Table 5.
Case code | Gender/age | Diagosis | Age of onset | Seizure types | EEG | Brain MRI/CT | Developmental delay | Gene | cDNA change | Protein change | Parental Origin | ACMG pathogenicity |
---|---|---|---|---|---|---|---|---|---|---|---|---|
55 | M/54d | OS | 1d | FoS, Tonic spasms | BS, FSW | Normal | Yes | KCNQ2 | c.794C > T | p.A265V | De novo | P |
93 | M/40d | OS | 3d | Tonic spasms | BS | Normal | Yes | SCN2A | c.4712T > C | p.I1571T | De novo | LP |
90 | M/2y11m | OS-WS | 17d | Tonic spasms, Spa. | BS, Hypsarrhy. | Normal | Yes | STXBP1 | c.364C > T | p.R122X | Unknown | P |
52 | F/1y8m | WS | 2m | Spa. | Multi. FD, Hypsarrhy. | Cerebral dysplasia | Yes | ADSL | c.253C > T | p.R85X | Maternal | LP |
ADSL | c.71C > T | p.P24L | Paternal | UC | ||||||||
89 | F/1y11m | WS | 19d | FoS, Spa. | Multi. FD, Hypsarrhy. | Subdural hemorrhage | Yes | KCNT1 | c.862G > A | p.G288S | De novo | P |
104 | F/2y10m | WS | 3m7d | Spa. | Hypsarrhy., Multi.FD | Normal | Yes | CDKL5 | c.265delT | p.F89Lfs*24 | De novo | P |
151 | F/9m | WS | 3m | Spa. | Hypsarrhy., Multi. FD | Enlargement of the subarachnoid space | Yes | STXBP1 | c.748C > T | p.Q250X | De novo | P |
29 | M/5y6m | Doose | 1y3m | Myo-At., Myo, aAb | Abnormal background theta, GSW, GPSW | Normal | No | SYNGAP1 | c.274_277del | p.G92fs | De novo | P |
164 | F/6y | GLUT1-DS | 2y4m | GTCS | FSW, Multi. FD | Nonspecific (Hair loss leads to bald) | No | SLC2A1 | c.296T > G | p.M99R | De novo | LP |
30 | F/4y4m | Rett | 3y2m | Fos (I), FBTC | Multi. FD | Normal | Yes | MECP2 | c.799C > T | p.R267X | De novo | P |
32 | M/8y | TSC | 1y6m | FoS (I), FBTC | Multi. FD | Multi nodules | No | TSC2 | c.2666C > T | p.A889V | Paternal | LP |
94 | F/9m | TSC (WS) | 3m | Spa. | Multi. FD, Hypsarrhy. | Multi nodules | Yes | TSC2 | c.3412C > T | p.R1138X | De novo | P |
TSC2 | c.3598C > T | p.R1200W | De novo | P | ||||||||
98 | M/3y | TSC (WS) | 4m | Spa., aAb | Multi. FD, Hypsarrhy. | Nonspecific | Yes | TSC2 | c.5079C > G | p.Y1693X | Paternal | LP |
TSC2 | c.5077delT | p.Y1693fs | Paternal | LP | ||||||||
7 | M/2y | UEE (EIEE13) | 6m | FoS (I), FBTC | Multi. FD | Enlargement of the subarachnoid space | Yes | SCN8A | c.4324G > A | p.E1442K | Paternal | LP |
IQSEC2 | c.4246_4247insG | p.S1416fs | De novo | P | ||||||||
63 | M/4y | UEE (EIEE42) | 5m | FoS, GTCS | Multi. FD | Normal | Yes | CACNA1A | c.301G > C | p.E101Q | De novo | P |
66 | M/1y9m | UEE (EIEE13) | 4m | FBTC, FoS | Multi. FD | Enlargement of the subarachnoid space | Yes | SCN8A | c.5492G > A | p.R1831Q | De novo | P |
69 | F/2y1m | UEE (EIEE9) | 1y3m | FBTC, C, T | Multi. FD | Normal | Yes | PCDH19 | c.2849-1G > − | splicing | Unknown | LP |
157 | F/2y | UEE (EIEE43) | 2m | C, FoS (I) | FSW | Normal | Yes | GABRB3 | c.761C > T | p.S254F | De novo | P |
160 | M/6y | UEE (EIEE19) | 6m | FoS (I), GTCS | FSW | Normal | Yes | GABRA1 | c.641G > A | p.R214H | De novo | P |
54 | F/7y | UEE (EEOC) | 4y2m | SE, GTCS, FoS (I) | Mult. FD | Normal | Yes | CHD2 | c.3640G > T | p.G1214X | De novo | P |
40 | F/2y11m | UE | 4m | FoS | FSW | Normal | No | VRK2 | c.C256 + 1G > A | splicing | Unknown | LP |
44 | F/5y6m | UE | 4y | FoS (automatisms, emotional) | Multi. FD | Nodules in internal side of left anterior limb of internal capsule; caput of caudate nucleus or heterotopic gray matter | Yes | ATP1A2 | c.1097G > T | p.G366V | De novo | LP |
68 | M/6y | UE | 4y | FoS (A) | FSW | Normal | No | TSC1 | c.2768_2769insC | p.L924Ffs*26 | De novo | P |
79 | M/3y | UE | 1y2m | FoS (I), FBTC | Multi. FD | Normal | Yes | SLC9A6 | c.582_595del | p.Y194fs | De novo | P |
Abbreviations: M male, F female, m month, y year, P pathogenic, LP likely pathogenic, UC uncertain, OS Ohtahara syndrome, OS-WS Ohtahara syndrome evolves to West syndrome, WS West syndrome, Doose Doose syndrome, GLUT1-DS glucose transporter type 1 deficiency syndrome, Rett Rett syndrome, TSC tuberous sclerosis complex, UEE unclassified epileptic encephalopathy, UE unclassified refractory epilepsy, EEIE early-infantile epileptic encephalopathies, EEOC childhood-onset epileptic encephalopathy, Spa. Spasms, FoS focal seizures, FoS (I) focal seizures (impaired awareness), FoS (A) focal seizures (aware), FBTC focal to bilateral tonic-clonic, T tonic, C clonic, Myo myoclonic, aAb atypical absence, At. atonic, GTCS generalized tonic-clonic seizures, SE status epilepticus, BS burst suppression, Hypsarrhy. hypsarrhythmia, Multi. FD multifocal discharges, FSW focal spike-wave, GSW generalized spike-wave, GPSW generalized polyspike-wave