
Decoding Developmental and Epileptic Encephalopathy, 21: The Role of Genetic Testing
Seizures that begin in infancy and resist conventional drugs mark DEE21; pinpointing the mutation ends diagnostic guesswork and informs reproductive decisions.

MD · MBA
Physician specializing in genetic analysis and personalized preventive medicine, and author of Outsmart Your Genes.
Brandon Colby is a physician-expert in the fields of genetic analysis and Personalized Preventive Medicine. He holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University's Graduate School of Business, and a degree in Genetics from the University of Michigan.
Dr. Colby is the author of the book Outsmart Your Genes and has developed numerous technologies that improve the analysis, interpretation, and actionability of genome sequencing data. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (ACMG), an Associate of the American College of Preventive Medicine (ACPM), and a member of the National Society of Genetic Counselors (NSGC).
Articles by Brandon Colby, MD are reviewed for accuracy by Sequencing's medical and scientific team. This page is for informational purposes and does not constitute medical advice.

Seizures that begin in infancy and resist conventional drugs mark DEE21; pinpointing the mutation ends diagnostic guesswork and informs reproductive decisions.

Refractory seizures, cognitive delay and neurological deficits appear in infancy, and identifying the causative mutation helps predict how DEE23 will progress.

Symptoms overlap with other neurological disorders, so confirming the mutation behind DEE24 avoids misdiagnosis, though variants of uncertain significance remain common.

Chromosomal microarray analysis and whole-exome sequencing can find the variant behind delayed milestones, autism spectrum traits and gait instability.

Fatigue, pallor and frequent infections follow the shortfall of red blood cells in DBA12; an RPS7 result guides transfusion and corticosteroid decisions.

Progressive microcephaly, intractable seizures and brain atrophy define this rare syndrome, where DNA analysis can confirm a diagnosis that imaging alone leaves open.

Often underdiagnosed because it resembles other skin conditions, DDD4 causes reticulate hyperpigmentation in flexural areas and involves PSENEN and NCSTN mutations.

Tremor, rigidity and bradykinesia before age 50 define this form, and de novo mutations in three named genes have been reported as possible contributors.