Table 2.
Clinical features and investigations | Number of patients with molecular genetic diagnosis of NCL (percentage) (n = 33) | Number of patients with no molecular genetic diagnosis of NCL (percentage) (n = 76) | Fisher's exact test P value |
---|---|---|---|
Neurodevelopment and neurological features | |||
GDD | 23 (69.6%) | 56 (73.7%) | .8158 |
Regression or cognitive decline | 19 (57.5) | 15 (19.7%) | .0017 |
Hypotonia | 1 (3%) | 22 (28.9%) | .0017 |
Hypertonia | 2 (6%) | 13 (17.1%) | .224 |
Seizures | 27 (81.8%) | 59 (77.6%) | .7993 |
GTCS | 21 (63.6%) | 23 (30.2%) | .0015 |
Myoclonic | 18 (54.5%) | 20 (26.3%) | .008 |
Absence | 11 (33.3%) | 17 (22.3%) | .2417 |
Infantile spasms | 0 (0%) | 12 (15.7%) | .0165 |
Partial Seizures | 11 (33.3%) | 10 (13.1%) | .0188 |
Visual impairment | 22 (66.6%) | 13 (17.1%) | <.0001 |
Movement disorder | 19 (57.5%) | 33 (43.4%) | .2125 |
Ataxia | 13 (39.3%) | 15 (19.7%) | .0545 |
Dystonia | 3 (9.1%) | 0 (0%) | .026 |
Tremor | 3 (9.1%) | 7 (9.2%) | 1 |
Behavioral problems | 7 (21.2%) | 13 (17.1%) | .6007 |
Failure to thrive | 1 (3%) | 8 (10.5%) | .2722 |
Histopathology | 18 | 19 | |
Normal | 3 (16.6%) | 19 (100%) | <.0001 |
Granular osmiophilic inclusions | 6 | 0 | |
Finger print | 2 | 0 | |
Curvilinear and fingerprint profiles | 6 | 0 | |
Brain MRI features | 22 | 67 | |
Cerebral and/or cerebellar atrophy | 21 (95.4%) | 37 (55.2%) | .0005 |
Abnormal T2/FLAIR signal intensities | 15 (68.2%) | 18 (26.8%) | .0008 |
Corpus callosum abnormalities | 1 (4.5%) | 17 (25.3%) | .0362 |
Delayed myelination | 0 (0%) | 12 (17.9%) | .0077 |
Hypomyelination | 0 (0%) | 4 (5.9%) | .2991 |
Abbreviations: GDD, global developmental delay; GTCS, generalized tonic‐clonic seizures; MRI, magnetic resonance imaging.