Demographic |
- Gender |
Female: 9 |
Male: 4 |
|
- Familial genetics |
Consanguinity: 4 |
Affected sibs: 6 |
|
Age of onset [median; mean ± SD; range] (years) |
- Diarrhea |
10/13, neonatal |
- School difficulties |
11/13 [10; 9.9 ± 3.2; 5–15] |
- Cataract (age of surgery)
|
11/13 [13; 15.4 ± 13.8; 5–54] |
- Psychiatric symptoms |
6/13 [15.5; 21.2 ± 11.7; 10–40] |
- Walking difficulties |
11/13 [20; 21.4 ± 10.3; 12–50] |
Neurological examination |
Age at examination [median; mean ± SD; range] (years) |
30; 33 ± 13.8 (18–60) |
|
|
- Dysmetria |
Yes: 7/13 |
|
|
- Tandem |
Unable: 5/13 |
Abnormal: 7/13 |
Normal: 1/13 |
- LL spasticity |
Yes: 6/13 |
|
|
- UL spasticity |
Yes: 0/13 |
|
|
- LL reflexes (knee) |
Increased: 6/13 |
Absent: 3/13 |
Normal: 4/13 |
- LL reflexes (ankle) |
Increased: 5/13 |
Absent: 3/13 |
Normal: 5/13 |
- UL reflexes |
Increased: 9/13 |
|
Normal: 4/13 |
- Plantar reflexes |
Upgoing: 7/13 |
|
Flexor/Indifferent: 6/13 |
- Romberg |
Positive: 3/12 |
|
Negative: 9/12 |
- LL proprioception |
Decreased: 10/11 |
|
Normal: 1/11 |
- UL proprioception |
|
|
Normal: 11/11 |
Eye movements |
|
|
|
- Pursuit |
Saccadic: 8/13 |
|
Normal: 5/13 |
- Saccades |
Dysmetric: 7/13 |
|
Normal: 6/13 |
Cognitive dysfunction |
13/13 |
|
|
- Delayed cognition |
10/13 |
|
|
- Dysexecutive/Decline |
12/13 |
|
|
Paroxysmal manifestations |
|
|
|
- Myoclonic dystonia |
7/13 |
|
|
- Epilepsy |
1/13 |
|
|
Osteoporosis |
4/13 |
Tendon Xanthoma |
3/13 |
Peripheral neuropathy |
10/13 - Axonal (4/10), Demyelinating (5/10), Mixed (1/10) |
Brain MRI/MRS |
- Global atrophy |
3/13 |
- Periventricular T2 hyperintensities |
10/13 |
- Increased choline peak (MRS) |
13/13 |
- Dentate nuclei T2 hyperintensities |
12/13 |
- Cerebellar atrophy |
7/13 |