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Epilepsy Advanced Sequencing and CNV Evaluation - Developmental Brain Malformations
Test Code94556
CPT Codes
81403, 81404 (x4), 81405 (x4), 81406 (x4), 81407, 81408 (x2), 81479<br><strong>Limited Access Code</strong>
Physician Attestation of Informed Consent
This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA.
Includes
ARFGEF2, ARX, COL4A1, CPT2, DCX, EMX2, FGFR3, FKRP, FKTN, FLNA, GPR56, LAMA2, LARGE1, PAFAH1B1, PAX6, PEX7, POMGNT1, POMT1, POMT2, PQBP1, RAB3GAP1, RELN, SRPX2, TUBA1A, TUBA8, TUBB2B, WDR62, ASPM, CENPJ, DEAF1, DPYD, FOLR1, MCPH1, NDE1, QARS, SHH, SIX3, SLC25A19, STIL, TSEN54
Preferred Specimen
8 mL whole blood collected in two EDTA (lavender-top) tubes, or
Pediatric volume: 2 mL whole blood
Pediatric volume: 2 mL whole blood
Minimum Volume
6 mL • 1 mL pediatric
Instructions
Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.
Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing. Patients, 0-3 years have higher WBC, yielding more DNA per mL of blood.
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 10 days
Refrigerated: 10 days
Frozen: Unacceptable
Refrigerated: 10 days
Frozen: Unacceptable
Methodology
Next Generation Sequencing • CNV Analys using NGS • Targeted Microarray
Setup Schedule
Set up: As needed; Report available: 28-35 days
Reference Range
See Laboratory Report
Clinical Significance
This diagnostic panel detects DNA sequence variants and copy number variations (CNV) in genes associated with developmental brain malformations including neuronal migration/positioning defects and developmental disruptions that result in conditions such as holoprosencephaly, lissencephaly, pachygyria, microcephaly/microencephaly, or subcortical band heterotopia, and others. These conditions are often diagnosed by neuroimaging when patients present with epilepsy. Though these conditions can be highly variable in terms of severity, all are associated with seizures.