{"title":"无眼部症状和中枢神经系统疾病的先天性肌营养不良福库汀突变1例报告","authors":"Hiroko Oiwa , Keiko Ishigaki , Yoshihiko Saito , Yasushi Oya , Ichizo Nishino , Yuji Takahashi","doi":"10.1016/j.bdcasr.2025.100095","DOIUrl":null,"url":null,"abstract":"<div><h3>Case presentation</h3><div>We report a 22-year-old Japanese man with severe congenital muscular dystrophy without intellectual disability due to a 3-kb retrotransposal insertion and point mutation in the fukutin gene (<em>FKTN</em>), classified as congenital muscular dystrophy-dystroglycanopathy without mental retardation (type B4; MDDGB4; OMIM <span><span>613152</span><svg><path></path></svg></span>). The onset was in infancy, and while he eventually lost his ambulation, he had no intellectual disability.</div></div><div><h3>Discussion</h3><div>We believe that this patient had the most severe MDDGB4 phenotype not only among surviving patients with <em>FKTN</em> mutations but also among surviving patients with mutations in other α-dystroglycanopathy-related genes.</div></div><div><h3>Conclusion</h3><div>The phenotypes associated with <em>FKTN</em> mutations are not limited to FCMD, ranging from severe to mild in manifestation.</div></div>","PeriodicalId":100196,"journal":{"name":"Brain and Development Case Reports","volume":"3 3","pages":"Article 100095"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Congenital muscular dystrophy due to fukutin mutations without ocular symptoms and central nervous system disorders: A case report\",\"authors\":\"Hiroko Oiwa , Keiko Ishigaki , Yoshihiko Saito , Yasushi Oya , Ichizo Nishino , Yuji Takahashi\",\"doi\":\"10.1016/j.bdcasr.2025.100095\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Case presentation</h3><div>We report a 22-year-old Japanese man with severe congenital muscular dystrophy without intellectual disability due to a 3-kb retrotransposal insertion and point mutation in the fukutin gene (<em>FKTN</em>), classified as congenital muscular dystrophy-dystroglycanopathy without mental retardation (type B4; MDDGB4; OMIM <span><span>613152</span><svg><path></path></svg></span>). The onset was in infancy, and while he eventually lost his ambulation, he had no intellectual disability.</div></div><div><h3>Discussion</h3><div>We believe that this patient had the most severe MDDGB4 phenotype not only among surviving patients with <em>FKTN</em> mutations but also among surviving patients with mutations in other α-dystroglycanopathy-related genes.</div></div><div><h3>Conclusion</h3><div>The phenotypes associated with <em>FKTN</em> mutations are not limited to FCMD, ranging from severe to mild in manifestation.</div></div>\",\"PeriodicalId\":100196,\"journal\":{\"name\":\"Brain and Development Case Reports\",\"volume\":\"3 3\",\"pages\":\"Article 100095\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain and Development Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2950221725000340\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain and Development Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950221725000340","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Congenital muscular dystrophy due to fukutin mutations without ocular symptoms and central nervous system disorders: A case report
Case presentation
We report a 22-year-old Japanese man with severe congenital muscular dystrophy without intellectual disability due to a 3-kb retrotransposal insertion and point mutation in the fukutin gene (FKTN), classified as congenital muscular dystrophy-dystroglycanopathy without mental retardation (type B4; MDDGB4; OMIM 613152). The onset was in infancy, and while he eventually lost his ambulation, he had no intellectual disability.
Discussion
We believe that this patient had the most severe MDDGB4 phenotype not only among surviving patients with FKTN mutations but also among surviving patients with mutations in other α-dystroglycanopathy-related genes.
Conclusion
The phenotypes associated with FKTN mutations are not limited to FCMD, ranging from severe to mild in manifestation.