Evidence map›Paper›PMID 40099311›Full record

ArticleCureus2025

A Case Report of a Child With Rare Phosphatidylinositol Glycan Anchor Biosynthesis Class N (PIGN) Gene Mutation With Hypotonia, Epilepsy, and Global Developmental Delay.

Haydy M Khalifa, Haya Alkayyat, Raafat Hamad Seroor H Jadah

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

3 authors.

Haydy M KhalifaGeneral Medicine, Bahrain Defense Force Military Hospital, Riffa, BHR.
Haya AlkayyatPediatrics, Bahrain Defence Force Royal Medical Services, Riffa, BHR.
Raafat Hamad Seroor H JadahPediatric Neurology, Bahrain Defense Force Military Hospital, Riffa, BHR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phosphatidylinositol glycan anchor biosynthesis class N (PIGN) gene mutation is a rare autosomal recessive genetic disorder. PIGN is essential for the glycosylphosphatidylinositol (GPI) anchor biosynthesis pathway. These mutations are linked to multiple congenital anomalies-hypotonia-seizures syndrome 1 (MCAHS1). The affected PIGN gene leads to a significant reduction in the overall levels of GPI-anchored proteins and CD24 expression, suggesting that even partial depletion of these proteins can result in severe phenotypic manifestations. We present a case of a two-year-old boy diagnosed with spastic cerebral palsy following a hypoxic insult, who also exhibited refractory epilepsy, global developmental delay, and failure to thrive. Whole-exome sequencing confirmed a diagnosis of an autosomal recessive mutation in the PIGN gene. Given that mutations in the PIGN gene may be an underrecognized cause of epilepsy, this case report aims to highlight the importance of early diagnosis of this condition. Furthermore, our findings contribute to the expanding spectrum of PIGN gene mutations.

Indexed as

autosomal recessive genetic disorderepilepsy in childrenglobal developmental delay (gdd)hypotoniapign gene

Identifiers

PMID40099311
PMCPMC11913204

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Registered trials

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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.