Table 1.
Family 1 |
Family 2 |
Family 3 |
Family 4 |
Family 5 |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
II-1 | II-6 | II-7 | IV-1 | IV-2 | IV-4 | V-1 | V-3 | V-4 | V-5 | V-6 | V-7 | V-8 | V-12 | |
Gender | female | female | male | female | male | male | male | female | female | male | female | female | male | male |
Birth weight (grams) | 3,500 | 3,500 | 3,500 | 3,250 | 3,250 | 3,500 | 2,500 | 2,400 | 2,300 | 3,140 | 2,800 | 3,500 | 3,800 | 3,500 |
Deliverya | NVD | NVD | NVD | NVD | NVD | NVD | CS | CS | NVD | NVD | NVD | NVD | NVD | NVD |
Current age (years) | 6 | 24 | 16 | 15.5 | 16.5 | 13.5 | 14.5 | 16.5 | deceased at age 2 | 16.5 | 19.5 | 15 | 3.5 | 4.5 |
Clinical characteristics | ||||||||||||||
Age of first convulsion (months) | 13 | 12 | 9 | 12 | 6.5 | 42 | 9 | 9 | birth | 10 | 9 | 9 | 9 | 11 |
Seizure intensityb | + | +++ | ++ | + | +++ | + | +++ | + | +++ | ++ | +++ | + | + | +++ |
Resistance to therapyc | + | +++ | ++ | + | +++ | + | +++ | + | +++ | ++ | +++ | + | + | +++ |
Amelogenesis imperfecta | yes | yes | yes | yes | yes | yes | yes | yes | N/A | yes | yes | yes | yes | yes |
Intellectual impairmentd | +++ | ++++ | +++ | +++ | +++ | ++ | +++ | ++ | N/A | +++ | ++++ | ++ | +++ | +++ |
Speech | no | no | no | no | no | mumbling | no | mumbling | N/A | no | no | mumbling | no | no |
Ambulant | yes | no | yes | yes | yes | yes | no | yes | N/A | yes | no | yes | yes | yes |
Laboratory evaluation | ||||||||||||||
EEGe | N | N/A | N | N/A | abnormal | abnormal | N/A | N/A | N/A | abnormal | N/A | N | abnormal | N |
Brain MRIf | abnormal | abnormal | abnormal | N/A | N | N/A | N/A | N/A | N/A | abnormal | N/A | N/A | N | N |
The following abbreviations were used: NVD, normal vaginal delivery; CS, cesarean section; N/A, not available; EEG, electroencephalogram; N, normal; and MRI, magnetic resonance imaging.
All individuals were born at term.
Seizure intensity: +, occasional; ++, frequent; and +++, severe.
Therapy resistance: +, good response to treatment; ++, control by treatment; and +++, refractory.
Intellectual impairment: +, mild; ++, moderate; +++, severe; and ++++, profound.
An abnormal EEG revealed a pattern of slow, short epileptiform spikes and waves during light sleep and was normal thereafter.
An abnormal MRI revealed dilation of cerebellar sulci and third and lateral ventricles.