Table 1.
Patient Number | Mutation | Age | First Symptom | Clinical Features | MRI Findings | CSF |
---|---|---|---|---|---|---|
1 | P93S | 60–77 | Right leg spasticity | Bradykinesia, asymmetric spasticity, dystonia, apraxia, dysphagia, dysarthria | WMH Spinal WMH Central predominant atrophy Corpus callosum thinning | Elevated protein Elevated IgG and IgG index Negative Oligoclonal bands Elevated CD4 + CD8 + T-cells |
2 | P93S | 50–79* | Right leg spasticity | Apraxia, dystonia, cortical sensory loss, alien limb | WMH Spinal WMH Central predominant atrophy Corpus callosum thinning | Elevated protein Elevated IgG Negative Oligoclonal bands Elevated CD4 + CD8 + T-cells |
3 | P93S** | Unknown-49 | Lower extremity dysfunction | Tremor, dysarthria, dystonia | WMH | N/A |
4 | P93S** | Unknown-60 | Lower extremity dysfunction | Spasticity, dysarthria, dysphagia, dystonia | N/A | N/A |
5 | G189E | 51–66 | Lower extremity spasticity | Dysarthria, dysphagia | WMH | Elevated IgG Matched serum and CSF oligoclonal bands |
6 | Y103H | 59 | Left arm apraxia | Corticobasal syndrome | Central predominant atrophy Corpus callosum thinning | N/A |
7 | R404W | N/A | N/A | Corticobasal syndrome | WMH Central predominant atrophy Corpus callosum thinning | N/A |
8 | S55L | N/A | Behavioral variant frontotemporal dementia | Parkinsonism | Central predominant atrophy | N/A |
9 | S55L** | N/A | Spasticity | Cortical sensory loss Dysphagia | N/A | N/A |
WMH: T2 FLAIR white matter hyperintensities; N/A: not available
Still alive
Presumed mutation; no genetic testing available