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.
Observed on computed tomography.