RT Journal Article SR Electronic T1 Expanding the Allelic spectrum in ATP1A3-related disorders with 3 novel mutations and clinic features JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 195 OP 198 DO 10.17712/nsj.2023.3.20220131 VO 28 IS 3 A1 Suad A. Alyamani A1 Hesham M. Aldhalaan A1 Mohammed A. Almuhaizea A1 Musaad F. Abukhalid YR 2023 UL http://nsj.org.sa/content/28/3/195.abstract AB Objectives: To describe the complex phenotype of ATP1A3 and second to report new mutation of ATP1A3.Methods: This is a retrospective chart review of 7 patients who was diagnosed with ATP1A3 mutation based on whole exome sequencing (WES) result and the following information were collected; age, age of onset, developmental ability, seizure type, family history, MRI, WES report. The data collection started a year ago January 2021 in King Faisal Specialist Hospital and Research Centre, Riyadh, KSA. This has been cleared for publication by the Office of Research Affairs, and the Publication Number is 2225429.Results: Five females and 2 males had onset ages of 0–3 years (mean=18 months). All had some degree of intellectual dysfunction, 6 had seizures (85%), 4 had neurologic abnormalities, 1 had autistic features and one had mild dystonia.Conclusion: Our small-cohort observations confirm that ATP1A3 mutations express a wide range of phenotypes, usually including some degree of cognitive-behavioral dysfunction (100% of patients), seizures (85% of patients), and AHC (71% of patients). Moreover, they further expand the evolving allelic spectrum of these disorders by identifying 3 novel mutations.