{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:39:21Z","timestamp":1790235561816,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T00:00:00Z","timestamp":1356048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Genes Brain and Behavior"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p><jats:bold>Paroxysmal dyskinesias (<jats:styled-content style=\"fixed-case\">PDs<\/jats:styled-content>) are a group of episodic movement disorders with marked variability in clinical manifestation and potential association with epilepsy. <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> has been identified as a causative gene for <jats:styled-content style=\"fixed-case\">PDs<\/jats:styled-content>, but the phenotypes and inheritance patterns of <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations need further clarification. In this study, 10 familial and 21 sporadic cases with <jats:styled-content style=\"fixed-case\">PDs<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PDs<\/jats:styled-content>\u2010related phenotypes were collected. Genomic <jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content> was screened for <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations by direct sequencing. Seven <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations were identified in nine (90.0%) familial cases and in six (28.6%) sporadic cases. Five mutations are novel: two missense mutations (c.<jats:styled-content style=\"fixed-case\">647C<\/jats:styled-content>&gt;G\/p.<jats:styled-content style=\"fixed-case\">Pro216Arg<\/jats:styled-content> and c.<jats:styled-content style=\"fixed-case\">872C<\/jats:styled-content>&gt;T\/p.<jats:styled-content style=\"fixed-case\">Ala291Val<\/jats:styled-content>) and three truncating mutations (c.<jats:styled-content style=\"fixed-case\">117delA<\/jats:styled-content>\/p.<jats:styled-content style=\"fixed-case\">Val41TyrfsX49<\/jats:styled-content>, c.<jats:styled-content style=\"fixed-case\">510dupT<\/jats:styled-content>\/p.<jats:styled-content style=\"fixed-case\">Leu171SerfsX3<\/jats:styled-content> and c.<jats:styled-content style=\"fixed-case\">579dupA<\/jats:styled-content>\/p.<jats:styled-content style=\"fixed-case\">Glu194<\/jats:styled-content><jats:styled-content style=\"fixed-case\">ArgfsX6<\/jats:styled-content>). Autosomal dominant inheritance with incomplete penetrance was observed in most of the familial cases. In the sporadic cases, inheritance was heterogeneous including recessive inheritance with compound heterozygous mutations, inherited mutations with incomplete parental penetrance and <jats:italic>de novo<\/jats:italic> mutation. Variant phenotypes associated with <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations, found in 36.0% of the affected cases, included febrile convulsions, epilepsy, infantile non\u2010convulsive seizures (<jats:styled-content style=\"fixed-case\">INCS<\/jats:styled-content>) and nocturnal convulsions (<jats:styled-content style=\"fixed-case\">NC<\/jats:styled-content>). All patients with <jats:styled-content style=\"fixed-case\">INCS<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">NC<\/jats:styled-content>, not reported previously, displayed abnormalities on electroencephalogram (<jats:styled-content style=\"fixed-case\">EEG<\/jats:styled-content>). No <jats:styled-content style=\"fixed-case\">EEG<\/jats:styled-content> abnormalities were recorded in patients with classical infantile convulsions and paroxysmal choreoathetosis (<jats:styled-content style=\"fixed-case\">ICCA<\/jats:styled-content>)\/paroxysmal kinesigenic dyskinesia (<jats:styled-content style=\"fixed-case\">PKD<\/jats:styled-content>). Our study further confirms that <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations are the most common cause of familial <jats:styled-content style=\"fixed-case\">PDs<\/jats:styled-content>, displaying both dominant and recessive inheritance. Epilepsy may occasionally occur in <jats:styled-content style=\"fixed-case\">ICCA<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">PKD<\/jats:styled-content> patients with <jats:italic><jats:styled-content style=\"fixed-case\">PRRT2<\/jats:styled-content><\/jats:italic> mutations. Variant phenotypes <jats:styled-content style=\"fixed-case\">INCS<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">NC<\/jats:styled-content> differ from classical <jats:styled-content style=\"fixed-case\">ICCA<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">PKD<\/jats:styled-content> clinically and electroencephalographically. They have some similarities with, but not identical to epilepsy, possibly represent an overlap between <jats:styled-content style=\"fixed-case\">ICCA<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">PKD<\/jats:styled-content> and epilepsy<\/jats:bold>.<\/jats:p>","DOI":"10.1111\/gbb.12008","type":"journal-article","created":{"date-parts":[[2012,11,29]],"date-time":"2012-11-29T01:14:24Z","timestamp":1354151664000},"page":"234-240","source":"Crossref","is-referenced-by-count":43,"title":["Novel <i><scp>PRRT2<\/scp><\/i> mutations in paroxysmal dyskinesia patients with variant inheritance and phenotypes"],"prefix":"10.1111","volume":"12","author":[{"given":"X.\u2010R.","family":"Liu","sequence":"first","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou 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Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Wen","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010L.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.\u2010P.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Foshan Women and Children Hospital  Foshan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.\u2010B.","family":"Li","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Neurology Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010M.","family":"Qin","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.\u2010M.","family":"Li","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Tang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.\u2010H.","family":"Deng","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of 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Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.\u2010S.","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Neurology Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.\u2010P.","family":"Liao","sequence":"additional","affiliation":[{"name":"Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China Institute of Neuroscience and the Second Affiliated Hospital of Guangzhou Medical University  Guangzhou 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