Table 2.
Patients' phenotype, molecular features, and functional results.
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | |
|---|---|---|---|---|---|---|---|
| Previous publication | Berecki et al. (17) | Wolff et al. (12) | Wolff et al. (12) | Wolff et al. (12) | Wolff et al. (12) | Wolff et al. | Ours |
| cDNA/protein change | R853Q | K1933M | R1882P | c.698-1G>T | W281* | S863F | V911A |
| Location in protein | DII S4 | C-terminus | C-terminus | DI S4 | DI S5–S6 | DII S4 | DII S5-6 |
| Functional change | LOF | GOF | / | / | / | LOF | GOF |
| Phenotype | WS | DEE | DEE | DEE | DEE | BNIF | OS |
| Seizure onset | 13 m | 4 y | 4 m | 4 y 6 m | 4 y 6 m | 5 d | 2 d |
| Seizure type | S,M | F, GTCS, Aab | T, C | F | F | GTCS SE F | C |
| MRI | N | N | N | N | N | N | N |
| EEG change | HA → MF spikes → ESES | MF → ESES | MF → ESES | F spikes → MF → ESES | MF → ESES | NA → MF → ESES | BS → MF → ESES |
| Effective AEDs | VGB, PB, CLB | ST, VPA, TPM, CLB, CS |
LEV | TPM | ST | OXC-ST | OXC → M, NZP |
| Non-effective AEDs | PB, VPA, LTG, KD |
LTG, LCM, CBZ |
PB, VPA ST KD, LTG | / | / | / | / |
| Typical features | Movement disorder | ASD, ataxia | ASD, regression aggression |
Mi-ID | M-ID | Attention deficit disorder | S-ID, ASD |
Phenotype: WS, West syndrome; OS, Ohatahara syndrome.
Seizure type: S, spasms; M, myoclonus; F, focal; GTCS, generalized tonic-clonic seizure; Aab, atypical absence; T, tonic; C, clonic; SE, status epilepticus.
EEG change: MF, mutilfocal; HA, hypsarrhythmia; BS, burst suppression.
Typical features: ASD, autism spectrum disorder; Mi-ID, mild intellectual disability; M-ID, moderate intellectual disability; S-ID, severe intellectual disability; MF, multifocal.
Drugs: CBZ, carbamazepine; CLB, clobazam; KD, ketogenic diet; LCM, lacosamide; LTG, lamotrigine; LEV, levetiracetam; OXC, oxcarbazepine; PB, phenobarbital; PHT, phenytoin; ST, sulthiame; TPM, topiramate; VGB, vigabatrin; M, methylprednisolone; NZP, nitrazepam.