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. 2020 Nov 5;11:599384. doi: 10.3389/fneur.2020.599384

Table 4.

Phenotypic presentations (chameleons) of IgLON5 disease.

Sleep disorders NREM and REM parasomnias (commonly vocalization, simple or finalistic limb movements, RBD), sleep apnea and stridor, excessive daytime somnolence
Bulbar dysfunction Dysphagia, dysarthria, laryngeal stridor, recurrent acute respiratory failure (mimicking ALS or myasthenia)
PSP phenotype VSGP and gait instability (restriction in upgaze is more than downgaze in contrast to PSP)
MSA phenotype Parasomnia, dysautonomia (urinary dysfunction, episodic profuse sweating), stridor, parkinsonism, ataxia
Acute or subacute encephalopathy
Huntington's disease (HD) phenotype Cognitive impairment with chorea
Orofacial dyskinesia Facial myokymia and orolingual myorhythmia (mimicking Whipple's disease)
Motor neuron disease (MND) phenotype Distal muscle atrophy, fasciculation
Stiff-person syndrome spectrum (SPS) phenotype Peripheral nerve hyperexcitability with cramps, hyperekplexia, stiffness, myokymia, neuromyotonia
Cerebellar ataxia phenotype Postural and intention tremor, titubation, gait, and limb ataxia
Cervical and truncal dystonia