Evidence map›Paper›PMID 42792972›Full record

ArticleGenes2026

Genomic Reanalysis of Neurodevelopmental Disorders With and Without Epilepsy: Diagnostic Yield and Mechanisms of Newly Established Diagnoses.

Da Hye Yoon, Chang Ahn Seol, Jung Woo Rhim, Ji Yoon Han

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In one paragraph

Article in Genes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Da Hye YoonDivision of Pediatric Neurology, Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Chang Ahn SeolGC Genome, Yongin 16924, Republic of Korea.
Jung Woo RhimDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0002-0227-3809
Ji Yoon HanDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.ORCID 0000-0002-4174-5266

Funding

National Research Foundation of Korea RS-2026-25488816The Catholic University of Korea Catholic Medical Center 2026
6 · The paper itself

Abstract

BACKGROUND/

objectivesGenomic reanalysis may provide additional molecular diagnoses in patients with neurodevelopmental disorders (NDDs) whose initial genetic testing was nondiagnostic. We evaluated the diagnostic yield and mechanisms of newly established diagnoses in NDDs with and without epilepsy.

methodsWe retrospectively reviewed 175 patients with previously unresolved NDDs who underwent whole-exome sequencing between 2015 and 2024. Archived WES variant call format (VCF) files were reannotated using updated databases and variant prioritization criteria, followed by phenotype- and inheritance-informed clinical interpretation. Patients were classified as NDD without epilepsy (

resultsFive new molecular diagnoses were established, yielding an incremental diagnostic yield of 3% (5/175). The yield was numerically higher in the NDD+E group than in the NDD group (7% [3/42] vs. 2% [2/133]), although the difference was not statistically significant (

conclusionsGenomic re-evaluation provided additional diagnoses in a modest but clinically relevant proportion of previously unresolved pediatric NDD cases. Periodic, phenotype-informed reassessment of existing genomic data, together with complementary testing when indicated, may resolve diagnoses missed or uninterpretable at the initial evaluation.

Indexed as

EpilepsyNeurodevelopmental DisordersAdolescentChildChild, PreschoolExome SequencingFemaleGenetic TestingGenomicsHumansInfantMalePhenotyperas GTPase-Activating ProteinsRetrospective Studiesras GTPase-Activating Proteinsdiagnostic yieldepilepsygenomic reanalysisneurodevelopmental disorderswhole-exome sequencing

Identifiers

PMID42792972
PMCPMC13606157

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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.