Understanding Genetic Test Results in Childhood Epilepsies

AbstractPurpose of ReviewDuring the last 5  years, the number of genes identified as causes of childhood epilepsies has increased significantly. Within this review, the current state of knowledge, rationale for genetic testing, and emerging issues and controversies in the field will be discussed.Recent FindingsModern genomic technologies, commonly referred to as next-generation sequencing or massive parallel sequencing approaches, have enabled the discovery of more than 30 novel genes associated with childhood epilepsies, mainly in epileptic encephalopathies, which are characterized by developmental delay and severe and often intractable epilepsy. In patients with early-onset severe epilepsies, explanatory genetic findings can be identified in up to 30% of patients. The most common genes identified in patients includeSCN1A,SCN2A,CDKL5, andSTXBP1.SummaryNovel genetic technologies have revolutionized our understanding of early-onset epilepsies and a molecular diagnosis can be found in a significant number of patients.
Source: Current Pediatrics Reports - Category: Pediatrics Source Type: research