Frontiers in Neurology (Oct 2022)

Case report: PLPHP deficiency, a rare but important cause of B6-responsive disorders: A report of three novel individuals and review of 51 cases

  • Sarah Alsubhi,
  • Bradley Osterman,
  • Nicolas Chrestian,
  • François Dubeau,
  • Daniela Buhas,
  • Daniela Buhas,
  • Myriam Srour,
  • Myriam Srour,
  • Myriam Srour

DOI
https://doi.org/10.3389/fneur.2022.913652
Journal volume & issue
Vol. 13

Abstract

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PLPHP (pyridoxal-phosphate homeostasis protein) deficiency is caused by biallelic pathogenic variants in PLPBP and is a rare cause of pyridoxine-responsive disorders. We describe three French-Canadian individuals with PLPHP deficiency, including one with unusual paroxysmal episodes lacking EEG correlation with a suspicious movement disorder, rarely reported in B6RDs. In addition, we review the clinical features and treatment responses of all 51 previously published individuals with PLPHP deficiency. Our case series underlines the importance of considering PLPBP mutations in individuals with partially B6-responsive seizures and highlights the presence of a founder effect in the French-Canadian population.

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