Table 4.
Comparison of 10 Hz Repetitive stimulation for 5 seconds at Room Temperature against the short exercise and cooling tests.
| Maximum amplitude decrement (% of baseline) | |||||||
|---|---|---|---|---|---|---|---|
| NDM classification |
Patient | Mutation | AR / AD | 10 Hz repetitive stimulation |
SET at Room Temperature |
SET after Cooling |
SET after Rewarming |
| MC | |||||||
| Pt 1 | c.180+3 A>T and G190R | AR | 80 | 72 | 70 | 87 | |
| Pt 2 | c.180+3 A>T and G190R | AR | 82 | 44 | 66 | 80 | |
| Pt 3 | Homozygous for intronic sequence variant c.1930+6 T>G |
AR | 94 | 68 | 59 | 62 | |
| Pt 4 | R105C, F167L and E624fs | AR | 9 | 24* | 24* | No decrement | |
| Pt 5 | 180+3A>T and 774+1G>A | AR | 25 | 38 | 41 | 18 | |
| Pt 6 | G285E** | AR | No decrement | 31 | 20 | 6 | |
| Pt 7 | E624fs | AD | No decrement | 8 | 12 | 28 | |
| Pt 8 | G230E | AD | 8 | 27 | 45 | 30 | |
| SCM | |||||||
| Pt 9 | G1306A | AD | No decrement | No decrement | 10 | 8 | |
| Pt 10 | V1589M | AD | No decrement | No decrement | 10 | No decrement | |
| PMC | |||||||
| Pt11 | T1313M | AD | No decrement | 82 | 48 | 65 | |
| Pr 12 | T1313M | AD | No decrement | No decrement | 56 | 75 | |
| Pt 13 | T1313M | AD | No decrement | 73 | 81 | 83 | |
MC: myotonia congenita; SCM: sodium channel myotonia; PMC: paramyotonia congenita; Pt: patient; AR: autosomal recessive; AD: autosomal dominant
Area decrements did not exceed 20%, therefore SETs were negative.
The G285E is considered to be a recessive mutation based on family and functional studies. This patient has had the entire coding sequence of the CLCN1 gene (encompassing consensus spice sites) analysed along with rearrangement analysis to detect exonic deletion/duplications, and only the G285E mutation was detected. We cannot exclude mutations in regulatory sequences elsewhere within the gene.