Difference between revisions of "Angelman syndrome"

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* Genetic disorder, loss of function in UBE3A gene on chromosome 15.
 
* Genetic disorder, loss of function in UBE3A gene on chromosome 15.
 
* Clinical features apparent after birth, usually within age of 1 or 2 years old.
 
* Clinical features apparent after birth, usually within age of 1 or 2 years old.
 
  
 
==Clinics==
 
==Clinics==
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* Sleep disturbances.
 
* Sleep disturbances.
 
* Microcephaly, large tongue and hypersalivation.
 
* Microcephaly, large tongue and hypersalivation.
* 90% of the paients have seizures ;  usually tonic or atone seizures, or absences.
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* 90% of the patients have seizures ;  usually tonic or atone seizures, or absences.
 
* Vulnerable to infections.
 
* Vulnerable to infections.
  
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* Occipital discharges can be triggered by closing th eyes.  
 
* Occipital discharges can be triggered by closing th eyes.  
 
* EEG similar in patients wit hand without seizures.
 
* EEG similar in patients wit hand without seizures.
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Latest revision as of 11:28, 14 July 2017

Background

  • In 1/12,000- 1/25,000 children.
  • Genetic disorder, loss of function in UBE3A gene on chromosome 15.
  • Clinical features apparent after birth, usually within age of 1 or 2 years old.

Clinics

  • Delayed psychomotor development.
  • In early years often smiling: ‘Happy puppet syndrome’.
  • Overeating.
  • Sleep disturbances.
  • Microcephaly, large tongue and hypersalivation.
  • 90% of the patients have seizures ; usually tonic or atone seizures, or absences.
  • Vulnerable to infections.

EEG

  • Frontal slowing
  • Rhytmic discharges in 2-4Hz predominently in the frontal and/or occipital regions.
  • Occipital discharges can be triggered by closing th eyes.
  • EEG similar in patients wit hand without seizures.



Angelman syndrome in an 8-year-old girl (source) with frontal slowing together with occipital and frontal spikes and slow wave complexes, not synchrone

Angelman syndrome in an 8-year-old girl (source).png EEGpedia.png