Early Infantile Epileptic Encephalopathy Gene Panel Test: Booking, Price, and Results
About Early Infantile Epileptic Encephalopathy Gene Panel Test
| Field | Value |
|---|---|
| Also Known As | EIEE gene panel, Ohtahara syndrome gene panel, Developmental and epileptic encephalopathy (DEE) gene panel, Early onset epileptic encephalopathy panel |
| Sample Type | Peripheral blood (EDTA tube), Chorionic Villus Sampling (CVS), amniotic fluid |
| Fasting Required | No |
| Report Time | 35 Days |
| Recommended For | Infants and young children (typically under 3 years) with suspected early infantile epileptic encephalopathy; males and females |
| Price | Starting at ₹21,600 |
What is an Early Infantile Epileptic Encephalopathy Gene Panel Test?
The early infantile epileptic encephalopathy gene panel test is a specialised genetic test that analyses multiple genes associated with severe epilepsy syndromes appearing in the first months of life. It uses Next-Generation Sequencing (NGS) technology to detect disease-causing gene variants. The test is also referred to as the EIEE gene panel or the DEE gene panel. The samples used for analysis include peripheral blood, chorionic villus sample (CVS), and amniotic fluid.
What Does an Early Infantile Epileptic Encephalopathy Gene Panel Test Measure?
This test examines a targeted set of genes known to cause early infantile epileptic encephalopathy. The following genes are analysed as part of this panel:
| Gene | Role |
|---|---|
| ARHGEF9 | Involved in inhibitory synapse development and function |
| ARX | Controls brain development; mutations cause severe epilepsy in males |
| CDKL5 | Regulates brain cell development and seizure activity |
| GABRG2 | Part of the GABA receptor system that controls brain excitability |
| KCNQ2 | An ion channel gene that regulates electrical signalling in brain cells |
| KCNT1 | Ion channel gene linked to seizures beginning in early infancy |
| PCDH19 | Involved in cell communication in the brain; linked to epilepsy in females |
| PNKP | Plays a role in DNA repair in nerve cells |
| PLCB1 | Involved in brain signalling pathways |
| SCN1A | The key sodium channel gene; mutations cause Dravet syndrome and related epilepsies |
| SCN2A | Sodium channel gene associated with neonatal seizures and encephalopathy |
| SCN8A | Sodium channel gene linked to severe early-onset epilepsy |
| SCN9A | Sodium channel gene involved in seizure susceptibility |
| SLC25A22 | Metabolic gene involved in brain energy balance |
| SPTAN1 | Structural brain protein gene linked to infantile spasms |
| STXBP1 | Regulates communication between nerve cells; a common cause of EIEE |
Why is an Early Infantile Epileptic Encephalopathy Gene Panel Test Done?
Doctors order this test when a child shows signs that may point to a genetic cause for severe early-onset epilepsy. The following sections explain when the EIEE gene panel is typically recommended.
Common Symptoms That May Require This Test
- Frequent infantile spasms or tonic (muscle-stiffening) seizures, sometimes occurring up to 100 times per day
- Myoclonic (sudden jerking) seizures in the neonatal period or first months of life
- EEG (brain wave) findings showing a burst-suppression pattern or hypsarrhythmia (chaotic brain wave activity)
- Seizures that do not respond to standard anti-epileptic treatment
- Progressive developmental delays alongside ongoing seizures
- Intellectual disability appearing in association with severe seizure activity
Conditions This Test Can Help Detect
- Ohtahara syndrome, a severe epilepsy characterised by frequent tonic spasms from the first months of life
- West syndrome (infantile spasms), which may evolve from Ohtahara syndrome at 3 to 6 months of age
- Lennox-Gastaut syndrome, which typically appears between 1 and 3 years of age
- Dravet syndrome
- Early myoclonic encephalopathy
- Self-limited neonatal epilepsy and early-infantile developmental and epileptic encephalopathy syndrome
- Various other developmental and epileptic encephalopathies (DEEs)
How to Prepare and What to Expect
The early infantile epileptic encephalopathy gene panel test procedure is straightforward, but some preparation steps help ensure the sample is suitable for analysis.
Do You Need to Fast?
No fasting is required before this test.
Practical Tips Before Your Test
- Bring a detailed clinical history, including your child's symptoms, previous test results, and family history, as this is required for the test.
- Inform the laboratory of any prior genetic tests performed on the child.
- Let the healthcare provider know if the patient has recently had a blood transfusion or an allogeneic haematopoietic stem cell transplant (a procedure in which donor stem cells are given), as this may affect the results.
- Genetic counselling before the test is strongly recommended to help the family understand what to expect.
Step-by-Step Procedure
The early infantile epileptic encephalopathy gene panel test may use different sample types depending on the clinical indication. Home collection may be available for peripheral blood. Specialised prenatal samples such as CVS or amniotic fluid are collected at authorised healthcare facilities under medical supervision. Genetic counselling may be recommended before and after testing.
Peripheral Blood Collection
- A trained healthcare professional confirms the patient’s identity before sample collection.
- The skin over the collection site is cleaned with an antiseptic solution.
- A small blood sample is collected from a vein using a sterile needle.
- The sample is collected in an EDTA tube (purple/lavender-top tube).
- The sample is labelled and transported to the laboratory.
Chorionic Villus Sampling (CVS)
- The doctor explains the procedure and obtains informed consent before collection.
- A trained specialist collects a small placental tissue sample called chorionic villi under ultrasound guidance.
- The sample is placed in a sterile container and transported to the laboratory.
Amniotic Fluid Collection
- The abdomen is cleaned with an antiseptic solution before the procedure.
- Under ultrasound guidance, a trained specialist collects a small amount of amniotic fluid (fluid surrounding the baby during pregnancy) using a sterile needle.
- The sample is transferred to a sterile tube and sent to the laboratory.
Factors That Can Affect Accuracy
Several factors may influence the reliability of results.
- Recent allogeneic blood transfusion or haematopoietic stem cell transplant, which can introduce donor DNA
- Low-level mosaicism, a condition where only some cells carry the genetic variant, which may not always be detected
- Sample quality and correct labelling at the time of collection
- Incomplete or missing clinical history
Understanding Your Early Infantile Epileptic Encephalopathy Gene Panel Test Results
Results from this test are qualitative, meaning they classify gene variants rather than provide numerical measurements. A specialist will review your results in the context of the child's clinical picture. The table below explains the result categories.
| Result Category | Meaning |
|---|---|
| Pathogenic | A disease-causing gene variant has been identified |
| Likely Pathogenic | A variant that very likely causes disease has been found |
| Variant of Uncertain Significance (VUS) | The clinical meaning of this variant is currently unclear |
| Likely Benign | A variant unlikely to cause disease has been found |
| Benign or Negative | No disease-causing variants were detected in the genes tested |
These ranges are general guidelines. Your doctor will interpret your results based on your age, health history, and other factors. Always consult a qualified healthcare professional for personalised medical advice.
Research indicates that approximately 1 in 4 to 5 patients tested via epilepsy gene panels receive a definitive genetic diagnosis. A negative result does not entirely rule out a genetic cause.
Results During Special Conditions
Certain situations can affect how results are interpreted. A recent allogeneic haematopoietic stem cell transplant or blood transfusion may introduce donor DNA into the sample, potentially leading to inaccurate findings. In rare cases where a mitochondrial genome variant is suspected, DNA extracted from skeletal muscle tissue may be more informative than other sample types.
How to Maintain Healthy Levels
This is a genetic test, and gene variants are not changed by lifestyle. However, early diagnosis can still make a meaningful difference.
- An early genetic diagnosis may guide more targeted clinical management; studies show that management changes were made in approximately 36% of patients following a genetic diagnosis of developmental and epileptic encephalopathy.
- Genetic counselling after testing helps families understand inheritance patterns and assess the risk of recurrence in future pregnancies.
- Regular follow-up with a paediatric neurologist and clinical assessments remain important regardless of the test result.
Lupin Diagnostics Early Infantile Epileptic Encephalopathy Gene Panel Test Price and Home Collection
The early infantile epileptic encephalopathy gene panel test cost at Lupin Diagnostics starts at ₹21,600. Home collection may be available for eligible sample types such as peripheral blood or saliva. Specialised prenatal samples such as CVS or amniotic fluid are collected at authorised healthcare facilities under medical supervision.
| City | Approximate Price (₹) |
|---|---|
| BHOPAL | 21600 |
| CHENNAI | 21600 |
| HYDERABAD | 21600 |
| KOLKATA | 21600 |
| NAVI MUMBAI | 21600 |
| PUNE | 21600 |
Prices are indicative and may vary by location. Please confirm the current price at the time of booking.
How to Book
The following steps explain how to book the early infantile epileptic encephalopathy gene panel test online.
- Select the test on the Lupin Diagnostics website.
- Choose your city and preferred time slot.
- Home collection may be available for eligible sample types such as peripheral blood or saliva. Specialised prenatal samples such as CVS or amniotic fluid are collected at authorised healthcare facilities under medical supervision.
- Receive your report via email or WhatsApp within 35 days.
Home Collection
Lupin Diagnostics offers home collection for eligible sample types across multiple cities. Specialised prenatal samples such as CVS or amniotic fluid require collection at authorised healthcare facilities. All samples are processed in NABL-accredited laboratories by experienced specialists. Digital reports are shared via email or WhatsApp once ready.
Frequently Asked Questions
EIEE is a rare and severe epilepsy syndrome that causes frequent, difficult-to-control seizures beginning in the first months of life. It is associated with developmental delays and intellectual disability. The condition has multiple genetic causes, which is why a gene panel test is often recommended.
This test is recommended for infants and young children who present with frequent infantile spasms or tonic and myoclonic seizures in the neonatal period or early months of life. It is particularly useful when other causes, such as structural brain abnormalities, have already been ruled out.
The early infantile epileptic encephalopathy gene panel test has a report turnaround time of 35 days. Complex cases or samples requiring additional analysis may take longer.
Identifying a pathogenic variant can support a confirmed diagnosis, guide clinical management, and assist with understanding recurrence risks within the family. In some monogenic epilepsies (epilepsies caused by a single gene change), a genetic diagnosis may also open the door to more targeted treatment approaches.
No. Mutations in more than 50 genes are known to cause EIEE, and current diagnostic yields for gene panel tests are below 60%. A negative result does not completely rule out a genetic cause. If the panel is negative, a doctor may recommend whole-exome or whole-genome sequencing as a next step.
Genetic counselling before and after the EIEE gene panel is strongly recommended. A genetic counsellor can help the family understand what the test can and cannot detect, what different results may mean, and the implications for other family members.
A detailed clinical history is required for this test. This should include the child's symptoms, seizure history, previous test results, EEG findings, and any relevant family history of neurological conditions. Providing complete information helps the laboratory interpret results accurately.
Early Infantile Epileptic Encephalopathy Gene Panel Test: Booking, Price, and Results
