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<article>

    <title>Analysis of the Electroencephalographic and Clinical Phenotype of Epilepsy in Children With Small Chromosomal Changes</title>

    <slug>analysis-of-the-electroencephalographic-and-clinical-phenotype-of-epilepsy-in-children-with-small-chromosomal-changes</slug>

    
            <parent>
            <title>Volume 5, Issue 2</title>
        </parent>
    
    
            <post_type>
            <title>ARTICLES</title>
        </post_type>
    
    	
	
	<year>2025</year>

    
	<volume>5</volume>
	
    
    <content><![CDATA[<p><span class="fontstyle0">Background/aim: </span><span class="fontstyle2">To determine the prevalence of epilepsy, the type of clinical presentation and the electroencephalographic characteristics of epilepsy in small chromosomal changes in a population of patients with epilepsy in the Republic of North Macedonia.</span></p>
<p> </p>
<p><span class="fontstyle0">Materials and methods: </span><span class="fontstyle2">This retrospective observational study included 193 patients, of which 101 patients with epilepsy (SV = 4.28, SD = 3.68, min 0.04 years, max 14 years) separated into two groups, group A with epilepsy and detected Copy number variations (CNVs); and B1 group with epilepsy where no CNVs were detected. The remaining 92 patients are with detected CNVs and without epilepsy, group B2. For comparing the groups and evaluating the qualitative data, Pearson chisquare test and Fisher’s Exact Test were used to determine the degree of dependence between categorical variables with significance p &lt;0.05, using STATA 12.0 software package.</span></p>
<p> </p>
<p><span class="fontstyle0">Results: </span><span class="fontstyle2">The correlation between epilepsy and CNVs as two dependent variables is statistically strong (Cramer’s V = - 0.5567) and significant Pr = 0.000. Pearson’s chi2 = 59.8215, Fishers exact = 0.000. The occurrence of epilepsy in the subjects is independent of the type of CNVs.</span></p>
<p> </p>
<p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">The expansion of genetic research in recent years has shown that a large part of epilepsy has a genetic basis. Determining the electroclinical features of epilepsy in relation to the occurrence of small chromosomal changes may, in the future, provide a more appropriate classification of epilepsies and key information in identifying the role of genes involved in the development of epilepsy.</span></p>]]></content>

    
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<p> </p>
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<p> </p>
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<p> </p>
<p><span class="fontstyle0">Fattorusso, A., Matricardi, S., Mencaroni, E., Dell’Isola, G. B., Di Cara, G., Striano, P., &amp; Verrotti, A. (2021). Pharmacoresistant epilepsy: An overview on existing and emerging therapies. </span><span class="fontstyle2">Frontiers in Neurology, 12</span><span class="fontstyle0">, Article 674483. https://doi.org/10.3389/fneur.2021.674483</span></p>
<p> </p>
<p><span class="fontstyle5">Analysis of the Electroencephalographic and Clinical Phenotype of Epilepsy in Children With Small Chromosomal Changes</span></p>
<p> </p>
<p><span class="fontstyle0">Fisher, R. S., Acevedo, C., Arzimanoglou, A., Bogacz, A., Cross, J. H., Elger, C. E., Engel, J., Forsgren, L., French, J. A., Glynn, M., Hesdorffer, D. C., Lee, B. I., Mathern, G. W., Moshé, S. L., Perucca, E., Scheffer, I. E., Tomson, T., Watanabe, M., … Wiebe, S. (2014). ILAE official report: A practical clinical definition of epilepsy. </span><span class="fontstyle2">Epilepsia, 55</span><span class="fontstyle0">(4), 475–482. https://doi. org/10.1111/epi.12550</span></p>
<p> </p>
<p><span class="fontstyle0">Greco, M., Ferrara, P., Farello, G., Striano, P., &amp; Verrotti, A. (2018). Electroclinical features of epilepsy associated with 1p36 deletion syndrome: A review. </span><span class="fontstyle2">Epilepsy Research, 139</span><span class="fontstyle0">, 92–101. https://doi.org/10.1016/j.eplepsyres.2017.12.020</span></p>
<p> </p>
<p><span class="fontstyle0">Helbig, I., Swinkels, M. E. M., Aten, E., Caliebe, A., van ’t Slot, R., Boor, R., von Spiczak, S., Muhle, H., Jähn, J. A., van Binsbergen, E., van Nieuwenhuizen, O., Jansen, F. E., Braun, K. P. J., de Haan, G.-J., Tommerup, N., Stephani, U., Hjalgrim, H., Poot, M., Lindhout, D., … Koeleman, B. P. C. (2014). Structural genomic variation in childhood epilepsies with complex phenotypes. </span><span class="fontstyle2">European Journal of Human Genetics, 22</span><span class="fontstyle0">(7), 896–901. https://doi.org/10.1038/ ejhg.2013.262</span></p>
<p> </p>
<p><span class="fontstyle0">Hunter, S. E., Jalazo, E., Felton, T. R., Smith, J. D., &amp; Lopez, A. R. (2022). Epilepsy genetics: Advancements in the field and impact on clinical practice. In S. J. Czuczwar (Ed.), </span><span class="fontstyle2">Epilepsy</span><span class="fontstyle0">. Exon Publications. DOI not available</span></p>
<p> </p>
<p><span class="fontstyle0">Kurosawa, K., Kawame, H., Okamoto, N., Shimada, A., Hamada, N., &amp; Nagashima, K. (2002). Epilepsy and neurological findings in chromosomal disorders. </span><span class="fontstyle2">Brain &amp; Development, 24</span><span class="fontstyle0">(5), 378–382. https://doi.org/10.1016/S0387-7604(02)00157-4</span></p>
<p> </p>
<p><span class="fontstyle0">Mefford, H. C., Yendle, S. C., Hsu, C., Cook, J., Khan, M., de Kovel, C. G. F., … Scheffer, I. E. (2011). Rare copy number variants are an important cause of epileptic encephalopathies. </span><span class="fontstyle2">Annals of Neurology, 70</span><span class="fontstyle0">(6), 974–985. https://doi.org/10.1002/ana.22645</span></p>
<p> </p>
<p><span class="fontstyle0">Nagamani, S. C., Erez, A., Ben-Zeev, B., Frydman, M., Winter, S., Zilberberg, E., … Lerman-Sagie, T. (2013). Detection of copy-number variation in AUTS2 by targeted exonic array CGH in patients with developmental delay and autism spectrum disorders. </span><span class="fontstyle2">European Journal of Human Genetics, 21</span><span class="fontstyle0">(3), 343–346. https://doi.org/10.1038/ejhg.2012.207</span></p>
<p> </p>
<p><span class="fontstyle0">Pucci, L., Curatolo, P., Coppola, G., Vigevano, F., &amp; Specchio, N. (2008). Epilepsy and electroencephalographic anomalies in chromosome 2 aberrations: A review. </span><span class="fontstyle2">Epilepsy Research, 79</span><span class="fontstyle0">(1), 63–70. https://doi.org/10.1016/j.eplepsyres.2007.11.008</span></p>
<p> </p>
<p><span class="fontstyle0">Scheffer, I. E., Berkovic, S., Capovilla, G., Connolly, M. B., French, J., Guilhoto, L., Hirsch, E., Jain, S., Mathern, G. W., Moshé, S. L., Nordli, D. R., Perucca, E., Tomson, T., Wiebe, S., Zhang, Y.-H., &amp; Zuberi, S. M. (2017). ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. </span><span class="fontstyle2">Epilepsia, 58</span><span class="fontstyle0">(4), 512–521. https:// doi.org/10.1111/epi.13671</span></p>
<p> </p>
<p><span class="fontstyle0">Schinzel, A., &amp; Niedrist, D. (2001). Chromosome imbalances associated with epilepsy. </span><span class="fontstyle2">American Journal of Medical Genetics, 106</span><span class="fontstyle0">(2), 119–124. https://doi.org/10.1002/1096-8628(2001010 8)106:23.0.CO;2-F</span></p>
<p> </p>
<p><span class="fontstyle0">Sorge, G., &amp; Sorge, A. (2013). Epilepsy and chromosomal abnormalities. </span><span class="fontstyle2">Italian Journal of Pediatrics, 39</span><span class="fontstyle0">, 36. https://doi.org/10.1186/1824-7288-39-36</span></p>
<p>  <span class="fontstyle0">Specchio, N., Wirrell, E. C., Scheffer, I. E., Nabbout, R., Riney, K., Samia, P., … Auvin, S. (2022). ILAE classification and definition of epilepsy syndromes with onset in childhood. </span><span class="fontstyle2">Epilepsia, 63</span><span class="fontstyle0">(6), 1398–1442. DOI not readily available (not all consortium papers have a single unique DOI)</span></p>
<p> </p>
<p><span class="fontstyle0">Spreiz, A., Haberlandt, E., Baumann, M., Knaus, A., &amp; Kastner, J. (2014). Chromosomal microaberrations in patients with epilepsy, intellectual disability, and congenital anomalies. </span><span class="fontstyle2">Clinical Genetics, 86</span><span class="fontstyle0">(4), 361–366. https://doi.org/10.1111/cge.12238</span></p>
<p> </p>
<p><span class="fontstyle0">Szafranski, P., Von Allmen, G. K., Graham, B. H., Stankiewicz, P., Beaudet, A. L., Cheung, S. W., … Lupski, J. R. (2015). 6q22.1 microdeletion and susceptibility to pediatric epilepsy. </span><span class="fontstyle2">European Journal of Human Genetics, 23</span><span class="fontstyle0">(2), 173–179. https://doi.org/10.1038/ejhg.2014.92</span></p>
<p> </p>
<p><span class="fontstyle0">Verrotti, A., Greco, M., Varriale, G., Coppola, G., Signoriello, G., &amp; Pignataro, V. (2018). Electroclinical features of epilepsy in monosomy 1p36 syndrome and their implications. </span><span class="fontstyle2">Acta Neurologica Scandinavica, 138</span><span class="fontstyle0">(6), 523–530. https://doi.org/10.1111/ane.12934</span></p>
<p> </p>
<p><span class="fontstyle0">Watson, C. T., Marques-Bonet, T., Sharp, A. J., &amp; Mefford, H. C. (2014). The genetics of microdeletion and microduplication syndromes: An update. </span><span class="fontstyle2">Annual Review of Genomics and Human Genetics, 15</span><span class="fontstyle0">, 215–244. https://doi.org/10.1146/annurev-genom-091212-153408</span></p>
<p> </p>
<p><span class="fontstyle0">Weise, A., Mrasek, K., Klein, E., Fröhlich, H., &amp; Liehr, T. (2012). Microdeletion and microduplication syndromes. </span><span class="fontstyle2">Journal of Histochemistry &amp; Cytochemistry, 60</span><span class="fontstyle0">(5), 346–358. https://doi. org/10.1369/0022155412440000</span></p>
<p> </p>
<p><span class="fontstyle0">Whitney, R., Nair, A., McCready, E., Robinson, R., &amp; Welch, M. (2021). The spectrum of epilepsy in children with 15q13.3 microdeletion syndrome. </span><span class="fontstyle2">Seizure, 92</span><span class="fontstyle0">, 221–222. https://doi. org/10.1016/j.seizure.2021.07.025</span></p>
<p> </p>]]></references>
    
            <keywords>Epilepsy, small chromosomal changes, epileptic seizures,
EEG, CNVs</keywords>
    
    <date></date>

    <url>https://ijtns.ibupress.com/articles/analysis-of-the-electroencephalographic-and-clinical-phenotype-of-epilepsy-in-children-with-small-chromosomal-changes</url>

</article>