Familial "Diplegic" Migraine – Description of a Family With a Novel CACNA1A Mutation.

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Bibliographic Details
Title: Familial "Diplegic" Migraine – Description of a Family With a Novel CACNA1A Mutation.
Authors: Sprouse Blum, Adam S., Couperus, Cody J., Rosen, Brian J., Haskin‐Leahy, Leanne F., Shapiro, Robert E.
Source: Headache: The Journal of Head & Face Pain. Mar2020, Vol. 60 Issue 3, p600-606. 7p. 2 Diagrams.
Subjects: Genetic disorder diagnosis, Hemiplegia, Interviewing, Research methodology, Migraine, Motor neuron diseases, Genetic mutation, Phenotypes, Genotypes
Abstract: Objective: To characterize phenotypes of a novel CACNA1A mutation causing familial hemiplegic migraine type 1. Background: Familial hemiplegic migraine is a rare monogenic form of migraine associated with attacks of fully reversible unilateral motor weakness. We now report a novel CACNA1A gene mutation associated with fully reversible bilateral motor weakness (diplegia). Methods: The proband underwent genotyping which identified a novel CACNA1A missense mutation (c.622 [isoform 1] G > A [p.Gly208Arg]). To characterize phenotypes associated with this novel mutation, the proband and 8 of her similarly affected family members underwent a semi‐structured interview. Results: All 9 subjects who were interviewed met ICHD‐3 phenotypic diagnostic criteria for FHM, including reporting attacks with reversible unilateral motor weakness. Additionally, 7 of 9 subjects reported attacks including reversible motor weakness affecting both sides of the body simultaneously. Conclusions: We describe a novel CACNA1A mutation associated with migraine attacks including reversible diplegia. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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