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. Author manuscript; available in PMC: 2009 Sep 21.
Published in final edited form as: Ann Neurol. 2008 Apr;63(4):535–538. doi: 10.1002/ana.21344

Table.

Clinical Features of the Family with Motor Neuron Disease with TDP-43 A315T Mutation

Subject No. Age at Onset/Death (yr) Clinical Findings
Electrophysiology
Mental Status Cranial Nerves Respiratory Involvement Site of Onset Disease Course Nerve Conductions (age performed [yr]) Electromyography
II-2 72/79 Normal Normal Yes Left lower extremity Progressive, asymmetric lower motor neuron loss in legs before arms, distal before proximal; brisk reflexes; death from respiratory weakness Normal SNAP amplitudes, normal sensory and motor velocities (72) Fibs/PSW in legs, thoracic paraspinous muscles; reduced recruitment; occasional large motor units; fasciculations throughout
II-3 64/74 Normal Normal Yes Left lower extremity Progressive asymmetric lower motor neuron loss in legs before arms, distal and proximal; brisk reflexes; death from respiratory weakness Normal SNAP amplitudes, normal sensory and motor velocities (68) Fibs/PSW in legs and arms; reduced recruitment; occasional large motor units; fasciculations throughout
II-4 83 Normal Normal Yes Right lower extremity Progressive asymmetric lower motor neuron loss, distal and proximal, legs before arms; brisk reflexes Not available Not available
III-1 48 Normal Normal No Right upper extremity Progressive asymmetric lower motor neuron loss, distal before proximal, arms before legs Normal SNAP amplitudes, normal sensory and motor velocities (49) Fibs/PSW in arms; fasciculations in arms/legs

TDP-43 = TAR DNA-binding protein 43; SNAP = sensory nerve action potential; Fibs = fibrillations; PSW = positive sharp waves.