Table 1.
Clinical features | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 (LIS-TUB-027) | Patient 10 (LIS-TUB-028) | Patient 11 (LIS-TUB-029) | |
Reference | This report | This report | This report | This report | This report | This report | This report | This report | Poirier et al. [14] | Poirier et al. [14] | Poirier et al. [14] |
Sex | M | M | F | F | F | M | M | F | F | F | M |
Nucleotide sequence variation | c.63C>A | c.985G>T | c.776C>T | c.776C>T | c.776C>T | c.776C>T | c.769A>T | c.776C>T | c.991A>C | c.1160T>C | c.275A>G |
Protein sequence variation | p.(Phe21Leu) | p.(Asp329Tyr) | p.(Ser259Leu) | p.(Ser259Leu) | p.(Ser259Leu) | p.(Ser259Leu) | p.(Ile257Phe) | p.(Ser259Leu) | p.(Thr331Pro) | p.(Leu387Pro) | p.(Tyr92Cys) |
Mode of inheritance | de novo | Father's DNA n/a | de novo | de novo | Germline mosaicism in parent | de novo | de novo | de novo | de novo | de novo | de novo |
Age at examination | 33y | 21y | 19mo | 14y | 11y 6mo | 9y 6mo | 15y | 18mo | 31y | 21y | 18mo |
Head circumference (SD) | 57 cm | 53.1 cm (<−2.6SD) | <−3.5SD | n/a | 47.5 cm at 6y 6mo (<−3.3SD) | n/a | 51.3 cm at 13y (<−2.5SD) | n/a | Normal | <−5.5SD | <−4SD |
Dysmorphic features | No | No | No pictures | No pictures | No pictures | No pictures | No | No | n/a | n/a | n/a |
Congenital anomalies | No | No | No | No | Strabismus | No | No | No | Cataract | n/a | n/a |
Intellectual disability | Severe | Severe | n/a | n/a | Moderate | Moderate | Moderate (FS IQ-score 44) | Severe | Moderate ID | Severe ID | Severe ID |
Motor impairment | Spastic quadriplegia; walks with support | Spastic quadriplegia | Delayed motor development | Unsteady gait | Spastic diplegia | n/a | n/a | Delayed motor development | Moderate CP | Spastic quadriplegia | Spastic quadriplegia |
Speech and language development | No speech, only sounds | Non-verbal | Delayed | Non-verbal | Speaks 50 words | Non-verbal | Speakes 5–6 word sentences | Non-verbal | n/a | n/a | n/a |
Other | Assisted feeding | Gastrostomy | – | – | Drooling | – | – | – | – | – | – |
Epilepsy | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Age at seizure onset | 36m | n/a | – | 6m | 4m | n/a | 3y 11mo | 5m | n/a | n/a | n/a |
Seizure type | Tonic–atonic–myoclonic | Partial complex: versive seizure, myoclonic | – | Tonic-clonic | Generalized tonic-clonic | n/a | n/a | Focal, versive | Early onset epilepsy | Early onset epilepsy | Infantile spasms |
Refractory | n/a | Yes | – | n/a | n/a | n/a | n/a | No | Yes | Yes | Yes |
Imaging features | |||||||||||
Age at MRI | 36y | 11y | 1y 6mo | 12mo | 13y 7mo | 2mo | 6y | 9y | n/a | n/a | n/a |
Gyral pattern | Pachygyria over the posterior frontal lobe and parieto-occipital cortex | Agyria, diffuse | Pachygyria diffuse, mild over frontal lobes, moderate posterior, cortex 10–13 mm | Pachygyria diffuse, cell sparse zone over occipital lobes, cortex 13–15 mm | Pachygyria diffuse, mild over frontal lobe, and moderate over temporal and occipital lobes, cortex 6–13 mm | Pachygyria, diffuse, mild over frontal lobe, and moderate over temporal and occipital lobes, cortex >15 mm | Pachygyria, nearly normal cortex over frontal lobes, pachygyria over perisylvian and occipital lobes, cortex 6–10 mm | Pachygyria diffuse, mild over frontal lobe, moderate over temporal > occipital lobes, bilateral deep infolding parietal | Pachygyria, nearly normal cortex over frontal lobes, moderate over perisylvian and occipital lobes | Pachygyria diffuse, mild over frontal lobe, and moderate over temporal and occipital lobes | Pachygyria diffuse, mild over frontal lobe, and moderate over temporal and occipital lobes |
Gradient | P>A | P>A | P>A | P>A | P>A | P>A | P>A | P>A | P>A | P>A | P>A |
White matter | Enlarged perivascular spaces | Severely reduced | Mildly reduced | Mildly reduced | Normal | Normal | Mildly reduced | Mildly reduced | Normal | Mildly reduced | Severely reduced |
Lateral ventricles | Enlarged posterior horns | Severly enlarged | Mildly enlarged | Mildly enlarged | Enlarged posterior horns | Mildly enlarged | Mildly enlarged posterior horns | Mildly enlarged | Normal | Mildly enlarged | Mildly enlarged |
Corpus callosum | Normal | Thin | Normal | Normal | Normal | Thin | Normal | Thin | Dysmorphic, thick | Thin | Dysmorphic, thick |
Basal ganglia | Normal | Dysplastic | Normal | Normal | Normal | Normal | Normal | Dysplastic | Normal | Normal | Normal |
Hippocampus | Malrotation | n/a | Normal | Normal | Normal | Normal | Normal | Normal | n/a | n/a | n/a |
Brainstem | Normal | Hypoplasia | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
Cerebellum | |||||||||||
Cortex | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
White matter | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
Vermis | Normal | Hypoplasia | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
RefSeq NM_001070.4A anterior, CP cerebral palsy, F female, FS IQ full-scale IQ, ID intellectual disability, M male, mo months, n/a not available, P posterior, SD standard deviation, y years, – absent