Division of Pediatric Neurology, Osaka City General Hospital, Osaka, Japan
Division of Pediatric Endocrinology and Metabolism, Osaka City General Hospital, Osaka, Japan
Department of Pediatrics, Osaka City University Graduate School of Medicine, Osaka, Japan
Tokyo Women’s Medical University Institute for Integrated Medical Sciences, Tokyo, Japan
Institute of Medical Genetics, Tokyo Women’s Medical University, Tokyo, Japan
Naohiro Yamamoto Department of Pediatric Neurology, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojima-ku, Osaka 534-0021, Japan
17p13.1-2 microdeletion syndrome is a congenital anomaly syndrome with characteristic facial features and multiple malformations. The prevalence of epilepsy with 17p13.1–2 microdeletion is low, with only one case reported for late-onset spasms. Late-onset spasms is one of the rare epilepsy syndromes and one of the developmental epileptic encephalopathies requiring urgent treatment. We experienced two cases of 17p13.1-2 microdeletion syndrome, one of which presented with epileptic spasms in cluster at 18 months of age. EEG showed symmetrical hypsarrhythmia during interictal periods and a paroxysmal fast wave superimposed on widespread slow waves during seizures, leading to the diagnosis of late-onset spasms. Another case had no epilepsy. Comparing the extent of deletion in the two cases with that of previous reports, the involvement of the USP6 gene was suspected. However, the accumulation of additional case reports is needed to confirm the genetic involvement in late-onset spasms.