The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index; 7 of the 29 sources its claims cite were checked for support.
SCN2A encephalopathy: A major cause of epilepsy of infancy with migrating focal seizures
Open accessAbstract
OBJECTIVE: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies. Herein, we define the phenotypic spectrum of SCN2A encephalopathy. METHODS: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping. RESULTS: Patients were aged 0.7 to 22 years; 3 were deceased. Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset. Multifocal interictal epileptiform discharges were seen in all. Three of 12 patients had infantile spasms. The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment. Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms. Mutations arose de novo in 11 patients; paternal DNA was unavailable in one. CONCLUSIONS: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group. Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome. Sodium channel blockers, particularly phenytoin, may improve seizure control.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
30 Own result · 12 Own interpretation · 8 No full text of the sources · 5 No basis given · 3 Partly supported · 3 Sources not found · 1 Supported · 1 Supported so far · 1 Not checked yet · accuracy not yet measured
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Seven patients with SCN2A mutations had EIMFS, constituting 26% (7/27) of our total cohort of patients with EIMFS and rendering SCN2A the second most commonly mutated gene for EIMFS, after KCNT1.25,26”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Supportedcites [25] 25. Barcia G, Fleming MR, Deligniere A, et al. De novo gain- of-function KCNT1 channel mutations cause malignant migrating partial seizures of infancy. Nat Genet 2012;44: 1255-1259. source
The cited paper’s Abstract reports KCNT1 mutations in 6 of 12 patients with malignant migrating partial seizures of infancy and calls KCNT1 a major disease gene. That supports the citation’s KCNT1 background point; the SCN2A count and ranking in “our cohort” are the citing authors’ own findings, not findings attributed to this source. (LLM, conf=0.88)
- Partly supportedcites [26] 26. McTague A, Appleton R, Avula S, et al. Migrating partial seizures of infancy: expansion of the electroclinical, radio- logical and pathological disease spectrum. Brain 2013;136: 1578-1591. sourceExperimental — accuracy not yet measured
The Discussion (page unavailable) calls KCNT1 a likely major gene for migrating partial seizures of infancy, and Other investigations reports KCNT1 mutations in two patients. The paper does not establish that SCN2A was the second most commonly mutated gene or report the citing authors’ seven SCN2A cases among 27 patients. (LLM, conf=0.86)
plainn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 12- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Patient 7 died in the context of refractory seizures and extreme autonomic dysfunction at 22 months.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Weekly ECGs during this period showed no cardiac rhythm abnormality.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eight had severe to profound developmental impairment.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 12- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Two patients showed a considerably better outcome than is usual for EIMFS.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All 10 patients with scans available for review had abnormalities on brain MRI (table, figure 3).”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 10- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“White matter T2 hyperintensities were seen on only one scan in 3 of 4 patients who had sequential imaging: on the first scan (10-60 days) but not on follow-up imaging (20 days to 22 months) in 2, and on the second scan (81 days) but not the first (9 days) in the other.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 4- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 12- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Multifocal interictal epileptiform discharges were seen in all.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 12- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No patient had imaging features of hypoxic-ischemic injury or malformations.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 10- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No genotypic differences were seen between the postulated severe, intermediate, and childhood phenotypes of SCN2A encephalopathy.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Patients with childhood-onset seizures developed prominent stereotypies.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Some improvement in seizure control was also noted with other sodium channel blocking drugs.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Two of our patients died unexpectedly in sleep.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“As yet, no clear genotype-phenotype correlation explains the phenotypic heterogeneity.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Three of our patients and 3 previously reported patients have died (6/46, 13%), emphasizing the extreme severity of this condition.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 3- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Multifocal epileptiform discharges are usual.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Severe and polymorphic movement disorders including dystonia and chorea occurred in most patients with neonatal-onset seizures and poor developmental outcome.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Phenytoin did not, however, significantly improve development in the patients with seizure improvement and was not associated with clear seizure improvement in all patients, although seizures were not exacerbated.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Movement disorders in patients with neonatal-onset seizures and better developmental outcome were milder, consisting of dyskinesia that resolved in infancy.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Here, we show that SCN2A is the second most common cause of EIMFS”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
boostedn = 34- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: unclear — It is unclear why the paper says it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and, importantly, does not always have a poor developmental outcome.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 34- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our study expands the phenotypic spectrum of SCN2A encephalopathy and emphasizes SCN2A as a major gene for EIMFS.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“As the postmortem phenytoin level was subtherapeutic at 23 mmol/L, phenytoin toxicity was unlikely to have contributed to death.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
hedgedSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Despite variability in age at onset and severity of outcome, there are common features in SCN2A encephalopathy.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our study expands the phenotypic spectrum of SCN2A encephalopathy and emphasizes SCN2A as a major gene for EIMFS.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaindirectn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Sodium channel blockers, particularly phenytoin, may improve seizure control.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plaincorrelationaln = 12- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Currently, numbers of patients with SUDEP in SCN2A encephalopathy are low, but our observations suggest an increased risk of SUDEP.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
hedgedconditionaln = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“SCN8A gradually replaces SCN2A as the major subunit in excitatory neurons during maturation. 1”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [1] 1. Oliva M, Berkovic SF, Petrou S. Sodium channels and the neurobiology of epilepsy. Epilepsia 2012;53:1849-1859. source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“However, the median age at onset of 5 months for SCN8A is later, [4][5][6][7][8][9][10][11][12][13][14][15][16][17]19,27 which may reflect the respective patterns of expression of the subunits.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not matchedcites [4][5][6][7][8][9][10][11][12][13][14][15][16][17]19,27
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Movement disorders appear to be a key feature of SCN2A encephalopathy.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- It may state two separate claims as one. 25
- Probably not a substantial claim. 10
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Seven patients with SCN2A mutations had EIMFS, constituting 26% (7/27) of our total cohort of patients with EIMFS and rendering SCN2A the second most commonly mutated gene for EIMFS, after KCNT1.25,26”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Supportedcites [25] 25. Barcia G, Fleming MR, Deligniere A, et al. De novo gain- of-function KCNT1 channel mutations cause malignant migrating partial seizures of infancy. Nat Genet 2012;44: 1255-1259. source
The citation follows “after KCNT1,” while the seven SCN2A cases and 7/27 figure are explicitly from the citing authors’ own cohort. The source’s Abstract identifies KCNT1 mutations in 6 of 12 patients with malignant migrating partial seizures of infancy, supporting the KCNT1 association for which it is cited. No page number is available in our copy. (LLM, conf=0.88)
- Could not verifycites [26] 26. McTague A, Appleton R, Avula S, et al. Migrating partial seizures of infancy: expansion of the electroclinical, radio- logical and pathological disease spectrum. Brain 2013;136: 1578-1591. sourceExperimental — accuracy not yet measured
The source’s Other investigations section reports two patients with KCNT1 variants in its MPSI cohort, while the Discussion describes earlier SCN2A screening with negative findings. Neither passage addresses the citing authors’ cohort of 27 or reports seven patients with SCN2A mutations, so the 7/27 figure cannot be verified from this paper. Page numbers are unavailable in our copy. (LLM, conf=0.76)
plaincorrelationaln = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Phenotypic features that distinguish SCN2A-associated EIMFS from KCNT1-associated EIMFS 25 include severe movement disorders and response to phenytoin in some patients.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Supportedcites [25] 25. Barcia G, Fleming MR, Deligniere A, et al. De novo gain- of-function KCNT1 channel mutations cause malignant migrating partial seizures of infancy. Nat Genet 2012;44: 1255-1259. source
Citation 25 appears immediately after “KCNT1-associated EIMFS,” identifying that condition rather than attributing the subsequent comparison to this source. The Abstract (page unavailable) reports KCNT1 mutations in patients with malignant migrating partial seizures of infancy, supporting that identification. (LLM, conf=0.91)
plaincorrelationaln = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“While the observation of seizure improvement is based only on retrospective clinical review, this finding reinforces previous observations of drug response: withdrawal of phenytoin provoking status epilepticus in one case, status treated with fosphenytoin in another, 2 seizure-free on lamotrigine, and one with seizure control on lidocaine.6,12,14”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Supportedcites [6] 6. Ogiwara I, Ito K, Sawaishi Y, et al. De novo mutations of voltage-gated sodium channel alphaII gene SCN2A in intractable epilepsies. Neurology 2009;73:1046-1053. source
The citation supports the previous drug-response observation, not the citing authors’ qualification about retrospective clinical review. In the Patients section (page unavailable), the source reports that a patient with neonatal epileptic encephalopathy was partially rescued using lidocaine. (LLM, conf=0.89)
- Not checked — no full text of the sourcecites [12] 12. Nakamura K, Kato M, Osaka H, et al. Clinical spectrum of SCN2A mutations expanding to Ohtahara syndrome. Neurology 2013;81:992-998. source
- Not checked — no full text of the sourcecites [14] 14. Dhamija R, Wirrell E, Falcao G, et al. Novel de novo SCN2A mutation in a child with migrating focal seizures of infancy. Pediatr Neurol 2013;49:486-488. source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“While Dravet syndrome is differentiated by age at onset and seizure types, rare cases of EIMFS due to SCN1A mutations are described.26,36,38”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Partly supportedcites [26] 26. McTague A, Appleton R, Avula S, et al. Migrating partial seizures of infancy: expansion of the electroclinical, radio- logical and pathological disease spectrum. Brain 2013;136: 1578-1591. sourceExperimental — accuracy not yet measured
The Discussion reports three MPSI (EIMFS) cases with SCN1A abnormalities among 22 tested, supporting the claim that rare cases have been described. Our copy does not discuss how Dravet syndrome is differentiated by age at onset or seizure type, so that part is not supported by this source. Page numbers are not available in the indexed passages. (LLM, conf=0.85)
- Not checked — no full text of the sourcecites [36] 36. Mulley JC, Scheffer IE, Petrou S, et al. SCN1A mutations and epilepsy. Hum Mutat 2005;25:535-542. source
- Not checked — no full text of the sourcecites [38] 38. Brunklaus A, Ellis R, Reavey E, et al. Prognostic, clinical and demographic features in SCN1A mutation-positive Dravet syndrome. Brain 2012;135:2329-2336. source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Partly supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Histopathologic examination of the brain revealed reduced total brain weight, marked cortical dyslamination of temporal lobes, cortical gliosis most prominent in the temporal lobes and around the interhemispheric fissure, and bilateral hippocampal CA1 neuronal loss, gliosis, and astrocytosis.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Sudden unexpected death occurred in patient 3 and patient 12 in sleep at age 21 months and 20 years, respectively.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plaindirectn = 9- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Patient 3 had commenced phenytoin a month before death, with a marked seizure improvement.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plaindirectSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“MRI brain scans were reported as normal in patients 5 and 10.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“In contrast to previous series, only 2 of our cases had Ohtahara syndrome and none had West syndrome, as hypsarrhythmia was not present in those with infantile spasms.6,8,[10][11][12][13]15”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not matchedcites 6,8,[10][11][12][13]15
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaindirectn = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Not matched
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Delayed myelination was noted in 2 patients, reduced white matter volume in 4, T1 hyperintensities in the basal ganglia in 3, diffusion restriction in the cerebellum in one, and moderate cerebellar and cerebral atrophy in one.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 10- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Postmortem analysis in patient 3 revealed the cause of death to be pneumonia.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plaindirectSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eight patients had T2 hyperintensities, in white matter in 8, basal ganglia in 5, thalamus in 4, and brainstem in 5.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 8- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
plainn = 7- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Six patients had elongated superior temporal sulci, 4 had small anterior temporal lobes, one had small frontal lobes, and 2 had underopercularization of the sylvian fissure.”
§ A major cause of epilepsy of infancy with migrating focal seizures > Development.
plainn = 10- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our patients presented at a median of 2 days with multiple types of brief focal seizures that cluster, reaching maximal frequency of multiple hourly seizures within 3 months of onset.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Episodes consistent with infantile spasms or tonic seizures occurred in some, sometimes without an EEG correlate, raising the possibility that these are paroxysmal movement disorders mimicking seizures in some patients.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Although mutations identified in patients with BFNIS and SCN2A encephalopathy show different inheritance patterns and Grantham scores, 37 and no BFNIS-associated mutations have been found in patients with SCN2A encephalopathy, mutations are found throughout the gene (figure 1) and affect both transmembrane domains and linker regions in both phenotypes.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [37] 37. Brunklaus A, Ellis R, Reavey E, et al. Genotype phenotype associations across the voltage-gated sodium channel fam- ily. J Med Genet 2014;51:650-658. source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Phenytoin did not, however, significantly improve development in the patients with seizure improvement and was not associated with clear seizure improvement in all patients, although seizures were not exacerbated.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Movement disorders, axial hypotonia, and gastrointestinal problems are frequent.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1”
§ A major cause of epilepsy of infancy with migrating focal seizures > Abstract Objective: De novo SCN2A mutations have recently been associated with severe infantile-onset epilepsies.Herein, we define the phenotypic spectrum of SCN2A encephalopathy.Methods: Twelve patients with an SCN2A epileptic encephalopathy underwent electroclinical phenotyping.Results: Patients were aged 0.7 to 22 years; 3 were deceased.Seizures commenced on day 1-4 in 8, week 2-6 in 2, and after 1 year in 2. Characteristic features included clusters of brief focal seizures with multiple hourly (9 patients), multiple daily (2), or multiple weekly (1) seizures, peaking at maximal frequency within 3 months of onset.Multifocal interictal epileptiform discharges were seen in all.Three of 12 patients had infantile spasms.The epileptic syndrome at presentation was epilepsy of infancy with migrating focal seizures (EIMFS) in 7 and Ohtahara syndrome in 2. Nine patients had improved seizure control with sodium channel blockers including supratherapeutic or high therapeutic phenytoin levels in 5. Eight had severe to profound developmental impairment.Other features included movement disorders (10), axial hypotonia (11) with intermittent or persistent appendicular spasticity, early handedness, and severe gastrointestinal symptoms.Mutations arose de novo in 11 patients; paternal DNA was unavailable in one.Conclusions: Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes: neonatal-infantile-onset groups with severe and intermediate outcomes, and a childhood-onset group.Here, we show that SCN2A is the second most common cause of EIMFS and, importantly, does not always have a poor developmental outcome.Sodium channel blockers, particularly phenytoin, may improve seizure control. SCN2A encodes the major a subunit (Na v 1.2) of voltage-gated sodium channels in excitatory neurons. 1 We first identified inherited mutations in SCN2A in the self-limited autosomal dominant epilepsy syndrome, benign familial neonatal infantile seizures (BFNIS).2,3 De novo SCN2A mutations have increasingly been recognized to cause severe disorders, reported in 39 patients with epileptic encephalopathies (EEs) [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and 5 patients with intellectual disability without epilepsy.[21][22][23] Cohorts with prototypic EEs, Ohtahara and West syndrome, due to SCN2A mutations are described.To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS), which begins before 6 months of age and is characterized by multiple types of focal seizures that "migrate" from one hemisphere to another, usually with severe developmental impairment.
What the sources say
- Not checked — no full text of the sourcecites [1] 1. Oliva M, Berkovic SF, Petrou S. Sodium channels and the neurobiology of epilepsy. Epilepsia 2012;53:1849-1859. source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“To date, there has only been a single case of SCN2A causing EIMFS who also had a paternally inherited 15q11.2deletion.14”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [14] 14. Dhamija R, Wirrell E, Falcao G, et al. Novel de novo SCN2A mutation in a child with migrating focal seizures of infancy. Pediatr Neurol 2013;49:486-488. source
plaindirectSingle case- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Sudden unexpected death in epilepsy (SUDEP) is recognized in other sodium channelopathies including Dravet syndrome and 2 cases of SCN8A encephalopathy.27,30,31”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [27] 27. Larsen J, Carvill GL, Gardella E, et al. The phenotypic spectrum of SCN8A encephalopathy. Neurology 2015;84: 480-489. source
- Not checked — no full text of the sourcecites [30] 30. Veeramah KR, O'Brien JE, Meisler MH, et al. De novo pathogenic SCN8A mutation identified by whole-genome sequencing of a family quartet affected by infantile epilep- tic encephalopathy and SUDEP. Am J Hum Genet 2012; 90:502-510. source
- Not checked — no full text of the sourcecites [31] 31. Sakauchi M, Oguni H, Kato I, et al. Retrospective multi- institutional study of the prevalence of early death in Dravet syndrome. Epilepsia 2011;52:1144-1149. source
plaincorrelationaln = 2- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“SCN8A encephalopathy can present with early-onset EE and responds to sodium channel blockers 27,30,39 in contradistinction to SCN1A diseases.38,40”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [27] 27. Larsen J, Carvill GL, Gardella E, et al. The phenotypic spectrum of SCN8A encephalopathy. Neurology 2015;84: 480-489. source
- Not checked — no full text of the sourcecites [30] 30. Veeramah KR, O'Brien JE, Meisler MH, et al. De novo pathogenic SCN8A mutation identified by whole-genome sequencing of a family quartet affected by infantile epilep- tic encephalopathy and SUDEP. Am J Hum Genet 2012; 90:502-510. source
- Not checked — no full text of the sourcecites [39] 39. Ohba C, Kato M, Takahashi S, et al. Early onset epileptic encephalopathy caused by de novo SCN8A mutations. Epilepsia 2014;55:994-1000. source
- Not checked — no full text of the sourcecites [38] 38. Brunklaus A, Ellis R, Reavey E, et al. Prognostic, clinical and demographic features in SCN1A mutation-positive Dravet syndrome. Brain 2012;135:2329-2336. source
- Not checked — no full text of the sourcecites [40] 40. Guerrini R, Dravet C, Genton P, et al. Lamotrigine and seizure aggravation in severe myoclonic epilepsy. Epilepsia 1998;39:508-512. source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our analysis suggests that patients fall into 3 phenotypic groups: a severe neonatalinfantile phenotype, an intermediate neonatal-infantile phenotype, and a childhood phenotype (figure 4).”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
hedgedn = 46- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“The expanded phenotypic spectrum of SCN2A mutations parallels that seen with KCNQ2 and SCN1A and may be broader than currently appreciated.[34][35][36]”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not matchedcites [34][35][36]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Not matched
None of the sources cited for this claim have been checked yet.
In the paper
“There are now 46 patients reported with SCN2A encephalopathy (12 here, 39 reported; 5 patients reported twice). [4][5]][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plainn = 46- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“SCN2A is an important cause of EE with an emerging distinctive picture, particularly for the severe phenotype.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The movement disorders in SCN2A encephalopathy overlap those seen in other conditions such as SCN8A encephalopathy, 27 in contrast to other conditions such as STXBP1 encephalopathy, in which a distinctive movement disorder, a”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [27] 27. Larsen J, Carvill GL, Gardella E, et al. The phenotypic spectrum of SCN8A encephalopathy. Neurology 2015;84: 480-489. source
- Not checked — no full text of the sourcecites [28] 28. Kim YO, Korff CM, Villaluz MMG, et al. Head stereo- typies in STXBP1 encephalopathy. Dev Med Child Neu- rol 2013;55:769-772. source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“This mortality rate is comparable to Dravet syndrome, another sodium channelopathy due to SCN1A mutations, which is approximately 15% by age 20 years.29”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
What the sources say
- Not checked — no full text of the sourcecites [29] 29. Roger J, Bureau M, Dravet C, Genton P. Epileptic Syn- dromes in Infancy, Childhood, and Adolescence. Mon- trouge, France: John Libbey Eurotext; 2005.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Indeed, patients 3 and 10, who share the same mutation, show phenotypic variability suggesting that modifier genes have a role.”
§ A major cause of epilepsy of infancy with migrating focal seizures > DISCUSSION
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper relies on this without support.
Only single cases of other syndromes, including EIMFS, have been reported in association with SCN2A mutations.
“To date, only single cases of other syndromes are reported, including epilepsy of infancy with migrating focal seizures (EIMFS)”
The paper relies on this without support.
The 34 other reported cases of SCN2A encephalopathy are sufficiently comparable to the authors' 12 cases to be combined in a phenotype review.
“Review of our 12 and 34 other reported cases of SCN2A encephalopathy suggests 3 phenotypes”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ A major cause of epilepsy of infancy with migrating focal seizures > RESULTS
“Five mutations (patients 2, 3, 4, 9, 11) have been reported with limited clinical information.9 Seven patients have novel mutations.”
§ A major cause of epilepsy of infancy with migrating focal seizures > RESULTS
“A recurrent mutation (p.Arg1882Gln) occurred in patients 3 and 10.”
Citations
Cites
De novo mutations revealed by whole-exome sequencing are strongly associated with autism
Sanders, S. J., Murtha, M. T., Gupta, A. R., Murdoch, J. D., Raubeson, M. J., Willsey, A. J., Ercan-Sencicek, A. G., DiLullo, N. M., Parikshak, N. N., Stein, J. L., et al. (2012) · Nature · doi:10.1038/nature10945 · Cited by 2,084
Diagnostic exome sequencing in persons with severe intellectual disability
de Ligt, J., Willemsen, M. H., van Bon, B. W. M., Kleefstra, T., Yntema, H. G., Kroes, T., Vulto-van Silfhout, A. T., Koolen, D. A., de Vries, P., Gilissen, C., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1206524 · Cited by 1,546
A novel potassium channel gene, KCNQ2, is mutated in an inherited epilepsy of newborns
Singh, N. A., Charlier, C., Stauffer, D., DuPont, B. R., Leach, R. J., Melis, R., Ronen, G. M., Bjerre, I., Quattlebaum, T., Murphy, J. V., et al. (1998) · Nature Genetics · doi:10.1038/ng0198-25 · Cited by 1,199
Rauch, A., Wieczorek, D., Graf, E., Wieland, T., Endele, S., Schwarzmayr, T., Albrecht, B., Bartholdi, D., Beygo, J., Di Donato, N., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61480-9 · Cited by 1,041
(2005) · Cited by 944
Targeted resequencing in epileptic encephalopathies identifies de novo mutations in CHD2 and SYNGAP1
Carvill, G. L., Heavin, S. B., Yendle, S. C., McMahon, J. M., O'Roak, B. J., Cook, J., Khan, A., Dorschner, M. O., Weaver, M., Calvert, S., et al. (2013) · Nature Genetics · doi:10.1038/ng.2646 · Cited by 687
Self-citationEpileptic Syndromes in Infancy, Childhood and Adolescence
Stephenson, J. B. P. (2004) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2004.03.001 · Cited by 685
Barcia, G., Fleming, M. R., Deligniere, A., Gazula, V.-R., Brown, M. R., Langouet, M., Chen, H., Kronengold, J., Abhyankar, A., Cilio, R., et al. (2012) · Nature Genetics · doi:10.1038/ng.2441 · Cited by 525
KCNQ2 encephalopathy: Emerging phenotype of a neonatal epileptic encephalopathy
Weckhuysen, S., Mandelstam, S., Suls, A., Audenaert, D., Deconinck, T., Claes, L. R. F., Deprez, L., Smets, K., Hristova, D., Yordanova, I., et al. (2012) · Annals of Neurology · doi:10.1002/ana.22644 · Cited by 514
Self-citationLamotrigine and Seizure Aggravation in Severe Myoclonic Epilepsy
Guerrini, R., Dravet, C., Genton, P., Belmonte, A., Kaminska, A., & Dulac†, O. (1998) · Epilepsia · doi:10.1111/j.1528-1157.1998.tb01413.x · Cited by 467
Cited by
Sorted by citations
Zuberi, S. M., Wirrell, E., Yozawitz, E., Wilmshurst, J. M., Specchio, N., Riney, K., Pressler, R., Auvin, S., Samia, P., Hirsch, E., et al. (2022) · Epilepsia · doi:10.1111/epi.17239 · Cited by 934
Self-citationSudden unexpected death in epilepsy: epidemiology, mechanisms, and prevention
Devinsky, O., Hesdorffer, D. C., Thurman, D. J., Lhatoo, S. D., & Richerson, G. B. (2016) · The Lancet Neurology · doi:10.1016/s1474-4422(16)30158-2 · Cited by 743
Genetic and phenotypic heterogeneity suggest therapeutic implications in SCN2A-related disorders
Wolff, M., Johannesen, K. M., Hedrich, U. B. S., Masnada, S., Rubboli, G., Gardella, E., Lesca, G., Ville, D., Milh, M., Villard, L., et al. (2017) · Brain · doi:10.1093/brain/awx054 · Cited by 600
“Howell et al. (2015) reported the appearance of myoclonus with vigaba-trin and lamotrigine in one child.”
BackgroundInfluentialThe genetic landscape of the epileptic encephalopathies of infancy and childhood
McTague, A., Howell, K. B., Cross, J. H., Kurian, M. A., & Scheffer, I. E. (2015) · The Lancet Neurology · doi:10.1016/s1474-4422(15)00250-1 · Cited by 609
Self-citationProgress in Understanding and Treating SCN2A-Mediated Disorders
Sanders, S. J., Campbell, A. J., Cottrell, J. R., Moller, R. S., Wagner, F. F., Auldridge, A. L., Bernier, R. A., Catterall, W. A., Chung, W. K., Empfield, J. R., et al. (2018) · Trends in Neurosciences · doi:10.1016/j.tins.2018.03.011 · Cited by 338
“While most children with SCN2A variants fit into one of these three categories, there are some exceptions, including epileptic encephalopathy with choreoathetoid movements [26,27], BISs with late-onset episodic ataxia [28–31], childhood-onset epileptic encephalopathy [32], and schizophrenia [33,34].”
Background
Metadata
- Authors
- Howell, K. B., McMahon, J. M., Carvill, G. L., Tambunan, D., Mackay, M. T., Rodriguez-Casero, V., Webster, R., Clark, D., Freeman, J. L., Calvert, S., Olson, H. E., Mandelstam, S., Poduri, A., Mefford, H. C., Harvey, A. S., & Scheffer, I. E.
- Affiliations
- Boston Children's Hospital (US)
- From the Departments of Neurology (K.B.H., M.T.M., V.R.-C., J.L.F., A.S.H., I.E.S.) and Radiology (S.M.), The Royal Children's Hospital, Melbourne; Department of Paediatrics (K.B.H., M.T.M., S.M., A.S.H., I.E.S.), The University of Melbourne; Murdoch Childrens Research Institute (K.B.H., M.T.M., J.L.F., A.S.H.), Melbourne; Epilepsy Research Centre (J.M.M., I.E.S.), Department of Medicine, University of Melbourne, Austin Health, Melbourne, Australia; Division of Genetic Medicine (G.L.C., H.C.M.),...
- ORCID
- Venue
- Neurology
- Published
- 2015-09-15
- Volume
- 85
- Issue
- 11
- Pages
- 958-966
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC4567464
- OpenAlex
- W1798842141
- Cited by
- 255
- References
- 41
- Citations by year
- 2026: 15 · 2025: 22 · 2024: 14 · 2023: 18 · 2022: 17 · 2021: 33 · 2020: 28 · 2019: 30 · 2018: 23 · 2017: 34 · 2016: 20 · 2015: 1
- FWCI
- 21.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neurology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- Burroughs Wellcome Fund
- GlaxoSmithKline
- Jack Brockhoff Foundation
- University of Melbourne
- Epilepsy Society
- Shepherd Foundation
- National Institutes of Health
- Medical Research Council
- National Health and Medical Research Council
- Health Research Council of New Zealand
- National Institute of Neurological Disorders and Stroke
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD083091)
- Cilag
- Topics
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmacological Effects and Toxicity Studies
- Keywords
- SCN2A, sodium channel mutations, epileptic encephalopathy, infantile-onset epilepsy, epilepsy of infancy with migrating focal seizures, Ohtahara syndrome, infantile spasms, phenytoin, sodium channel blockers, developmental outcomes, movement disorders, hypotonia, seizure clusters, interictal epileptiform discharges
- MeSH terms
- Adolescent, Brain Diseases, Child, Child, Preschool, Electroencephalography, Epilepsies, Partial, Female, Humans, Infant, Male, Mutation, Phenotype, Seizures, Spasms, Infantile, Genetic Predisposition to Disease, Young Adult, NAV1.2 Voltage-Gated Sodium Channel
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-10, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-10 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
