Key result
Genetic screening identifies a de novo SCN4A missense mutation causing pediatric sodium channel myotonia.
Case Report (n=1)
Identifies a novel de novo missense mutation in the SCN4A gene causing sodium channel myotonia in a pediatric patient.
May inform genetic counseling in select pediatric myotonia cases; extends SCN4A variant spectrum but remains hypothesis-generating.
We describe the case of a six year old boy with findings consistent with myotonia congenita: muscular hypertrophy, stiffness when commencing movements and typical warm-up signs. The most prominent symptom was myotonia of the eyelid muscles with apparent swelling around the eyes. Even though the pronounced warm-up phenomena in our patient suggested a chloride channel-associated myotonia congenita, the myotonia of his eyelid muscles indicated an involvement of sodium channels. Screening for mutations in the underlying CLCN1 gene was negative, however, in the SCN4A gene, we identified the missense mutation c.2108T>C; p.Leu703Pro for which there is strong evidence of pathogenicity because it arose de novo in the index patient.
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Ørstavik et al. (2015) conducted a case report in Sodium Channel Myotonia (n=1). SCN4A gene mutation (c.2108T>C; p.Leu703Pro) was evaluated on Identification of genetic mutation. A de novo missense mutation (c.2108T>C; p.Leu703Pro) in the SCN4A gene was identified as the pathogenic cause of sodium channel myotonia in a 6-year-old boy.
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