Table 1.
Phenotypic Details of Individuals with the Recurrent AP2M1 c.508C > T (p.Arg170Trp) Variant
|
Proband ID |
||||
|---|---|---|---|---|
| Individual 1 | Individual 2 | Individual 3 | Individual 4 | |
| Age and sex | 7 years, f | 15 years, f | 4 years, f | 8 years, f |
| Development | globally delayed | globally delayed | globally delayed | globally delayed |
| Age at seizure onset | 1 year, 9 months | 1 year, 3 months | 3 years | 4 years |
| Seizure types | atypical absence; myoclonic atonic; absence with eyelid myoclonia |
atonic; atypical absence; absence with eyelid myoclonia |
atonic; bilateral tonic-clonic |
focal impaired-awareness |
| Seizure outcome | drug-responsive | drug-resistant | drug-resistant | partially responsive |
| Intellectual disability (severity) | moderate | moderate | severe | severe |
| Autism spectrum disorder | absent | absent (aggressive and self-harming behaviors) | present | present |
| Ataxia | truncal and gait ataxia | absent | gait ataxia only | truncal and gait ataxia |
| Other exam findings | hypotonia | hypotonia | hypotonia; chorea and myoclonus; a prominent maxilla and a thin upper lip |
hypotonia; tremor; long, thin hands and feet |
| MRI findings | parieto-occipital white matter abnormalities | normal | normal | normal |
| EEG findings | generalized polyspike-wave discharges | 3–4 Hz generalized spike-wave discharges | generalized spike-wave discharges | multifocal epileptiform activity |
Abbreviations are as follows: MRI = magnetic resonance imaging and EEG = electroencephalogram.