2015
DOI: 10.3233/jnd-150069
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A de novo Mutation in the SCN4A Gene Causing Sodium Channel Myotonia

Abstract: We describe the case of a six year old boy with findings consistent with myotonia congenita: muscular hypertrophy, stiffness when commencing movements and typical warm-up signs. The most prominent symptom was myotonia of the eyelid muscles with apparent swelling around the eyes. Even though the pronounced warm-up phenomena in our patient suggested a chloride channel-associated myotonia congenita, the myotonia of his eyelid muscles indicated an involvement of sodium channels. Screening for mutations in the unde… Show more

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Cited by 5 publications
(3 citation statements)
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“…One potentially causative variant was identified in SCN4A in a 4 weeks old infant. SCN4A variants are described as cause of autosomal-dominant myotonia and periodic paralysis [ 32 ]. Affected members developed in utero- or neonatal-onset muscle weakness of variable severity.…”
Section: Discussionmentioning
confidence: 99%
“…One potentially causative variant was identified in SCN4A in a 4 weeks old infant. SCN4A variants are described as cause of autosomal-dominant myotonia and periodic paralysis [ 32 ]. Affected members developed in utero- or neonatal-onset muscle weakness of variable severity.…”
Section: Discussionmentioning
confidence: 99%
“…One variant was identi ed in SCN4A in a four weeks old infant. SCN4A variants are described as cause of autosomal-dominant myotonia and periodic paralysis (25). Affected members developed in utero-or neonatal-onset muscle weakness of variable severity.…”
Section: Discussionmentioning
confidence: 99%
“…Several genes that have been previously studied in relation to pain show opposite changes in mRNA levels and their translation efficiency (spinal cord: Scn4a , Htr3b , Sprr1a , Rtn4rl2 , Tmem54 ; DRG: Myh7 , Mobp , 1500009C09Rik, Sall1 , Grin2b , Olig2 and 3110035E14Rik). For example, Scn4a gene codes for the alpha subunit of the voltage-dependent sodium channel, and mutations in this gene have been associated with sodium channel myotonia ( Orstavik et al, 2015 ). Htr3b codes for the serotonin-3B receptor.…”
Section: Discussionmentioning
confidence: 99%