Table 1.
Summary of male patients with ALG13 mutation
Age onset epilepsy | Sex | ALG13 variant | Inheritance | Protein change | Clinical findings | MRI | Glycosylation studies | Response to treatment | |
---|---|---|---|---|---|---|---|---|---|
This report | 4.5 months | M | c.320 A>G | De novo | p.(Asn107Ser) | Developmental delay, infantile spasms/polymorphic seizures, hypotonia, dysmorphic features, delayed visual maturation, choreatiform movements | Hypoplasia corpus callosum and mild delay myelination | Transferrin IEF normal. Mass spectrometry lack of one glycan (~6–8% ref: <4%) | Spasms initially responded to prednisolone. No effect of vigabatrin, nitrazepam, and valproic acid. Response to levetiracetam |
Timal et al. (2012) | Not reported | M | c.280A>G Hemizygous | De novo | p.(Lys94Glu) | Seizures, microcephaly, delayed visual maturation, extrapyramidal/pyramidal signs, hepatomegaly, bleeding tendency, swelling hand/feet/eyelids | Not reported | N-glycosylation defect type I (ALG13-CDG) | Refractory polymorphic epilepsy, died at age of 1 year |
Bissar-Tadmouri et al. (2014) | Not applicable | M (n = 4) | c.3221A>G Hemizygous | Maternal inheritance | p.(Tyr1074Cys) | Intellectual disability | Normal | Not tested | Not applicable |
Hino-Fukuyo et al. (2015) | 5 months | M | c.880C>T Hemizygous | Maternal inheritance | p.(Pro294Ser) | Developmental delay, infantile spasms/seizures, delayed visual maturation | Anomaly corpus callosum | Not reported | Spasms responded to pyridoxine and ACTH, followed by tonic/myoclonic seizures responding to AED |
Møller et al. (2016) | Not reported | M | c.1641A>T | Maternal inheritance | p.(Gln547His) | Lennox-Gastaut syndrome | Not reported | Not reported | Not reported |