Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy

Introduction. Acute necrotizing encephalopathy (ANE), a rare entity with unique clinical presentation, can be associated significant morbidity and mortality. The majority of ANE reported cases are sporadic. However, reports of extremely rare familial cases are scarce. Case Presentation. We described...

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Main Authors: Mohamad Paktinat, Kamran Hessami, Soroor Inaloo, Hamid Nemati, Pegah Katibeh, Marzieh Nejabat, Mohammad Hassan Darabi, Ali Hosseini Bereshneh
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/6695119
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author Mohamad Paktinat
Kamran Hessami
Soroor Inaloo
Hamid Nemati
Pegah Katibeh
Marzieh Nejabat
Mohammad Hassan Darabi
Ali Hosseini Bereshneh
author_facet Mohamad Paktinat
Kamran Hessami
Soroor Inaloo
Hamid Nemati
Pegah Katibeh
Marzieh Nejabat
Mohammad Hassan Darabi
Ali Hosseini Bereshneh
author_sort Mohamad Paktinat
collection DOAJ
description Introduction. Acute necrotizing encephalopathy (ANE), a rare entity with unique clinical presentation, can be associated significant morbidity and mortality. The majority of ANE reported cases are sporadic. However, reports of extremely rare familial cases are scarce. Case Presentation. We described three cases, two siblings and their cousin, affected by ANE, all of them exhibiting RAN-binding protein 2 (RANBP2) gene mutation. They all presented with seizure and decreased level of consciousness. Unlike the siblings, the cousin eventually expired mainly due to the delay in diagnosis, resulting from late presentation of typical brain involvements of ANE in magnetic resonance imaging (MRI). Conclusion. The presented cases are the first reports of familial ANE in Iran. Attempt was made to raise awareness on this disease, because high clinical suspicion plays an important role in the early diagnosis and proper management of these patients.
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institution Kabale University
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1687-9759
language English
publishDate 2021-01-01
publisher Wiley
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series International Journal of Pediatrics
spelling doaj-art-67cdb98f57fb4c4287d96811e21403512025-02-03T06:06:27ZengWileyInternational Journal of Pediatrics1687-97401687-97592021-01-01202110.1155/2021/66951196695119Case Report of RANBP2 Mutation and Familial Acute Necrotizing EncephalopathyMohamad Paktinat0Kamran Hessami1Soroor Inaloo2Hamid Nemati3Pegah Katibeh4Marzieh Nejabat5Mohammad Hassan Darabi6Ali Hosseini Bereshneh7Neonatology Research Center, Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranNeonatology Research Center, Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, IranNeonatology Research Center, Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, IranNeonatology Research Center, Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, IranNeonatology Research Center, Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranPrenatal Diagnosis and Genetic Research Center, Shiraz University of Medical Sciences, Shiraz, IranIntroduction. Acute necrotizing encephalopathy (ANE), a rare entity with unique clinical presentation, can be associated significant morbidity and mortality. The majority of ANE reported cases are sporadic. However, reports of extremely rare familial cases are scarce. Case Presentation. We described three cases, two siblings and their cousin, affected by ANE, all of them exhibiting RAN-binding protein 2 (RANBP2) gene mutation. They all presented with seizure and decreased level of consciousness. Unlike the siblings, the cousin eventually expired mainly due to the delay in diagnosis, resulting from late presentation of typical brain involvements of ANE in magnetic resonance imaging (MRI). Conclusion. The presented cases are the first reports of familial ANE in Iran. Attempt was made to raise awareness on this disease, because high clinical suspicion plays an important role in the early diagnosis and proper management of these patients.http://dx.doi.org/10.1155/2021/6695119
spellingShingle Mohamad Paktinat
Kamran Hessami
Soroor Inaloo
Hamid Nemati
Pegah Katibeh
Marzieh Nejabat
Mohammad Hassan Darabi
Ali Hosseini Bereshneh
Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
International Journal of Pediatrics
title Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
title_full Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
title_fullStr Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
title_full_unstemmed Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
title_short Case Report of RANBP2 Mutation and Familial Acute Necrotizing Encephalopathy
title_sort case report of ranbp2 mutation and familial acute necrotizing encephalopathy
url http://dx.doi.org/10.1155/2021/6695119
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