Idiopathic Generalized Epilepsy / GLUT1 deficiency
Definition
GLUT1 deficiency syndrome results from (mostly de novo) pathogenic variants in the SLC2A1 gene, causing loss of function of GLUT1, the glucose transporter at the blood-brain barrier. The classic phenotype presents with seizures beginning in infancy, acquired microcephaly and movement disorder; dominant variants have also been described in early-onset absence epilepsy and some forms of generalized epilepsy. The ketogenic diet is an effective treatment option, providing the brain with an alternative energy source.
Gene/region examined
SLC2A1- Exon 1, SLC2A1- Exon 2, SLC2A1- Exon 3, SLC2A1- Exon 4, SLC2A1- Exon 5, SLC2A1- Exon 6, SLC2A1- Exon 7, SLC2A1- Exon 8, SLC2A1- Exon 9, SLC2A1- Exon 10
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal dominant (mostly de novo variants).