Table 2. De novo variants identified in 11 patients.
ID | Gender | Electroclinical syndrome | Age of onset | Neurocognitive phenotype | Dysmorphic features, MCA | MRI | Genetic findings |
---|---|---|---|---|---|---|---|
D5 | Male | Myoclonic astatic epilepsy | 3 Years | Mild ID | None | Normal | 16p13.11 deletion |
D10 | Male | Focal epilepsy, unclassified | 5 Months | Severe ID | Macrocephaly | Hydrocephalus | 6q24.2q26 deletion |
D34 | Female | Focal epilepsy, unclassified | 24 Years | Profound ID | Hyperteleorism, ptosis, flat nasal bridge, low set and small ears | Normal | 3pter3p25.2 deletion |
NL4 | Male | Focal epilepsy, unclassified | Unknown | Motor and speech delay, not classified | Microcephaly | Paraventricular cyst right temporal lobe | 17p11.2 deletion |
NL5 | Female | Epilepsy, unclassified | 5 Years | Borderline ID | None | normal | 16p11.2 deletion |
NL14 | Female | Idiopathic generalized epilepsy | 3 Years | Unknown | Microcephaly, flat face with full cheeks, clinodactyly of fifth finger bilaterally | Arachnoidal cyst left temporal side | 5p11.2 deletion |
NL31 | Female | Focal epilepsy, unclassified | 6 Months | ID NOS | None | Normal | 17p13.1 deletion |
NL32 | Male | Epilepsy, unclassified | 13 Years | ID NOS | None | Progressive loss of white and gray matter | 2q24.1 deletion |
NL37 | Male | Lennox-Gastaut syndrome | 6 Years | ID NOS | Microcephaly, epicanthic folds, almond-shaped palpebral fissures, strabismus, micrognathia | Atrophic corpus callosum, delayed myelinization | Xp22 deletiona Xq28 duplicationa 6p25 deletion pat |
NL58 | Male | Focal epilepsy, unclassified | 5 Years | Borderline ID | None | Normal | 5q35.2 duplicationb17p13.1 deletion mat |
NL74 | Male | Epilepsy, unclassified | 9 Months | ID NOS | None | Nonspecific white matter abnormalities | 13q13.3 deletion |
Abbreviations: MCA, multiple congenital anomaly; MRI, magnetic resonance image; ID NOS, intellectual disorder not otherwise specified.
The mother of the proband carries an X-chromosomal pericentric inversion. The rearrangements are de novo, but due to the rearrangement in the mother.
De novo duplication considered as likely pathogenic according to Miller et al.10