NEUROD2 de novo Variant |
p.(Leu163Pro) |
p.(Glu130Gln) |
p.(Met134Thr) |
Variant location notes |
Second helix of bHLH |
Basic region of first helix of bHLH; Glu130 is strictly conserved across all bHLH transcription factors |
Basic region of first helix of bHLH |
Patient’s current age, sex |
14 years, female |
6 years, female |
5 years, male |
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Seizures |
- |
History of infantile spasms / hypsarrhythmia, initial control achieved with ketogenic diet. Currently on CBD oil, no seizures × 3 years. |
History of infantile spasms / hypsarrhythmia, initial control achieved with vagal nerve stimulator, which remains in place, no seizures × 4 years. |
Intellectual delay |
Pervasive developmental disorder, sensory processing disorder. |
Significant global intellectual delay. Nonverbal but interactive. |
Significant global intellectual delay. Nonverbal but interactive. |
Motor delay |
Mild gross motor delay |
Significant fine and gross motor delay. Limited us of arms and hands, requires turning at night. Able to sit, unable to stand, but has some mobility with specialized walker. |
Fine and gross motor delay. Able to feed himself with some help, unable to hold a pencil. Walks and runs without assistance. |
Brain MRI |
Unremarkable |
Bilateral increased T2 signal in putamina, parietal periventricular white matter; thin corpus callosum |
Mild general cerebral volume loss; absence of pituitary T1 bright spot |