Table 1.
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.