Dominant SCN4A gain-of-function mutations are a well-established cause of myotonia and periodicparalysis.
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Methods: Six unrelated Korean patients with periodicparalysis or nondystrophic myotonia associated with SCN4A mutations were included in the study.
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Hypokalaemic periodicparalysis is a rare genetic neuromuscular disease characterized by episodes of skeletal muscle paralysis associated with low serum potassium.
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We report a child with hypokalaemic periodicparalysis and CNS involvement, including seizures, but without mutations in the known periodicparalysis genes.
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There are at present two other distinct clinical muscle disorders associated with mutations in the sodium channel: hyperkalemic periodicparalysis and paramyotonia congenita.
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Despite the fact that mutations were described in genes encoding ion channels in familial hypokalaemic periodicparalysis, no definite genetic variants were found in TPP.
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The mutation causing hyperkalemic periodicparalysis (HyperPP) with myotonia has previously been mapped to this gene locus by the same candidate gene approach.
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Hyperkalaemic periodicparalysis (HyperPP) is due to a gain-of-function mutation of the main alpha pore of Na v 1.4.
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Objective: Hypokalaemic periodicparalysis (HypoPP) is caused by mutations of Ca v 1.1, and Na v 1.4 which result in an aberrant gating pore current.