1
|
Zhang YJ, Dai LF, Ren SS, Ding CH. [Two cases of potassium-aggravated myotonia induced by SCN4A gene variation]. Zhonghua Er Ke Za Zhi 2023; 61:1043-1045. [PMID: 37899345 DOI: 10.3760/cma.j.cn112140-20230731-00054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 10/31/2023]
Affiliation(s)
- Y J Zhang
- Department of Neurology, Baoding Hospital, Beijing Children's Hospital Affiliated to Capital Medical University, Baoding 071000, China
| | - L F Dai
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China
| | - S S Ren
- Department of Neurology, Baoding Hospital, Beijing Children's Hospital Affiliated to Capital Medical University, Baoding 071000, China
| | - C H Ding
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China
| |
Collapse
|
2
|
Zhang XY, Ding CH, Ren SS. [Phosphoglycerate dehydrogenase deficiency in a child]. Zhonghua Er Ke Za Zhi 2023; 61:653-655. [PMID: 37385812 DOI: 10.3760/cma.j.cn112140-20230219-00113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 07/01/2023]
Affiliation(s)
- X Y Zhang
- Department of Neurology, Baoding Hospital, Beijing Children's Hospital, Capital Medical University, Baoding 071000,China
| | - C H Ding
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - S S Ren
- Department of Neurology, Baoding Hospital, Beijing Children's Hospital, Capital Medical University, Baoding 071000,China
| |
Collapse
|
3
|
Zhuo XW, Ren SS, Gong S, Zhang WH, Li JW, Zhang YJ, Ding CH. [Clinical and genetic analysis of 5 pediatric patients with hemiplegic migraine presenting as acute encephalopathy]. Zhonghua Er Ke Za Zhi 2021; 59:316-321. [PMID: 33775052 DOI: 10.3760/cma.j.cn112140-20201015-00946] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To analyze the clinical and genetic characteristics, diagnosis and treatment of hemiplegic migraine (HM) manifested as acute encephalopathy in children, so as to improve the understanding of this disease. Methods: The clinical data of 5 children diagnosed with HM characterized by acute encephalopathy who were admitted to Beijing Children's Hospital affiliated to Capital Medical University from August 2018 to June 2020 were retrospectively analyzed. Results: Among the 5 cases, 3 were males and 2 females with an age of 9.7 (3.9-12.7) years. The age of disease onset was 7.0(2.1-12.7) years. The peak symptoms of 5 children showed encephalopathy such as drowsiness and coma, as well as other clinical manifestations including headache, visual abnormality, hemiplegia, aphasia, convulsions, and fever, etc. The time to reach the peak was on the 2nd-6th day of the course of the disease. Before the onset of the disease 2 cases were found to have mild brain trauma and 2 cases had similar attacks in the past. Brain magnetic resonance imaging (MRI) showed hemispheric or partial cerebral cortex swelling and restricted diffusion of subcortical white matter in all cases, and cerebellar atrophy in 3 cases. All children received symptomatic treatment, and 2 of them were also treated with low-dose corticosteroids in the meantime. Finally all cases recovered clinically from the attack, but one had atrophic changes left in the affected area on brain MRI. Whole exon sequencing revealed variations of CACNA1A gene in all cases, among which 4 were de novo mutations and 1 case inherited from the mother who had migraine without aura. After the diagnosis, the 5 children were treated with long-term flunarizine and followed up for 22(7-29) months by telephone or in the outpatient clinic. Before the last follow-up, none of them showed weakness or encephalopathy, but one still had intermittent headaches and occasional transient right limb numbness. Conclusions: Hemipleg is often accompanied by impaired consciousness in addition to headache, hemiplegia, aphasia, visual abnormality, etc. Most patients recover completely after a short period, while a few recover slowly and may suffer sequelae such as brain atrophy and cognitive impairment and even death. CACNA1A gene variation is the most common genetic variation. Flunarizine could prevent recurrence of severe attack.
Collapse
Affiliation(s)
- X W Zhuo
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - S S Ren
- Department of Neurology, Baoding Children's Hospital, Baoding 071051, China
| | - S Gong
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - W H Zhang
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - J W Li
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| | - Y J Zhang
- Department of Neurology, Baoding Children's Hospital, Baoding 071051, China
| | - C H Ding
- Department of Neurology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
| |
Collapse
|
4
|
Ren SS, Dai X, Ying M, Wang WX, Chang J, Hou ZM. [Factors affecting stability after fixed orthodontic treatment]. Zhonghua Kou Qiang Yi Xue Za Zhi 2018; 53:599-603. [PMID: 30196619 DOI: 10.3760/cma.j.issn.1002-0098.2018.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To analyze factors affecting stability after fixed orthodontic treatment. Methods: Five hundred and forty-four patients who had finished fixed orthodontic treatment more than two years in First Department of Orthodontics, China Medical University from January, 2000 to December, 2017 were investigated and the rate of regular revisit was counted. The data of 288 patients were successfully collected by calling or sending text messages and the rate of standard use of retainers as prescribed (patients wore retainers for 24 months or longer) was counted. According to the variation of peer assessment rating (PAR) index at the start of retention and the time the data collected, the patients were divided into relapse group (variation of PAR index >5) and non-relapse group (variation of PAR index ≤5). Difference significance analysis and multiple-factor logistic regression analysis were used. Sixty patients wearing retainers well were collected and the curative effects of Hawley retainer and vacuum formed retainer (VFR) were compared, which included overbite, overjet, maxillary irregularity index, mandibular irregularity index, width betwenn canine and width between first molar. Results: The rate of regular revisit was 41.0% (223/544). Two hundred and one of 288 patients (69.8%) who were visited successfully had regular revisit, and 60.4%(174/288) of the patients wore retainers well; 30.2% (87/288) of the patients who were visited successfully didn't have regular revisit, and 10.4% (30/288) of the patients wore retainers well. Difference significance analysis showed that there was highly significant difference between relapse group and non-relapse group in the type of retainer and duration of retention (P<0.01). One hundred and forty of 224 patients (62.5%) in non-relapse group and 37.5% (24/64) of the patients in relapse group used VFR, and the duration of retention in non-relapse group was significantly longer than that in relapse group (P<0.01). Multiple-factor Logistic regression analysis showed that wearing Hawley retainers (OR=3.067, P<0.05) was the risk factor influencing relapse. The duration of retention (OR=0.832, P<0.01) was the protective factor influencing relapse. Independent-sample t test indicated that the variations of maxillary [(0.82±0.36) mm] and mandibular [(1.05±0.22) mm] irregularity index in Hawley retainer group were larger than maxillary [(0.64±0.29) mm] and mandibular [(0.72±0.35) mm)] irregularity index in VFR group, respectively. The differences between the two groups were significant (P<0.05). Conclusions: Duration of retention was implicated in stability after orthodontic treatment. VFR had better effect in the aspects of irregularity index than Hawley retainer.
Collapse
Affiliation(s)
- S S Ren
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China
| | - X Dai
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China (Present address: Shenyang Heping Ally Dental Clinic, Shenyang 110003, China)
| | - M Ying
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China
| | - W X Wang
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China
| | - J Chang
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China
| | - Z M Hou
- First Department of Orthodontics, School of Stomatology, China Medical University & Liaoning Institute of Dental Research, Shenyang 110002, China
| |
Collapse
|
5
|
Chen CC, Chiu WL, Yu LJ, Ren SS, Yu WJ, Lin MH. Genetic analysis of anther-derived plants of rice: independent assortment of unlinked genes. ACTA ACUST UNITED AC 1983. [DOI: 10.1139/g83-051] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Haploid and diploid plants produced from anther culture of two hybrids of rice (Oryza sativa), each heterozygous for two unlinked genes, were subjected to genetic analysis. Progeny tests showed that all diploids but one were homozygous for both loci. Chi-square tests of the haploids and homozygous diploids revealed that the two genes in each hybrid segregated in the expected 1:1 ratio and that the four genotypic classes fit a 1:1:1:1 ratio, indicating that independent assortment of marker genes occurred and that the gametes were equally viable in the microspore-derived progeny. One diploid plant produced from anthers of the hybrid of genotype wx+wx lg+lg was found to be homozygous for lg+ but heterozygous for the waxy locus. Indirect evidence suggests that a mutation at the waxy locus in a spontaneously doubled haploid cell during culture may be the cause for occurrence of this unusual plant.
Collapse
|