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June 2022; 8 (3) Clinical/Scientific NotesOpen Access

A New Case With Cortical Malformation Caused by Biallelic Variants in LAMC3

View ORCID ProfileKazuo Abe, Kumiko Ando, View ORCID ProfileMitsuhiro Kato, View ORCID ProfileHirotomo Saitsu, View ORCID ProfileMitsuko Nakashima, Shintaro Aoki, Takashi Kimura
First published May 9, 2022, DOI: https://doi.org/10.1212/NXG.0000000000000680
Kazuo Abe
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • ORCID record for Kazuo Abe
Kumiko Ando
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: kumiko.ando01@gmail.com
Mitsuhiro Kato
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: ktmthr@gmail.com
Hirotomo Saitsu
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: hsaitsu@hama-med.ac.jp
Mitsuko Nakashima
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: mnakashi@hama-med.ac.jp
Shintaro Aoki
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: saoki@hama-med.ac.jp
Takashi Kimura
From the Department of Neurology (Kazuo Abe, T.K.), Hyogo College of Medicine Hospital; Center of Neurology (Kazuo Abe), Gratia Hospital; Department of Diagnostic Radiology (Kumiko Ando), Kobe City Medical Center General Hospital; Department of Pediatrics (M.K.), Showa University School of Medicine; and Department of Biochemistry (H.S., M.N., S.A.), Hamamatsu University School of Medicine.
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  • For correspondence: kimura@hyo-med.ac.jp
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A New Case With Cortical Malformation Caused by Biallelic Variants in LAMC3
Kazuo Abe, Kumiko Ando, Mitsuhiro Kato, Hirotomo Saitsu, Mitsuko Nakashima, Shintaro Aoki, Takashi Kimura
Neurol Genet Jun 2022, 8 (3) e680; DOI: 10.1212/NXG.0000000000000680

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Abstract

Objective In this study, we report the case of a 24-year-old man with intellectual disability and childhood-onset seizures. This patient had newly identified biallelic variants in the laminin subunit gamma 3 (LAMC3) gene with unreported cortical malformation.

Methods Exome sequencing.

Results Genetic analyses revealed new biallelic variants in the LAMC3 gene. An MRI examination of the brain revealed cortical malformations predominantly in the temporal lobes and mildly in the occipital, frontal, and parietal lobes. In addition, our patient also exhibited mild midline malformation in the ventral pons, which is unique to LAMC3 variants.

Discussion Patients with LAMC3 variants have been reported to exhibit cortical malformation predominantly in the occipital lobes, but this patient exhibited cortical malformation predominantly in the temporal lobes and mildly in the occipital, frontal, and parietal lobes. In addition, this patient also exhibited mild midline malformation in the ventral pons. These unique findings cast new light on the role of LAMC3 in brain development.

Footnotes

  • Go to Neurology.org/NG for full disclosures. Funding information is provided at the end of the article.

  • The Article Processing Charge was funded by the authors.

  • Submitted and externally peer reviewed. The handling editor was Stefan M. Pulst, MD, Dr med, FAAN.

  • Received November 9, 2021.
  • Accepted in final form April 5, 2022.
  • Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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