KCNMA1-related refractory status epilepticus responding to vagal nerve stimulation: Case report and literature review

Neurosciences (Riyadh). 2022 Oct;27(4):275-278. doi: 10.17712/nsj.2022.4.20220023.

Abstract

Epilepsy, one of the most prevalent chronic neurological diseases, can cause severe morbidity as well as mortality. A mutation of the KCNMA1 gene results in a rare genetic disease that causes epilepsy as its core presentation. Both neurological and non-neurological manifestations have been reported in patients with KCNMA1 gene mutation. We are reporting a KCNMA1 gene variant referred to as c.2369C>T (p. Pro790Leu), which encodes the subunit of alpha of calcium-sensitive potassium channels, which causes epilepsy but not dyskinesia in a young Saudi female who is the daughter of consanguineous parents. Our case shows that calcium-sensitive potassium channels can cause an isolated generalized epilepsy as reported previously in a single case. Moreover, this case aids in delineating the clinical and structural picture and the treatment of the KCNMA1 gene mutation in patients.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Calcium
  • Epilepsy* / genetics
  • Female
  • Humans
  • Large-Conductance Calcium-Activated Potassium Channel alpha Subunits / genetics
  • Status Epilepticus* / genetics
  • Status Epilepticus* / therapy
  • Vagus Nerve Stimulation*

Substances

  • KCNMA1 protein, human
  • Large-Conductance Calcium-Activated Potassium Channel alpha Subunits
  • Calcium