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. 2023 Jun 7;6(8):e202302025. doi: 10.26508/lsa.202302025

Table 1.

Clinical features associated with FGF12 aberrations.

This study Willemsen et al (2020) Siekierska et al (2016) Takeguchi et al (2018)
Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 (the mother of patient 4) Patient 6 Patient 7 (the younger brother of patient 6) Patient 8 Patient 9
FGF12 aberrations (GRCh38) Biallelic SVs (Del/Dup) chr3: 192,083,678–192,145,703 (involving exon6, 3′UTR) chr3: 192,330,351–192,499,579 (involving exon 3–4) NM_004113.6 c.259G>A p.(Glu87Lys) (Homozygous variant) Heterozygous duplication chr3:192,142,300–192,733,325 (involving exon1-6) Heterozygous duplication chr3:192,159,179–192,736,896 (involving exon1-5) Heterozygous duplication chr3:192,159,179–192,736,896 (involving exon1-5) NM_004113.6 c.155G>A p.(Arg52His) (Heterozygous variant) NM_004113.6 c.155G>A p.(Arg52His) (Heterozygous variant) NM_004113.6 c.155G>A p.(Arg52His) (Heterozygous variant) NM_004113.6 c.155G>A p.(Arg52His) (Heterozygous variant)
Sex Female Male Male Male Female Female Male Male Male
Ethnicity Japanese Portuguese and African N/A N/A N/A Caucasian Caucasian Japanese Japanese
Current age at reported or age at last examination 8 yr 10 mo Died at 11 yr because of COVID-19 pneumonia 10 yr 3 yr 30 yr Died at 7 yr because of status epilpticus Died at 3 yr 6 mo (unknown cause) 33 yr 3 mo 2 yr 6 mo
Seizure type Generalized tonic-clonic, focal motor, bilateral tonic-clonic, status epilepticus Epileptic spasm, tonic, myoclonic jerks Tonic-clonic, atonic, tonic, myoclonic, autonomic Generalized tonic-clonic, history of febrile seizures, myoclonic jerks Generalized tonic-clonic Tonic, combined generalized and focal Tonic, combined generalized and focal Focal, tonic Apnea attack, generalized tonic-clonic, focal seizure with pallor
Interictal EEG Multifocal, multiple spike, hypsarrhythmia Multiple discharges, hypsarrhythmia Slow background, multifocal seizeures Generalized epileptic activity Normal Slow background with multifocal epileptiform discharges, later hypsarrhythmia Slow background with multifocal epileptiform discharges, later hypsarrhythmia Suppression burst pattern, later hypsarrhythmia Slow background with multifocal epileptiformm discharges
AED treatment (current or most recent) Resistant to AEDs (Valproate, Zonisamide, Phenytoin, Phenobarbital) Resistant to AEDs (Carbamazepine) Resistant to AEDs Valproate Resistant to AEDs Resistant to AEDs Resistant to AEDs Resistant to AEDs Resistant to AEDs
Seizure onset Age at onset 5 mo 5–6 mo 12 mo 13 mo 1 mo 14 d 1 mo 7 d 1 d
Initial symptom Spasm, developmental delay Spasm, developmental delay Seizures Febrile convulsion Seizures Tonic seizures Tonic seizures Seizures Apnea attack
Development Head control None 8 mo N/A N/A N/A N/A N/A N/A N/A
Sitting None 11 mo N/A N/A N/A 24 mo N/A None None at 1 yr 5 mo
Walking None 3 yr Wheelchair dependent Walk independently (5 yr), uncoordinated gait Walking with unsteadiness None N/A None N/A
Meaningful words Non verbal Non verbal No speech Clearly speech, but vocabulary reduced Speech problem Non verbal N/A Non verbal Non-verbal at 1 yr 5 mo
Regression 4 mo No, always delayed but he seems to get worse when seizures are not under control N/A None None N/A N/A N/A 5 mo
Degree of ID Severe Moderate Severe Moderate Mild to moderate Severe Severe Severe Severe
Movement disability No voluntary movement, myoclonus (hands) Cerebellar ataxia with occasional dyskenetic movements, spasticity Ataxia Unsteady Unsteady and migraine Ataxia Ataxia Spastic dystonic quadriplegia, dystonic hypertonia of the neck and upper extremities N/A
Behavioral features No smile, no eye contact Autisti-like traits None Autism spectrum disorder None Stereo types, no eye contact Stereo types, no eye contact Stereo types, no eye contact Poor eye contact
Brain MRI (CT) findings Almost normal (7 mo), diffuse cerebral atrophy without obvious cerebeller atrophy (1 yr 7 mo) Normal myelination with a mild cerebral atrophy (12 mo and 1 yr 7 mo), gray matter atrophy with cortical atrophy (6 yr) Bilateral delayed myelination in the parieto-occipital region Mild prominence of the subarachnoid space in the frontal regions bilaterally otherwise normal Normal (CT) Normal (5 mo), cerebeller atorophy (6 yr) Normal (2 mo), cerebeller atorophy (3 yr) Normal (7 yr), mildly enlarged lateral ventricles (13 yr) Mild cerebral atorophy (6 mo), diffuse cerbral atrophy (1 yr 7 mo)
Other features Cholecystitis, gallbladder removal at 8 yr Hypotonia, tremors (early mo∼2 yr), dysmorphic facial features (broad forehead, pointed chin) Recurrent infection (upper airway), reflux, constipation, feeding difficulties Dysmorphic facial features Recurrent infections (perianal abscess, dental infections) Acquired microcephaly, axial hypotonia, severe feeding difficulties, cerebral visual impairment Acquired microcephaly, hypotonia, feeding difficulties Microcephaly, multiple contractures of the extremities in flexion Microcephaly

Del: intragenic deletion allele, Dup: intragenic tandem duplication allele, AEDs: anti-epileptic drugs, CT: computed tomography, MRI: magnetic resonance imaging, N/A: no assesment.