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Temporal lobe epilepsy and GEFS+ phenotypes associated with SCN1B mutations

Open access
Scheffer, I. E., Harkin, L. A., Grinton, B. E., Dibbens, L. M., Turner, S. J., Zielinski, M. A., Xu, R., Jackson, G., Adams, J., Connellan, M., Petrou, S., Wellard, R. M., Briellmann, R. S., Wallace, R. H., Mulley, J. C., Berkovic, S. F.·2006·Brain

Abstract

SCN1B, the gene encoding the sodium channel beta 1 subunit, was the first gene identified for generalized epilepsy with febrile seizures plus (GEFS+). Only three families have been published with SCN1B mutations. Here, we present four new families with SCN1B mutations and characterize the associated phenotypes. Analysis of SCN1B was performed on 402 individuals with various epilepsy syndromes. Four probands with missense mutations were identified. Detailed electroclinical phenotyping was performed on all available affected family members including quantitative MR imaging in those with temporal lobe epilepsy (TLE). Two new families with the original C121W SCN1B mutation were identified; novel mutations R85C and R85H were each found in one family. The following phenotypes occurred in the six families with SCN1B missense mutations: 22 febrile seizures, 20 febrile seizures plus, five TLE, three other GEFS+ phenotypes, two unclassified and ten unaffected individuals. All individuals with confirmed TLE had the C121W mutation; two underwent temporal lobectomy (one with hippocampal sclerosis and one without) and both are seizure free. We confirm the role of SCN1B in GEFS+ and show that the GEFS+ spectrum may include TLE alone. TLE with an SCN1B mutation is not a contraindication to epilepsy surgery.

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Metadata

Authors
Scheffer, I. E., Harkin, L. A., Grinton, B. E., Dibbens, L. M., Turner, S. J., Zielinski, M. A., Xu, R., Jackson, G., Adams, J., Connellan, M., Petrou, S., Wellard, R. M., Briellmann, R. S., Wallace, R. H., Mulley, J. C., & Berkovic, S. F.
Venue
Brain
Published
2006-11-21
Volume
130
Issue
1
Pages
100-109
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W1587507341
Cited by
273
References
22
FWCI
12.07
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Temporal lobe epilepsy and GEFS+ phenotypes associated with SCN1B mutations. https://app.cochat.ai/papers/10.1093/brain/awl272
The paper
Scheffer, I. E., Harkin, L. A., Grinton, B. E., Dibbens, L. M., Turner, S. J., Zielinski, M. A., Xu, R., Jackson, G., Adams, J., Connellan, M., Petrou, S., Wellard, R. M., Briellmann, R. S., Wallace, R. H., Mulley, J. C., & Berkovic, S. F. (2006). Temporal lobe epilepsy and GEFS+ phenotypes associated with SCN1B mutations. Brain. https://doi.org/10.1093/brain/awl272

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.