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. 2018 Apr 5;7(3):130–133. doi: 10.1055/s-0038-1641177

Table 1. Clinical findings observed in the proband and families reported earlier.

Clinical findings Present study Shukla et al, 2017
Family 1 Family 2
III.1 II.3 II.4 II.1 II.2
Sex Male Female Male Female Male
Age at assessment 6 mo 9 mo 8 mo 7 mo 1 y 11 mo
Age at demise NA 1 y 7 mo 5 y 11 mo 2 y 3 mo
Birth weight (kg) 2.6 3 3.6 2.5 2.7
Weight (kg/SD) 6.5 (normal) 7/–1 NA 6.4/–2 5.8/–6
Length (cm/SD) 66 (normal) 63/–1 NA NA 76/–5
OFC (cm/SD) 40.5/–2 41/–2 42/–2 42.5/–1 43.5/–6
Seizures + + + + +
Onset of seizures 3 mo NA 4 mo 3 mo 2 mo
Developmental delay + + + + +
Milestones achieved Social smile sometimes Partial head control No milestones achieved
Feeding difficulty + + + +
Tone Spasticity Spasticity Spasticity Spasticity Spasticity
Deep tendon reflexes Normal Exaggerated Exaggerated Exaggerated Exaggerated
Strabismus + +
Other clinical findings History of incessant cry, nystagmus History of incessant cry, tremors in hands
Pachygyria + + + NA
Cerebral white matter abnormalities + + + + +
Cerebellar white matter abnormalities + + + + +
Cerebral ventriculomegaly + + + + a +
MRS findings Elevated lactate peak Elevated lactate peak Elevated lipid-lactate peak NA Elevated lipid-lactate peak
EEG findings NA Normal NA Abnormal Normal
Ophthalmological findings NA Normal VEP and fundus Stippled pigmentation of fundus NA NA
Hearing evaluation Normal NA NA Impaired Normal
Blood lactate (mg/dL) NA 20.7 36 65.8 40.5
CPK (normal: 22–198 U/L) NA 132 568 NA 42

Abbreviations: +, present; −, absent; CPK, creatine phosphokinase; EEG, electroencephalogram; MRI, magnetic resonance imaging; MRS, magnetic resonance spectroscopy; NA, not available; OFC, occipitofrontal circumference; SD, standard deviation; VEP, visual evoked potential.

a

Observed on computed tomography.