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. 2013 Dec;34(12):2890.e1–2890.e5. doi: 10.1016/j.neurobiolaging.2013.06.005

Table 1.

Main features of all the patients described in the literature with TREM2 mutations presenting without an osseous phenotype

Chouery et al. (2008) Guerreiro et al. (2013b) Giraldo et al. (2013) Present study
Number of families 1 3 1 1
Geographic origin Lebanon Turkey Colombia Turkey
Sibling 1 Sibling 2 Sibling 3 Patient 1 Patient 2 Patient 3 Sibling 1 Sibling 2 Sibling 3 (index) Sibling 1 Sibling 2 (index)
Gender F F M M M M M F F F F
Diagnosis Early-onset dementia bvFTD like bvFTD bvFTD like
Age at onset (y) 30–35 20 Late 30s 33 50 45 47 32 36
Age at death (y) 50 Alive (50) 46 33 Alive (50) 45 Alive (55) NA Alive (48) Alive (40) Alive (41)
Initial symptoms Forgetfulness and fatigue Personality changes with aggressive behavior Personality changes with aggressive and perseverative behavior Generalized T-C seizure Altered social behavior and oropharyngeal tic in 1 sibling Behavioral changes with nonfluent aphasia Generalized T-C seizures
Other symptoms
  • Neuropsychiatric signs

  • UI and impotence

  • Generalized T-C seizures

  • Cognitive impairment

  • Ophthalmoplegia with bradykinesia and brisk deep tendon reflexes

  • Cognitive impairment

  • Bradykinesia, apraxia + postural instability

  • Personality changes with progressive behavioral problems

  • Bradykinesia + mild postural instability

  • Visual hallucinations

  • UI

  • New onset of substance use

  • Complex partial seizures

  • Severe pan-frontal syndrome and cognitive decline

  • Generalized T-C seizures

  • Bradykinesia + postural instability

  • UI

Cognitive deterioration + behavioral changes
Brain imaging
  • Diffuse brain and cortical atrophy in the polar region of the temporal lobes

  • CC thinning

  • Stenosis of the aqueduct of sylvius + arachnoid cyst in the posterior cranial fossa

  • Periventricular leucoaraiosis

  • Relative enlargement of perivascular Virchow-Robin spaces

  • No lenticulopallidal calcifications

  • Frontal and temporal cortical atrophy

  • CC thinning

  • Diffuse confluent WM abnormalities

  • No calcification of the basal ganglia

  • Frontal cortical atrophy with marked ventricular enlargement

  • CC thinning

  • Confluent periventricular WM abnormalities

  • Cortical atrophy predominantly affecting the frontal loes

  • Diffuse confluent WM lesions

  • No calcification of the basal ganglia

Asymmetric bifrontal atrophy Frontoparietal and temporal cortical atrophy
  • Marked CC thinning

  • Diffuse periventricular and frontal WM lesions

  • No calcification of the basal ganglia

  • Global cortical atrophy mainly in frontal, lateral temporal and parietal cortices and caudate nuclei

  • CC thinning

  • Enlargement of ventricular system

  • Hyperintensity in periventricular, frontal and occipitoparietal WM

  • Bilateral calcification in globus pallidus

Family history No history of dementia in the parents History of dementia, psychotic disorders, and epilepsy in the family One brother, paternal uncle, and maternal grandfather presented late-onset memory impairment No family history of cognitive or behavioral impairment One paternal uncle and brother had similar symptoms No family history of cognitive or behavioral impairment
TREM2 mutation c.40+3delAGG c.97C>T; p.Q33X c.197C>T; p.T66M c.113A>G; p.Y38C c.594G>A; p.W198X c.[113A>G];[257A>T]; p.[(Y38C)];[(D86V)]

Key: bvFTD, behavioral variant frontotemporal dementia; CC, corpus callosum; F, female; M, male; NA, not applicable; T-C, tonic-clonic; UI, urinary incontinence; WM, white matter.