M323V Syndrome Presents with Infantile Nystagmus.

Soohwa Jin, Sung-Eun Park, Dongju Won, Seung-Tae Lee, Sueng-Han Han, Jinu Han

Journal: Genes 2021;12(4):575

PMID: 33921132

Abstract

["Variants in the gene, one of the tubulin-encoding genes, are known to cause congenital fibrosis of the extraocular muscles type 3 and\/or malformations of cortical development. Herein, we report a case of a 6-month-old infant with c.967A>G:p.(M323V) variant in the gene, who had only infantile nystagmus without other ophthalmological abnormalities. Subsequent brain magnetic resonance imaging (MRI) revealed cortical dysplasia. Neurological examinations did not reveal gross or fine motor delay, which are inconsistent with the clinical characteristics of patients with the M323V syndrome reported so far. A protein modeling showed that the M323V mutation in the gene interferes with \u03b1\u03b2 heterodimer formation with the gene. This report emphasizes the importance of considering and tubulinopathy in infantile nystagmus. A brain MRI should also be considered for these patients, although in the absence of other neurologic signs or symptoms."]
Address: Department of Opthalmology, Yonsei University College of Medicine, Seoul 03722, Korea.; Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea.; Department of Laboratory Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea.; Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Korea.
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