First case report of effective and safe application of cannabidiol to treat concurrent ALG3-CDG and Lennox-Gastaut Syndrome.

IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY
Neurological Sciences Pub Date : 2025-04-01 Epub Date: 2025-01-20 DOI:10.1007/s10072-025-08004-1
Seok-Jin Lee, Ji-Hoon Na, Hyunjoo Lee, Young-Mock Lee
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引用次数: 0

Abstract

This study presents the first reported case of a Korean patient with Alpha-1,3-Mannosyltransferase-Congenital Disorder of Glycosylation (ALG3-CDG), characterized by a novel maternally inherited missense mutation and a previously reported paternally inherited nonsense mutation. The patient exhibited typical ALG3-CDG manifestations, including developmental delays, epilepsy, and multisystem involvement, alongside a diagnosis of Lennox-Gastaut Syndrome (LGS). Cannabidiol therapy, combined with dietary management, led to seizure freedom for over 13 months, significant EEG improvement, and enhanced developmental outcomes. This case underscores the potential of cannabidiol as a promising treatment strategy for patients with ALG3-CDG and refractory epilepsy, broadening therapeutic perspectives for this rare disorder.

有效安全应用大麻二酚治疗并发ALG3-CDG和lenox - gastaut综合征的首例报道。
本研究首次报道了韩国患者α -1,3-甘露糖基转移酶先天性糖基化障碍(ALG3-CDG)的病例,其特征是一种新的母系遗传错义突变和先前报道的父系遗传无义突变。患者表现出典型的ALG3-CDG表现,包括发育迟缓、癫痫和多系统受累,同时诊断为lenox - gastaut综合征(LGS)。大麻二酚治疗与饮食管理相结合,导致癫痫发作自由超过13个月,脑电图显著改善,并增强了发育结果。该病例强调了大麻二酚作为ALG3-CDG和难治性癫痫患者的一种有希望的治疗策略的潜力,拓宽了这种罕见疾病的治疗前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neurological Sciences
Neurological Sciences 医学-临床神经学
CiteScore
6.10
自引率
3.00%
发文量
743
审稿时长
4 months
期刊介绍: Neurological Sciences is intended to provide a medium for the communication of results and ideas in the field of neuroscience. The journal welcomes contributions in both the basic and clinical aspects of the neurosciences. The official language of the journal is English. Reports are published in the form of original articles, short communications, editorials, reviews and letters to the editor. Original articles present the results of experimental or clinical studies in the neurosciences, while short communications are succinct reports permitting the rapid publication of novel results. Original contributions may be submitted for the special sections History of Neurology, Health Care and Neurological Digressions - a forum for cultural topics related to the neurosciences. The journal also publishes correspondence book reviews, meeting reports and announcements.
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