as structural, including three with malformations of cortical development. Patients with epilepsy were more likely to display developmental delay (odds ratio=3.98; 95% confidence interval=1.5-10.5; p=0.005), and developmental delay was more common in patients with structural epilepsy than in those with genetic epilepsy. CONCLUSIONS: Patients with 22q11.2DS have a high risk of epilepsy, which in these cases is closely related to other NP manifestations. This implies that this specific genetic locus is critically linked to neurodevelopment and epileptogenesis.
