Evidence map›Paper›PMID 36063114›Full record

ReviewAmerican journal of medical genetics. Part A2022

Biallelic CACNA1A variants: Review of literature and report of a child with drug-resistant epilepsy and developmental delay.

Vivien M Y Wong-Spracklen, Anna Kolesnik, Josefine Eck, Saras Sabanathan, Olivera Spasic-Boskovic, Anna Maw, Kate Baker

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in American journal of medical genetics. Part A, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Polymorphisms inGenes · 2025
    Article
  2. Article
  3. Phenotypic variability in cases with CACNA1A mutation.European journal of pediatrics · 2025
    Article
  4. Article
  5. A Review of theDiseases (Basel, Switzerland) · 2024
    Review
  6. Review
  7. Article
  8. The genotype-phenotype correlations of theFrontiers in molecular neuroscience · 2023
    Article
  9. Review
  10. Developing a pathway to clinical trials forTherapeutic advances in rare disease
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Vivien M Y Wong-SpracklenDepartment of Paediatric Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Anna KolesnikMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Josefine EckMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
Saras SabanathanDepartment of Paediatric Neurosciences, Evelina Childrens Hospital, London, UK.
Olivera Spasic-BoskovicEast Genomic Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Anna MawDepartment of Paediatric Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Kate BakerMRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0003-2986-0584
Cambridge University Hospitals NHS Foundation Trust · GBMRC Cognition and Brain Sciences Unit · GBEvelina London Children's Healthcare · GB

Funding

Department of Health BRC-1215-20014Medical Research Council G101400Medical Research Council MC_UU_00005/16Medical Research Council MC_UU_00030/3
6 · The paper itself

Abstract

Biallelic variants in CACNA1A have previously been reported in nine individuals (four families) presenting with epilepsy and cognitive impairments of variable severity and age-of-onset. Here, we describe a child who presented at 6 months of age with drug-resistant epilepsy and developmental delay. At 10 years of age, she has profound impairments in motor function and communication. MRI was initially unremarkable, but progressed to severe cerebellar atrophy by age 3 years. Next Generation Sequencing and panel analysis identified a maternally inherited truncating variant c.2042_2043delAG, p.(Gln681ArgfsTer100) and paternally inherited missense variant c.1693G>A, p.(Glu565Lys). In contrast to previously reported biallelic cases, parents carrying these monoallelic variants did not display clear signs of a CACNA1A-associated syndrome. In conclusion, we provide further evidence that biallelic CACNA1A variants can cause a severe epileptic and developmental encephalopathy with progressive cerebellar atrophy, and highlight complexities of genetic counseling in such situations.

Indexed as

Drug Resistant EpilepsyEpilepsyAtrophyCalcium ChannelsCalcium Channels, N-TypeChildChild, PreschoolFamilyFemaleHumansMutation, MissenseCACNA1A protein, humanCalcium ChannelsCalcium Channels, N-TypebiallelicCACNA1Acerebellar atrophyepileptic encephalopathyintellectual disabilityrecessive

Identifiers

PMID36063114
PMCPMC9826308
OpenAlexW4294667175

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.