Early onset epileptic and developmental encephalopathy and MOGS variants: a new diagnosis in the whole exome sequencing (WES) ERA : Report of a new patient and review of the literature

Neurogenetics. 2024 Jul;25(3):281-286. doi: 10.1007/s10048-024-00754-y. Epub 2024 Mar 18.

Abstract

Mannosyl-oligosaccharide glucosidase - congenital disorder of glycosylation (MOGS-CDG) is determined by biallelic mutations in the mannosyl-oligosaccharide glucosidase (glucosidase I) gene. MOGS-CDG is a rare disorder affecting the processing of N-Glycans (CDG type II) and is characterized by prominent neurological involvement including hypotonia, developmental delay, seizures and movement disorders. To the best of our knowledge, 30 patients with MOGS-CDG have been published so far. We described a child who is compound heterozygous for two novel variants in the MOGS gene. He presented Early Infantile Developmental and Epileptic Encephalopathy (EI-DEE) in the absence of other specific systemic involvement and unrevealing first-line biochemical findings. In addition to the previously described features, the patient presented a Hirschprung disease, never reported before in individuals with MOGS-CDG.

Keywords: Burst suppression; CDG-IIb; Congenital disorders of glycosylation; Early infantile Developmental and Epileptic Encephalopathy (EI-DEE); Hypotonia; MOGS; Spasms.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Congenital Disorders of Glycosylation* / diagnosis
  • Congenital Disorders of Glycosylation* / genetics
  • Developmental Disabilities / diagnosis
  • Developmental Disabilities / genetics
  • Epilepsy / diagnosis
  • Epilepsy / genetics
  • Exome Sequencing*
  • Humans
  • Infant
  • Male
  • Mutation / genetics
  • Spasms, Infantile / diagnosis
  • Spasms, Infantile / genetics
  • alpha-Glucosidases / genetics

Substances

  • alpha-Glucosidases
  • glucosidase I