Table 5.

FLNA Allelic Disorders

DisorderCommentReferences
Periventricular nodular heterotopia, X-linked (X-PVNH)
  • Neuronal migration disorder characterized by uncalcified nodules of neurons ectopically situated along the surface of the lateral ventricles
  • Most affected persons are heterozygous females; males show early lethality.
  • Assoc w/gastrointestinal dysmotility
  • 1 female reported w/dual phenotype of PVNH & FMD1
FLNA-Related Periventricular Nodular Heterotopia, Zenker et al [2004], Hehr et al [2006], Gargiulo et al [2007], Kapur et al [2010]
Variant of X-linked periventricular nodular heterotopia
  • PVNH w/marked connective tissue dysfunction (skin fragility, vascular dilatation) described in females & males
  • Assoc w/pathogenic variants predicted to → loss of function
Sheen et al [2005], Gómez-Garre et al [2006], Reinstein et al [2013]
Myxomatous cardiac valvular dystrophy
  • Not assoc w/other neurologic or skeletal manifestations
  • Of note, cardiac valvular anomalies are assoc w/X-PVNH & some X-OPD spectrum disorders (e.g., FMD1).
OMIM 314400, Kyndt et al [2007], Lardeux et al [2011]
Congenital intestinal obstruction, X linkedGastrointestinal dysmotility is the prime manifestation if causative pathogenic variants lie in the 5' coding region of an alternative transcript in the FLNA locus.OMIM 300048, Kapur et al [2010], Jenkins et al [2018]

FMD1 = frontometaphyseal dysplasia type 1; PVNH = periventricular nodular heterotopia; X-OPD = X-linked otopalatodigital

From: X-Linked Otopalatodigital Spectrum Disorders

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