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ARHGEF9 Gene Hyperekplexia, EIEE8 related NGS Genetic Test

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ARHGEF9 Gene Hyperekplexia, EIEE8 related NGS Genetic Test

Short Name: ARHGEF9 NGS Genetic Test

Also known as: ARHGEF9 Gene Sequencing Test, Hyperekplexia Genetic Test, EIEE8 Genetic Test, ARHGEF9 NGS DNA Test

ARHGEF9 Gene Hyperekplexia, EIEE8 related NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS) on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in 3 to 4 weeks from sample receipt at the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

To confirm or exclude a pathogenic variant in the ARHGEF9 gene in a patient with clinical features suggestive of hyperekplexia or early infantile epileptic encephalopathy type 8 (EIEE8). The test helps establish a molecular diagnosis, guide medical management, and provide accurate recurrence risk counseling.

Test Code
4143
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
3 to 4 weeks from sample receipt at the laboratory.
Fasting Required
No
Method
Next Generation Sequencing (NGS)
Step 1

Sample Collection

No fasting is required. If possible, bring previous medical records, EEG reports, imaging studies, and family history information. Genetic counseling is recommended before the test.

Method: Venipuncture or FTA card blood spot

Step 2

Laboratory Analysis

A small blood sample will be collected by a trained phlebotomist. For FTA card collection, a single drop of blood will be placed on the provided card. The procedure is quick and simple.

Step 3

Report Delivery

There are no activity restrictions after sample collection. The sample will be safely transported to the laboratory for NGS analysis.

Timeline: 3 to 4 weeks from sample receipt at the laboratory.

Patient Instructions

1
Before the Test:No special preparation is needed. Genetic counseling is recommended to review the purpose, benefits, and limitations of the test.
2
During the Test:The test is performed on a blood sample or FTA card blood spot collected by venipuncture or finger prick. The procedure is routine and low risk.
3
After the Test:The sample is sent to the laboratory for DNA extraction and NGS analysis. You will receive the report digitally once it is ready.

About This Test

Who Should Get This Test

To confirm or exclude a pathogenic variant in the ARHGEF9 gene in a patient with clinical features suggestive of hyperekplexia or early infantile epileptic encephalopathy type 8 (EIEE8). The test helps establish a molecular diagnosis, guide medical management, and provide accurate recurrence risk counseling.

How to Prepare

  • Choose a DNA Labs India collection center or request free home collection.
  • Confirm the patient's full name, date of birth, and contact details.
  • Use the provided EDTA vacutainer or FTA card as instructed.
  • If FTA card is used, allow the blood spot to air dry completely before packing.
  • Transport the sample at ambient temperature in the provided envelope.

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"For families affected by hyperekplexia or EIEE8, a confirmed genetic diagnosis helps avoid unnecessary investigations and clarifies recurrence risk. I encourage patients to have a genetic counseling session before and after the test so the result can be interpreted in the correct clinical context."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeAs instructed by the laboratory
ContainerEDTA vacutainer / FTA card / DNA vial
Collection MethodVenipuncture or FTA card blood spot

Sample Stability

Whole blood (EDTA): 24 to 72 hours at 2 to 8°C or room temperature as per transport protocol.
FTA card blood spots: stable at room temperature for extended periods in a dry, clean pouch.
Extracted DNA: stable when stored frozen at -20°C or below.
Specific stability limits are provided by the laboratory at the time of sample collection.
Sample Rejection Criteria:
  • Unlabeled or mislabeled sample
  • Clotted blood in EDTA tube
  • Sample received in a leaking or damaged bag
  • Wet or contaminated FTA card
  • Inadequate sample quantity preventing DNA extraction

Understanding Your Results

The result of the ARHGEF9 NGS genetic test must be interpreted by a qualified clinical geneticist or genetic counselor in the context of the patient's clinical findings and family history.
📊

Positive

A pathogenic or likely pathogenic variant in ARHGEF9 was detected. This supports a clinical diagnosis of ARHGEF9-related hyperekplexia/EIEE8. Genetic counseling and family testing are recommended.

📊

Negative

No pathogenic or likely pathogenic variant was identified in the ARHGEF9 gene. A negative result does not exclude another genetic or non-genetic cause. Additional testing may be considered if clinical suspicion is high.

📊

Variant of uncertain significance (VUS)

A DNA change was found whose effect on protein function is not yet known. Further family segregation analysis, RNA studies, or functional studies may be needed to clarify its significance.

⚠️ When to Consult a Doctor:

If a pathogenic variant is detected, if a variant of uncertain significance is reported, or if symptoms persist despite a negative ARHGEF9 test, you should consult a clinical geneticist, neurologist, or genetic counselor for further management and family planning.

Limitations

  • NGS may not detect large structural variants, deep intronic variants, promoter changes, or copy number variants unless specifically validated.
  • A negative result does not exclude a genetic cause in another gene or a non-genetic cause.
  • Variant classification may change over time as new evidence becomes available.
  • Prenatal or carrier testing requires separate validation and genetic counseling.

Risks & Considerations

  • Minimal risk from blood collection, including slight pain, bruising, or very rare infection
  • FTA card collection is virtually risk-free
  • Psychological stress from an unexpected result; genetic counseling is recommended before and after testing

Interfering Factors

  • Incomplete clinical history or incorrect sample labeling
  • Poor DNA quantity or quality due to improper sample transport or storage
  • Variant of uncertain significance requiring additional family studies
  • Mosaic variants that may be below the analytic sensitivity of Sanger confirmation
  • Concurrent genetic variants in other genes are not analyzed by this targeted test

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Frequently Asked Questions

What is the ARHGEF9 Gene Hyperekplexia, EIEE8 related NGS Genetic Test?
It is a next-generation sequencing test that analyzes the ARHGEF9 gene to detect mutations associated with hyperekplexia and early infantile epileptic encephalopathy type 8 (EIEE8).
What diseases are caused by ARHGEF9 gene mutations?
ARHGEF9 mutations can cause hyperekplexia, a rare startle disorder with stiffness and exaggerated startle reflexes, and EIEE8, a severe early-infantile epilepsy syndrome with developmental delay.
Who should consider this genetic test?
People with clinical features of hyperekplexia or EIEE8, unexplained infantile seizures with developmental delay, or a family history of a known ARHGEF9 mutation may consider this test after evaluation by a neurologist or geneticist.
What is the cost of this test at DNA Labs India?
The test cost is Rs 20000 (INR 20000). A home sample collection is available for online bookings across many cities in India.
Which sample is required for the ARHGEF9 NGS test?
Blood in an EDTA tube, one drop of blood on an FTA card, or extracted DNA are accepted. Your healthcare provider will decide the most suitable option.
Do I need to fast before the test?
No. Fasting is not required for this genetic test. You may eat and drink as usual.
When will I get the reports?
Reports are typically delivered in 3 to 4 weeks after the sample reaches the laboratory.
How is this NGS test different from routine genetic testing?
NGS technology sequences the entire coding region of the ARHGEF9 gene in one reaction, allowing accurate detection of point mutations and some small insertions/deletions in a single assay.
What does a positive test mean?
A positive result means a disease-causing or likely disease-causing variant in ARHGEF9 was identified. This helps confirm the clinical diagnosis and allows genetic counseling for the family.
Can a negative result rule out hyperekplexia or EIEE8?
A negative result greatly reduces the chance of an ARHGEF9 gene mutation, but it does not exclude a genetic cause in another gene or a non-genetic cause. Additional testing may be needed.
Is genetic counseling recommended before the test?
Yes. Pre-test genetic counseling is important to draw a family pedigree, explain possible outcomes, discuss psychosocial implications, and obtain informed consent.
Is home sample collection available?
Yes, DNA Labs India provides free home sample collection for online bookings for this test in major and many Tier-2/Tier-3 cities across India.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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