Table 1.
RMFSL | NEDCAS | Total | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cohort | Literature | Total | Cohort | Literature | Total | Cohort | Literature | Total | |||||||||||
Epidemiological data | Number of families | 25/45 | 56% | 20/29 | 69% | 45/74 | 61% | 10/45 | 44% | 9/29 | 31% | 29/74 | 39% | 45/74 | 61% | 29/74 | 39% | 74 families | |
Number of patients | 31/57 | 54% | 28/40 | 70% | 59/97 | 61% | 26/57 | 46% | 12/40 | 30% | 38/97 | 39% | 57/97 | 61% | 40/97 | 39% | 97 patients | ||
Prenatal features | Prenatal features | 15/30 | 50% | 7/14 | 50% | 22/44 | 50% | 1/21 | 5% | 0/9 | 0% | 1/30 | 3% | 16/51 | 31% | 7/23 | 30% | 23/74 | 31% |
Hydramnios | 2/30 | 7% | 0/14 | 0% | 2/44 | 5% | 0/21 | 0% | 0/9 | 0% | 0/30 | 0% | 2/51 | 4% | 0/23 | 0% | 2/74 | 3% | |
Oligohydramnios | 1/30 | 3% | 1/14 | 7% | 2/44 | 5% | 1/21 | 5% | 0/9 | 0% | 1/30 | 3% | 2/51 | 4% | 1/23 | 4% | 3/74 | 4% | |
Abnormal movements | 8/30 | 27% | 6/14 | 43% | 14/44 | 32% | 0/21 | 0% | 0/9 | 0% | 0/30 | 0% | 8/51 | 16% | 6/23 | 26% | 14/74 | 19% | |
IUGR | 9/30 | 30% | 0/14 | 0% | 9/44 | 20% | 0/21 | 0% | 0/9 | 0% | 0/30 | 0% | 9/51 | 18% | 0/23 | 0% | 9/74 | 12% | |
Developmental stages | No developmental milestones | 31/31 | 100% | 28/28 | 100% | 59/59 | 100% | 0/26 | 4% | 0/12 | 0% | 0/38 | 0% | 32/57 | 56% | 27/40 | 68% | 60/97 | 62% |
Walk acquisition | − | − | 0/59 | 0% | 21/26 | 81% | 8/12 | 67% | 29/38 | 76% | 21/56 | 38% | 8/39 | 21% | 29/97 | 30% | |||
Only few steps | 8/21 | 38% | 0/8 | 0% | 8/29 | 28% | 8/21 | 38% | 0/8 | 0% | 8/29 | 28% | |||||||
Only with support | 11/21 | 52% | 4/8 | 50% | 15/29 | 52% | 11/21 | 52% | 4/8 | 50% | 15/29 | 52% | |||||||
Ataxic gait | 17/21 | 81% | 3/4 | 75% | 20/25 | 80% | 17/21 | 81% | 3/4 | 75% | 20/25 | 80% | |||||||
Language | − | − | 0/59 | 0% | 17/26 | 65% | 9/12 | 75% | 26/38 | 68% | 17/55 | 31% | 9/39 | 23% | 26/97 | 27% | |||
Use few words | 6/14 | 43% | 5/6 | 83% | 11/20 | 55% | 6/14 | 43% | 5/6 | 83% | 11/20 | 55% | |||||||
Use short sentences | 6/14 | 43% | 1/6 | 17% | 7/20 | 35% | 6/14 | 43% | 1/6 | 17% | 7/20 | 35% | |||||||
Dysarthria | 8/10 | 80% | 6/6 | 100% | 14/16 | 88% | 8/10 | 80% | 6/6 | 100% | 14/16 | 88% | |||||||
Intellectual disability | 26/26 | 100% | 11/12 | 92% | 37/38 | 97% | 28/28 | 100% | 12/13 | 92% | 40/41 | 98% | |||||||
Epilepsy | Seizures | 31/31 | 97% | 28/28 | 100% | 59/59 | 100% | 2/26 | 8% | 4/12 | 33% | 6/38 | 16% | 33/57 | 58% | 32/40 | 80% | 65/97 | 67% |
Age of onset (median) | 3 days (D0-M15) | 1 day (D0-M8) | 1 day (D0-M15) | 4 years (Y3-Y5) | 2,5 years (M3-Y13) | 3 years 1 month (M3-Y13) | 10 days (D0-Y5) | 1 day (D0-Y13) | 3,5 days (D0-Y13) | ||||||||||
Pharmacoresistance | 25/28 | 89% | 26/26 | 100% | 51/54 | 94% | 1/2 | 50% | 3/4 | 75% | 4/6 | 67% | 26/30 | 87% | 29/30 | 97% | 55/60 | 90% | |
Physical examination | Age at last exam (median) | 80 days | 5 months | 90 days | 7 years 7 months | 6 years 1/2 | 7 years 3 months | 3 years 1/2 | 1 year 1month | 1 year 8 months | |||||||||
Microcephaly | 20/23 | 87% | 22/23 | 96% | 42/46 | 91% | 6/22 | 27% | 5/11 | 45% | 11/33 | 33% | 26/45 | 58% | 27/34 | 79% | 53/79 | 67% | |
Dysmorphism | 13/26 | 50% | 17/22 | 77% | 30/48 | 63% | 9/20 | 45% | 4/9 | 44% | 13/29 | 45% | 22/46 | 48% | 21/31 | 68% | 43/77 | 56% | |
Hypotonia | 15/30 | 50% | 14/26 | 54% | 29/56 | 52% | 17/20 | 85% | 6/9 | 67% | 23/29 | 79% | 32/50 | 64% | 20/35 | 57% | 52/85 | 61% | |
Spasticity/hypertonia | 27/30 | 90% | 26/27 | 96% | 53/57 | 93% | 6/26 | 23% | 5/10 | 50% | 11/36 | 31% | 33/56 | 59% | 31/37 | 84% | 64/93 | 69% | |
Ophtalmological features | Optic atrophy | 3/13 | 23% | 3/4 | 75% | 6/17 | 35% | 3/22 | 14% | 3/7 | 43% | 6/29 | 21% | 6/35 | 17% | 6/11 | 55% | 12/46 | 26% |
Retinopathy | 1/13 | 8% | 0/4 | 0% | 1/17 | 6% | 7/22 | 32% | 1/7 | 14% | 8/29 | 28% | 8/35 | 20% | 1/11 | 9% | 9/46 | 20% | |
Nystagmus | 1/6 | 17% | 0/5 | 0% | 1/11 | 9% | 15/19 | 79% | 8/9 | 89% | 23/28 | 82% | 16/25 | 64% | 8/14 | 57% | 24/39 | 62% | |
Brain MRI | Normal | 7/29 | 24% | 15/25 | 60% | 22/54 | 41% | 0/26 | 0% | 0/11 | 0% | 0/37 | 0% | 7/55 | 13% | 15/36 | 42% | 22/91 | 24% |
Cerebellar atrophy | 8/29 | 28% | 6/25 | 24% | 14/54 | 26% | 26/26 | 100% | 11/11 | 100% | 37/37 | 100% | 34/55 | 62% | 17/36 | 47% | 51/91 | 56% | |
Cerebral atrophy | 16/29 | 55% | 15/25 | 60% | 31/54 | 57% | 0/26 | 0% | 0/11 | 0% | 0/37 | 0% | 16/55 | 29% | 15/36 | 42% | 31/91 | 34% | |
Delayed myelinisation | 6/29 | 21% | 6/25 | 24% | 12/54 | 22% | 0/26 | 0% | 3/11 | 27% | 3/37 | 8% | 6/55 | 11% | 9/36 | 25% | 15/91 | 16% | |
CC anomalies | 7/29 | 24% | 6/25 | 24% | 13/54 | 24% | 5/26 | 19% | 1/11 | 9% | 6/37 | 16% | 12/55 | 22% | 7/36 | 19% | 19/91 | 21% | |
Survival | Death | 28/31 | 87% | 27/28 | 93% | 55/59 | 93% | 0/26 | 0% | 0/12 | 0% | 0/38 | 0% | 28/57 | 47% | 27/40 | 65% | 55/97 | 57% |
Age of death (median) | 105 days (D11-Y23) | 150 days (D6-Y5M9) | 113 days (D6-Y23) | — | — | — | 105 days (D11-Y23) | 150 days (D6-Y5M9) | 113 days (D6-Y23) |
IUGR intra uterine growth retardation, D day, M month, Y year, CC corpus callosum.