Table 1.
Comparison of Individuals with GOSR2 (c.430G>T) Mutation
| Case | Sex | Origin | Known Consanguinity | Age (Years) | First Symptoms | Other Seizuresa | Motor | Cognition | Skeletal Abnormalities | EEG | CK (Normal < 170) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | F | Australian | Yes | 32b | ataxia, age 2; tremor, age 7; absences, age 7–8; obvious myoclonus, age 8 | drop attacks, age 13; convulsive seizures, age 13 | areflexia, age 2; wheelchair, age 14; bedfast age, 22 | normal until ∼age 25; mmemory difficulties later | scoliosis, pes cavus | generalized spike-wave, posterior emphasis photosensitive | 570–800 |
| 2 | F | German | No | 17 | ataxia, age 1–2; tremor, age 4; myoclonus, age 6 | drop attacks, age 14; myoclonic status | areflexia, age 2; wheelchair, age 15 | normal | scoliosis | generalized spike-wave, posterior emphasis photosensitive | 150–580 |
| 3 | F | Dutch | No | 32 | ataxia, age 3; myoclonus, age 6 | convulsive seizures, age 14 | areflexia, age 3; wheelchair, age 13 | normal | scoliosis, syndactly | generalized spike-wave photosensitive | 141–267 |
| 4 | F | Dutch | No | 30 | ataxia, age 2c; fine motor problems, age 5; worsening ataxia, age 7; absences, ∼age 6; myoclonus, age 10 | tonic-clonic, age 12; drop attacks, age 14 | areflexia, age 7; wheelchair, age 24 | normal until ∼ age 25; memory difficulties later | scoliosis, syndactly | generalized spike-wave, posterior emphasis photosensitive | 700–900 |
| 5a | F | Dutch | No | 24b | ataxia, age 2-3; myoclonus, age 6 | tonic-clonic seizures, age 21 | areflexia, age 6; wheelchair, age 14 | normal | scoliosis | generalized discharges photosensitive | 300–668 |
| 5b | M | Dutch | No | 28 | ataxia, age 2–3; myoclonus, age 5–6 | tonic-clonic seizures, age 24; absences; tonic seizures | areflexia, age 3; wheelchair, age 13 | normal | scoliosis | generalized discharges photosensitive | 174–213 |
The distinction between true tonic-clonic seizures and myoclonic status could not be made in some cases.
Deceased.
Initially regarded as an acute ataxia, which improved.