Table 1.
Family | Family A | Family B | |||||||
---|---|---|---|---|---|---|---|---|---|
Patient | IV‐10 | III‐11 | IV‐5 | IV‐6 | III‐8 | IV‐9 | III‐10 | patient I‐2 | |
Sex/age at last follow‐up (years) | M/5 | M/37 | M/6.5 | M/6.5 | F/45 | F/3 | F/NK | F/6.3 | |
Acute episodes of ataxia | Yes | Yes | Yes | No | No | No | No | Yes | |
Age at onset (years) | 2 | 8 | 2.8 | 2 | |||||
Triggering factor | Febrile illness | Febrile illness, stress | Febrile illness | Febrile illness | |||||
Duration | 2–7 days | 7 days | 2 days | 7 days | |||||
Total number |
8 No recurrence after age 4 |
2 | 1 | Twice a year until last follo‐up | |||||
Symptoms | Vertigo, ataxia, nausea, vomiting, occacional confusion | Dizziness, ataxia | Ataxia | Severe ataxia | |||||
Other paroxysmal signs | No | No | 2 access of breath holding spell at 3 months; between 2.8 and 5.5 years, daily access of gait unsteadiness with bizarre posture of the left limb lasting several hours | No | No | Brief episodes of lower limb hypertonia lasting some minutes between 7 and 9 months of age | No | No | |
Permanent symptoms | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
Tremor (age at onset) | No | UL postural tremor (from childhood) | No | UL postural tremor (from childhood) | UL postural tremor (from childhood) | UL postural tremor (from 2.5 years) | UL postural tremor (from childhood) | UL postural tremor (from infancy) | |
Nystagmus (age at onset) | Yes (from 24 months) | Yes (from infancy) | No | No | Yes | Yes (from infancy) | No | Yes (from infancy) | |
Permanent ataxia | No | No | No | No | No | No | No | No | |
Learning difficulties | No | No | Yes | Yes | Yes | No | NK | Yes | |
Psychomotor development | Normal | Normal | Language delay | Language delay | Normal | Normal | NK | Global delay | |
Paraclinical investigations (age) | Blood electrolytes, lactate, aminoacid, ammonemia, acylcarnitine dosage, urinary organic acid screening, cerebrospinal fluid analysis, auditory and vestibular assessment, brain MRI: normal (2 years) | None |
Auditory and vestibular assessment, CGH‐array, FMR1 gene analysis, brain MRI normal (3.3 years) |
None | None | None | None |
EEG, brain MRI, ophthalmological assessment normal (1.2 years) |
UL, upper limbs; M, male; F, female; NK, not known.