Carla De Angelis1,2, Alicia B Byrne3,4, Hamish S Scott3,5,2,4,6, Christopher Barnett7,8,9, Rebecca Morrow3, Jinghua Feng5,4, Thuong Ha3,5, Paul Wang5, Andreas W Schreiber5,4,10, Milena Babic3, Ajay Taranath11,2, Nick Manton12, Sarah L King-Smith3,6, Quenten Schwarz13,4, Peer Arts3. 1. Paediatric and Reproductive Genetics Unit, Women's and Children's Hospital, North Adelaide, SA, Australia. 2. School of Medicine, University of Adelaide, Adelaide, SA, Australia. 3. Genetics and Molecular Pathology Research Laboratory, Centre for Cancer Biology, An Alliance Between SA Pathology and the University of South Australia, Adelaide, Australia. 4. School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia. 5. ACRF Cancer Genomics Facility, Centre for Cancer Biology, An Alliance Between SA Pathology and the University of South Australia, Adelaide, SA, Australia. 6. Australian Genomic Health Alliance, Melbourne, VIC, Australia. 7. Paediatric and Reproductive Genetics Unit, Women's and Children's Hospital, North Adelaide, SA, Australia. christopher.barnett@health.sa.gov.au. 8. School of Medicine, University of Adelaide, Adelaide, SA, Australia. christopher.barnett@health.sa.gov.au. 9. SA Clinical Genetics Service, Women's and Children's Hospital, 72 King William Road, North Adelaide, SA, 5006, Australia. christopher.barnett@health.sa.gov.au. 10. School of Biological Sciences, University of Adelaide, Adelaide, SA, Australia. 11. South Australian Medical Imaging, Women's and Children's Hospital, North Adelaide, SA, Australia. 12. Department of Surgical Pathology, Women's and Children's Hospital/SA Pathology, North Adelaide, SA, Australia. 13. Neurovascular Research Laboratory, Centre for Cancer Biology, An Alliance Between SA Pathology and the University of South Australia, Adelaide, Australia.
Abstract
BACKGROUND: Periventricular nodular heterotopia (PNH) is a malformation of cortical development characterized by nodules of abnormally migrated neurons. The cause of posteriorly placed PNH is not well characterised and we present a case that provides insights into the cause of posterior PNH. CASE PRESENTATION: We report a fetus with extensive posterior PNH in association with biallelic variants in LAMC3. LAMC3 mutations have previously been shown to cause polymicrogyria and pachygyria in the occipital cortex, but not PNH. The occipital location of PNH in our case and the proposed function of LAMC3 in cortical development suggest that the identified LAMC3 variants may be causal of PNH in this fetus. CONCLUSION: We hypothesise that this finding extends the cortical phenotype associated with LAMC3 and provides valuable insight into genetic cause of posterior PNH.
BACKGROUND:Periventricular nodular heterotopia (PNH) is a malformation of cortical development characterized by nodules of abnormally migrated neurons. The cause of posteriorly placed PNH is not well characterised and we present a case that provides insights into the cause of posterior PNH. CASE PRESENTATION: We report a fetus with extensive posterior PNH in association with biallelic variants in LAMC3. LAMC3 mutations have previously been shown to cause polymicrogyria and pachygyria in the occipital cortex, but not PNH. The occipital location of PNH in our case and the proposed function of LAMC3 in cortical development suggest that the identified LAMC3 variants may be causal of PNH in this fetus. CONCLUSION: We hypothesise that this finding extends the cortical phenotype associated with LAMC3 and provides valuable insight into genetic cause of posterior PNH.
Entities:
Keywords:
Case report; LAMC3; Lobe; Occipital; Periventricular nodular heterotopia
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