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Focal cortical dysplasia, type IIA(FCORD2A)

MedGen UID:
1384182
Concept ID:
C4478700
Disease or Syndrome
Synonym: FCD IIA
SNOMED CT: Focal cortical dysplasia type IIa (1003429001)
 
HPO: HP:0032052
OMIM®: 607341

Definition

A subtype of focal cortical dysplasia type II that is characterized by dysmorphic neurons, which present with a significantly enlarged cell body and nucleus, malorientation, abnormally distributed intracellular Nissl substance and cytoplasmic accumulation of neurofilament proteins. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFocal cortical dysplasia, type IIA

Conditions with this feature

Epilepsy, familial focal, with variable foci 3
MedGen UID:
934675
Concept ID:
C4310708
Disease or Syndrome
Familial focal epilepsy with variable foci (FFEVF) is an autosomal dominant form of epilepsy characterized by focal seizures arising from different cortical regions, including the temporal, frontal, parietal, and occipital lobes. Seizure types commonly include temporal lobe epilepsy (TLE), frontal lobe epilepsy (FLE), and nocturnal frontal lobe epilepsy (NFLE). A subset of patients have structural brain abnormalities, particularly focal cortical dysplasia (FCD). There is significant incomplete penetrance, with many unaffected mutation carriers within a family (summary by Ricos et al., 2016). For a discussion of genetic heterogeneity of FFEVF, see FFEVF1 (604364).
Epilepsy, familial focal, with variable foci 1
MedGen UID:
1641798
Concept ID:
C4551983
Disease or Syndrome
DEPDC5-related epilepsy encompasses a range of epilepsy syndromes, almost all of which are characterized by focal seizures, with seizure onset in a discrete area of the brain. While most individuals with DEPDC5-related epilepsy have a normal brain MRI, some have epilepsy associated with a cortical malformation, usually focal cortical dysplasia. Seizure syndromes include familial focal epilepsy with variable foci (FFEVF), autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE), familial mesial temporal lobe epilepsies (FMTLE), autosomal dominant epilepsy with auditory features (ADEAF), and infantile spasms. Although psychomotor development is usually normal, intellectual disability or autism spectrum disorder has been reported in some individuals.

Professional guidelines

PubMed

Honke J, Hoffmann L, Coras R, Kobow K, Leu C, Pieper T, Hartlieb T, Bien CG, Woermann F, Cloppenborg T, Kalbhenn T, Gaballa A, Hamer H, Brandner S, Rössler K, Dörfler A, Rampp S, Lemke JR, Baldassari S, Baulac S, Lal D, Nürnberg P, Blümcke I
Acta Neuropathol Commun 2023 Nov 9;11(1):179. doi: 10.1186/s40478-023-01675-x. PMID: 37946310Free PMC Article
Ying Z, Wang I, Blümcke I, Bulacio J, Alexopoulos A, Jehi L, Bingaman W, Gonzalez-Martinez J, Kobow K, Niestroj LM, Lal D, Koelble K, Najm I
Epileptic Disord 2019 Feb 1;21(1):65-77. doi: 10.1684/epd.2019.1028. PMID: 30782578
Kwon HE, Eom S, Kang HC, Lee JS, Kim SH, Kim DS, Kim HD
Neurology 2016 Aug 30;87(9):945-51. Epub 2016 Jul 27 doi: 10.1212/WNL.0000000000003042. PMID: 27466475

Recent clinical studies

Etiology

Lala N, Kanach CJ, Brown WD
Clin Neurol Neurosurg 2022 Jun;217:107247. Epub 2022 Apr 11 doi: 10.1016/j.clineuro.2022.107247. PMID: 35483186
Fukuoka M, Kuki I, Hattori Y, Tsuji H, Horino A, Nukui M, Inoue T, Okazaki S, Kawawaki H, Kunihiro N, Uda T, Inoue T, Takahashi Y
Brain Dev 2022 Jun;44(6):401-404. Epub 2022 Feb 28 doi: 10.1016/j.braindev.2022.02.003. PMID: 35241305
Donkels C, Peters M, Fariña Núñez MT, Nakagawa JM, Kirsch M, Vlachos A, Scheiwe C, Schulze-Bonhage A, Prinz M, Beck J, Haas CA
Epilepsia 2020 Jan;61(1):171-184. Epub 2019 Dec 24 doi: 10.1111/epi.16415. PMID: 31872870
Murakami N, Morioka T, Suzuki SO, Hashiguchi K, Amano T, Sakata A, Iwaki T, Sasaki T
Epilepsia 2012 Nov;53(11):e184-8. Epub 2012 Aug 20 doi: 10.1111/j.1528-1167.2012.03628.x. PMID: 22905723
Colombo N, Tassi L, Deleo F, Citterio A, Bramerio M, Mai R, Sartori I, Cardinale F, Lo Russo G, Spreafico R
Neuroradiology 2012 Oct;54(10):1065-77. Epub 2012 Jun 14 doi: 10.1007/s00234-012-1049-1. PMID: 22695739

Diagnosis

Fukuoka M, Kuki I, Hattori Y, Tsuji H, Horino A, Nukui M, Inoue T, Okazaki S, Kawawaki H, Kunihiro N, Uda T, Inoue T, Takahashi Y
Brain Dev 2022 Jun;44(6):401-404. Epub 2022 Feb 28 doi: 10.1016/j.braindev.2022.02.003. PMID: 35241305
Nobile G, Consales A, Tortora D, Pacetti M, Gianno F, Arnaldi D, Morbelli S, Mancardi M, Sartori I, Cossu M, Nobili L, Cataldi M
Epileptic Disord 2021 Aug 1;23(4):661-666. doi: 10.1684/epd.2021.1309. PMID: 34279233
Fukasawa T, Kubota T, Negoro T, Maruyama S, Honda R, Saito Y, Itoh M, Kakita A, Sugai K, Otsuki T, Kato M, Natsume J, Watanabe K
Pediatr Int 2015 Jun;57(3):472-5. Epub 2015 May 27 doi: 10.1111/ped.12509. PMID: 26012518
Murakami N, Morioka T, Suzuki SO, Hashiguchi K, Amano T, Sakata A, Iwaki T, Sasaki T
Epilepsia 2012 Nov;53(11):e184-8. Epub 2012 Aug 20 doi: 10.1111/j.1528-1167.2012.03628.x. PMID: 22905723
Colombo N, Tassi L, Deleo F, Citterio A, Bramerio M, Mai R, Sartori I, Cardinale F, Lo Russo G, Spreafico R
Neuroradiology 2012 Oct;54(10):1065-77. Epub 2012 Jun 14 doi: 10.1007/s00234-012-1049-1. PMID: 22695739

Therapy

Lala N, Kanach CJ, Brown WD
Clin Neurol Neurosurg 2022 Jun;217:107247. Epub 2022 Apr 11 doi: 10.1016/j.clineuro.2022.107247. PMID: 35483186
Fukuoka M, Kuki I, Hattori Y, Tsuji H, Horino A, Nukui M, Inoue T, Okazaki S, Kawawaki H, Kunihiro N, Uda T, Inoue T, Takahashi Y
Brain Dev 2022 Jun;44(6):401-404. Epub 2022 Feb 28 doi: 10.1016/j.braindev.2022.02.003. PMID: 35241305
Fujita A, Tsukaguchi H, Koshimizu E, Nakazato H, Itoh K, Kuraoka S, Komohara Y, Shiina M, Nakamura S, Kitajima M, Tsurusaki Y, Miyatake S, Ogata K, Iijima K, Matsumoto N, Miyake N
Ann Neurol 2018 Dec;84(6):814-828. doi: 10.1002/ana.25370. PMID: 30427554
Apel-Sarid L, Cochrane DD, Steinbok P, Byrne AT, Dunham C
J Neurosurg Pediatr 2010 Oct;6(4):385-92. doi: 10.3171/2010.8.PEDS10248. PMID: 20887115

Prognosis

Lala N, Kanach CJ, Brown WD
Clin Neurol Neurosurg 2022 Jun;217:107247. Epub 2022 Apr 11 doi: 10.1016/j.clineuro.2022.107247. PMID: 35483186
Fukasawa T, Kubota T, Negoro T, Maruyama S, Honda R, Saito Y, Itoh M, Kakita A, Sugai K, Otsuki T, Kato M, Natsume J, Watanabe K
Pediatr Int 2015 Jun;57(3):472-5. Epub 2015 May 27 doi: 10.1111/ped.12509. PMID: 26012518
Leventer RJ, Scerri T, Marsh AP, Pope K, Gillies G, Maixner W, MacGregor D, Harvey AS, Delatycki MB, Amor DJ, Crino P, Bahlo M, Lockhart PJ
Neurology 2015 May 19;84(20):2029-32. Epub 2015 Apr 15 doi: 10.1212/WNL.0000000000001594. PMID: 25878179Free PMC Article
Jansen LA, Mirzaa GM, Ishak GE, O'Roak BJ, Hiatt JB, Roden WH, Gunter SA, Christian SL, Collins S, Adams C, Rivière JB, St-Onge J, Ojemann JG, Shendure J, Hevner RF, Dobyns WB
Brain 2015 Jun;138(Pt 6):1613-28. Epub 2015 Feb 25 doi: 10.1093/brain/awv045. PMID: 25722288Free PMC Article

Clinical prediction guides

Leventer RJ, Scerri T, Marsh AP, Pope K, Gillies G, Maixner W, MacGregor D, Harvey AS, Delatycki MB, Amor DJ, Crino P, Bahlo M, Lockhart PJ
Neurology 2015 May 19;84(20):2029-32. Epub 2015 Apr 15 doi: 10.1212/WNL.0000000000001594. PMID: 25878179Free PMC Article
Jansen LA, Mirzaa GM, Ishak GE, O'Roak BJ, Hiatt JB, Roden WH, Gunter SA, Christian SL, Collins S, Adams C, Rivière JB, St-Onge J, Ojemann JG, Shendure J, Hevner RF, Dobyns WB
Brain 2015 Jun;138(Pt 6):1613-28. Epub 2015 Feb 25 doi: 10.1093/brain/awv045. PMID: 25722288Free PMC Article
Apel-Sarid L, Cochrane DD, Steinbok P, Byrne AT, Dunham C
J Neurosurg Pediatr 2010 Oct;6(4):385-92. doi: 10.3171/2010.8.PEDS10248. PMID: 20887115
Kakita A, Kameyama S, Hayashi S, Masuda H, Takahashi H
J Child Neurol 2005 Apr;20(4):341-50. doi: 10.1177/08830738050200041301. PMID: 15921237
Englund C, Folkerth RD, Born D, Lacy JM, Hevner RF
Acta Neuropathol 2005 May;109(5):519-33. Epub 2005 May 5 doi: 10.1007/s00401-005-1005-9. PMID: 15877232

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