Clinical and genetic analysis of acute necrotizing encephalopathy with trilaminar appearance of insular in one family

  • TIAN Maoqiang ,
  • PENG Longying ,
  • LIU Shuyi ,
  • et al
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  • Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, Zunyi 563003 , Guizhou, China

Online published: 2021-09-28

Abstract

Objective To investigate the clinical and genetic characteristics of acute necrotizing encephalopathy (ANE) with trilaminar appearance (TA) of insular. Methods The clinical data of patients from one family diagnosed with ANE were collected and analyzed. Results The proband was a boy; he started development of convulsion and disturbance of consciousness at the age of 4 . 5 years, and a history of febrile convulsion at the age of 1 year. Head MRI showed symmetrical multifocal lesions with TA in the insular lobe. There were 6 patients in the family with onset ages ranging from 6 months to 50 years. The main symptoms of the patients were convulsion after fever or status convulsions and disturbance of consciousness, and 3 patients died of status convulsions. Whole-exon sequencing analysis confirmed that the pathogenic gene was RANBP2 (NM_ 006267 ; c. 1754 C>T [p.T 585 M]). Immunotherapy and energy support could improve the prognosis. Conclusion This study reported for the first time that TA can appear in the insula.

Cite this article

TIAN Maoqiang , PENG Longying , LIU Shuyi , et al . Clinical and genetic analysis of acute necrotizing encephalopathy with trilaminar appearance of insular in one family[J]. Journal of Clinical Pediatrics, 2021 , 39(10) : 771 . DOI: 10.3969/j.issn.1000-3606.2021.10.014

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