Table 1.
Patient number | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 |
---|---|---|---|---|---|---|---|
Genotype | c.1627 G>A | c.1294 C>T | c.387+1 G>T | c.740 C>T | c.1741 C>T | c.853 C>A | c.860 C>T |
Protein change | p.(Val543Met) | p.(Arg432Cys) | Splicing | p.(Ser247Leu) | (p.Arg581*) | p.(Pro285Thr) | p.(Thr287Ile) |
Family mutation | Father and two aunts | Father | Mother | De novo | Mother and sister | De novo | De novo |
Sex | Female | Female | Male | Male | Female | Female | Male |
Other genetic study | KCNQ3 | Panel | KCNQ3 | Whole exon | Panel | Whole exon | KCNQ3 |
Family number of seizures other than index patient (n) | 3 | 1 | 1 | 0 | 2 | 0 | 0 |
Later seizures older than 3 years from familial KCNQ2 mutation (n) | 0 | 2 | 0 | 1 | 1 | 1 | 1 |
Age at first seizure | Day 14 | 1 year (febrile seizure) | Day 3 | Day 3 | Day 3 | Day 2 | Newborn |
Seizure type | General tonic | General tonic | General clonic | General tonic | General tonic | General tonic | General tonic |
Seizure frequency before drug control | + | + | +++ | +++ | +++ | +++ | +++ |
Drug control | OXC | OXC, TOP | PB, OXC | Intravenous PB, PHT then changed to PB, SAB, CLN | PB | Intravenous PB, PHT then changed to oral PB, SAB, CLN, OXC | TOP, OXC |
Seizure frequency after 6‐months drugs | ‐ | ‐ | ‐ | ‐ | ‐ | ‐ | + |
Abnormal MRI | No | No | No | Basal ganglion | No | Thin corpus callosum | No |
Dev. Del./Int. Dis. | No | Mild(ADHD) | No | Severe | No | Severe | Severe |
The sequence data of each patient were checked against the GenBank reference sequence and version number of KCNQ2 gene (NM_172107.3).
Abbreviations: NA, not available; VOUS, variance of unknown significance; PHT, phenytoin; OXC, oxcarbazepine; VPA, valproic acid; TOP, topiramate; PB, phenobarbital; KEP, levetiracetam; SAB, vigabatrin; CLN, clonazepam; MRI, magnetic resonance imaging; EEG, electroencephalography; +++, daily; ++, weekly; +, less than weekly; ADHD, attention deficit and hyperactivity; Dev. Del./Int. Dis., Developmental delay/intellectual disability.