Creation of a Register of Patients With Neonatal-onset Epileptic Encephalopathy

Status: Recruiting
Location: See all (15) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

Electrical activity emerges in the third trimester of pregnancy, plays an important role in the construction of cortical maps, and is impaired in patients with severe early epileptic encephalopathies (EOEE). EOEE are rare and severe epileptic syndromes characterized by epilepsy that begins within the first three months of life and is associated with rapid deterioration of motor, cognitive and behavioral skills. There is a genetic basis for the EOEE. Together with other laboratories, the investigators have identified de novo pathogenic variants in the KCNQ2 gene encoding the Kv7.2 subunit of the Kv7 / M potassium channel, a channel known to control neuronal excitability in the brain and spinal cord. via the current M (IM). Pathogenic variants of the KCNQ2 gene represent the main cause of EOEE and the term KCNQ2-related epileptic encephalopathy (KCNQ2-REE) is now used to define this condition. KCNQ2-REE patients have a remarkably homogeneous phenotype at the start, with epilepsy that begins in the first days after birth, seizures that result in tonic muscle spasms that last from 1 to 10 seconds, and an interictal EEG called suppression-burst. That is, paroxysmal bursts of activity interspersed with periods of electrical silence. In this group, more than 50% of the patients present a remission of the epilepsy and a quasi-normalization of the EEG which can occur a few weeks to several months after the onset of the seizures. Despite this positive evolution in terms of seizures, the developmental progression is abnormal and the phenotype is severe with an absence of language, autistic behavior and a subsequent development of motor disorders such as diplegia, spasticity, ataxia or dystonia. The ambition of this project is to increase knowledge of epileptic encephalopathies linked to KCNQ2 at the clinical and molecular levels, to decipher the pathophysiological mechanisms and to propose therapeutic strategies. This project aims to better describe the clinical, EEG, imaging, developmental and long-term follow-up characteristics of patients carrying the KCNQ2 mutation identified in the laboratory.

Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: f
View:

• Epilepsy beginning before 1 month of life, and requiring the initiation of anti-epileptic treatment

• Without occasional cause

• Without brain malformation explaining epilepsy

• No opposition from parents / guardians

• Possibility for parents to complete parent questionnaires

Locations
Other Locations
France
CHU Angers
NOT_YET_RECRUITING
Angers
CHU Bordeaux
NOT_YET_RECRUITING
Bordeaux
CHU Brest
NOT_YET_RECRUITING
Brest
CHRU Lille
NOT_YET_RECRUITING
Lille
CHU Limoges
NOT_YET_RECRUITING
Limoges
Hospices Civils Lyon
NOT_YET_RECRUITING
Lyon
Hôpital La Timone
RECRUITING
Marseille
CHU Montpellier
NOT_YET_RECRUITING
Montpellier
APHP Pitié Salpêtrière
RECRUITING
Paris
APHP Robert Debré
NOT_YET_RECRUITING
Paris
Hôpital Necker
NOT_YET_RECRUITING
Paris
CHU Rennes
NOT_YET_RECRUITING
Rennes
CHRU Strasbourg
NOT_YET_RECRUITING
Strasbourg
CHU Toulouse
NOT_YET_RECRUITING
Toulouse
CHU Tours
NOT_YET_RECRUITING
Tours
Contact Information
Primary
Mathieu Milh
mathieu.milh@ap-hm.fr
0491322903
Time Frame
Start Date: 2021-03-06
Estimated Completion Date: 2025-09
Participants
Target number of participants: 200
Sponsors
Leads: Assistance Publique Hopitaux De Marseille

This content was sourced from clinicaltrials.gov