A case of TSC2-PKD1 contiguous deletion syndrome: Clinical features and effective treatment for epilepsy

Int J Dev Neurosci. 2021 Apr;81(2):191-199. doi: 10.1002/jdn.10088. Epub 2021 Jan 25.

Abstract

Polycystic kidney disease with Tuberous sclerosis is a disease caused by the deletions of the TSC2-PKD1 gene. The disease is rarely reported and the characterized manifestation is severe polycystic kidney growth. The diagnosis can be made by molecular analysis. We report the first case of PKDTS discovered in infancy in China with typical neurological and renal manifestations. The patient has infantile spasm, polycystic kidney, skin damage, hypertension, and hematuria after infection. After effective treatment of Rapamycin, the seizures were completely controlled. There was not been any renal function damage in the patient. At the same time, we review the related literature and further elaborate on the variety of clinical manifestations, treatment, and prognosis.

Keywords: TSC2-PKD gene deletions; infantile spasm; rapamycin; renal cysts.

Publication types

  • Case Reports

MeSH terms

  • Gene Deletion*
  • Humans
  • Infant
  • Kidney / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Polycystic Kidney, Autosomal Recessive / diagnostic imaging
  • Polycystic Kidney, Autosomal Recessive / genetics*
  • Spasms, Infantile / diagnostic imaging
  • Spasms, Infantile / genetics*
  • Tuberous Sclerosis / diagnostic imaging
  • Tuberous Sclerosis / genetics*
  • Ultrasonography

Supplementary concepts

  • Polycystic kidneys, severe infantile with tuberous sclerosis