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. 2021 Aug 25;145(9):2991–3009. doi: 10.1093/brain/awab321

Table 1.

Clinical characteristics of LOF and GOF variants and phenotypic subgroups

BFIE IE DEE GE NDDwoE LOF GOF
n 15 33 177 20 20 34 136
Percentage with epilepsy 100% 100% 100% 100% 0% 68% 100%
Median age at seizure onset 6 months 5 months 3 months 42 months 24 months 4 months
Most common seizure types Focal, focal to bilateral TC and bilateral TC Focal, bilateral TC and tonic Bilateral TC, focal and tonic Absences, bilateral TC and febrile seizures Absence seizures, bilateral TC and myoclonic seizures Bilateral TC, tonic and focal seizures
Phenotype subgroups
  • GE 41%

  • NDDwoE 32%

  • DEE 9%

  • UE 18%

  • BFIE 7%

  • IE 10%

  • DEE 53%

  • UE 30%

Cognition Normal 100%
  • Normal 33%

  • Mild ID 52%

  • Moderate ID 15%

  • Moderate ID 22%

  • Severe ID 73%

  • Unknown 5%

  • Normal 20%

  • Mild ID 30%

  • Moderate ID 35%

  • Severe ID 10%

  • Unknown 5%

  • Normal 10%

  • Mild ID 45%

  • Moderate ID 20%

  • Severe ID 15%

  • Unknown 10%

  • Normal 15%

  • Mild ID 36%

  • Moderate ID 15%

  • Severe ID 21%

  • Unknown 15%

  • Normal 11%

  • Mild ID 9%

  • Moderate ID 15%

  • Severe ID 39%

  • Unknown 26%

Comorbidities Paroxysmal kinesigenic dyskinesia Language delay, behavioural issues Hypotonia, CVI, ataxia Language delay, behavioural issues Behavioural disorders (ASD, ADHD), delayed speech, microcephaly Language delay, ASD, behavioural issues, ataxia Hypotonia, CVI, dyskinesia, ataxia
Mortality 0% 0% 10.2% 0% 0% 0% 9.0%
Precision medicine SCBs SCBs SCBs SCBs

ADHD = attention-deficit hyperactivity disorder; bilateral TCs = bilateral tonic-clonic seizures; CVI = cortical vision impairment; GE = generalized epilepsy; IE = intermediate epilepsy; UE = unclassifiable epilepsy.