首页|1例母源性ATP1A3基因变异所致CAPOS综合征临床特征报告

1例母源性ATP1A3基因变异所致CAPOS综合征临床特征报告

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CAPOS综合征是由ATP1A3基因引起的常染色体显性遗传的神经系统疾病,现报告1例母源性ATP1A3基因变异所致CAPOS综合征的病例,本例患儿及其母亲均表现为发热后诱发,双耳重度以上的神经性耳聋、共济失调、腱反射消失、视力下降,母亲高足弓.经全外显子测序及线粒体基因检测证实为ATP1A3c.2452G>A(Glu818Lys)杂合变异致病.本文通过阐述病例的临床特点、诊疗经过及其与基因型的相关性,提高临床医师对CAPOS综合征的认识.
Clinical features of CAPOS syndrome caused by maternal ATP1A3 gene variation:a case report
CAPOS syndrome is an autosomal dominant neurological disorder caused by mutations in the ATP1A3 gene.Initial symptoms,often fever-induced,include recurrent acute ataxic encephalopathy in childhood,featuring cerebellar ataxia,optic atrophy,areflflexia,sensorineural hearing loss,and in some cases,pes cavus.This report details a case of CAPOS syndrome resulting from a maternal ATP1A3 gene mutation.Both the child and her mother exhibited symptoms post-febrile induction,including severe sensorineural hearing loss in both ears,ataxia,areflexia,and decreased vision.Additionally,the patient's mother presented with pes cavus.Genetic tes-ting revealed a c.2452G>A(Glu818Lys)heterozygous mutation in theATP1A3 gene in the patient.This article aims to enhance clinicians'understanding of CAPOS syndrome,emphasizing the case's clinical characteristics,di-agnostic process,treatment,and its correlation with genotypeic findings.

CAPOS syndromeATP1A3 genecerebellar ataxiaoptic atrophysensorineural hearing loss

高云、李凤娇、罗容、谌国会、李丹阳、王大勇、王秋菊

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解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳鼻咽喉内科国家耳鼻咽喉疾病临床医学研究中心(北京,100048)

河南省焦作市第二人民医院河南理工大学第一附属医院耳鼻咽喉头颈外科

四川天府新区人民医院耳鼻咽喉头颈外科

CAPOS综合征 ATP1A3基因 共济失调 视神经萎缩 感音神经性聋

国家自然科学基金优秀青年基金国家自然科学基金面上项目国家自然科学基金面上项目国家自然科学基金面上项目

82222016821711308227118982271171

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(1)
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