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. 2021 Jun 10;12:639317. doi: 10.3389/fneur.2021.639317

Table 1.

Identification of phenotypes and genotypes.

SCN1A CDLK5 MECP2 STXBP1 UBE3A
Number of patients 2 3 2 1 2
Gender Males Females Females Male Females
Age of disease onset 6 months Before 3 months 8–9 months 2.5 months 3–6 months
Age of genetical diagnosis 12 months
15 months
40 months
13 months
9 months
19 months
44 months
5 months 8 months
16 months
Type of seizures Hemiclonias, febrile seizures, status epilepticus tonic clonic Focal; generalized tonic-clonic; infantile spasms Generalized tonic-clonic Non-epileptic stereotyped movements Infantile spasms Focal seizures and chaotic movements in the limbs
EEG Acute slow wave with emphasis in the frontal/central-parietal and temporal leads bilaterally Hypsarrhythmia variants with “burst -suppression” Slowing of main activity; Multifocal epileptiform activity with secondary bilateral synchronization in the form of peak/polypeak/sharp-slow wave complexes Slow-wave type of EEG, at deepening of sleep weakly expressed “burst -suppression” areas appear High-amplitude disorganized slow waves, constant continuous deceleration
Cognitive status Speech delay Intellectual delay Regression of cognitive development Speech delay Intellectual delay
MRI Normal Normal Normal Normal Normal
Response to therapy Stiripentol resistance, good response to hydrocortisone, Topiramate, Valproate led to increased seizure frequency, clonazepam was not effective Positive response to vigabatrin Reduction of seizures when taking levetiracetam, topiramate Positive response to vigabatrin Positive response to levetiracetam
FOXG1 ATP7A PCDH19 FOLR1 PNPO
Number of patients 1 1 1 1 1
Gender Female Male Female Male Male
Age of disease onset 2 months 2 months 1.5 years 1.5 years 6th day of life
Age of genetical diagnosis 24 months 11 months 36 months 8 year 75 days of life
Type of seizures Apnoea; fading; focal seizures with eyes upward and arms extended to the sides; face palor Clonic seizures with eyes deviation Tonic; then with a predominance of the focal component (fading with head rotation) Focal; then tonic-clonic. Subsequently–the development of non-epileptic stereotypies Status epilepticus
EEG Slow wave EEG; periodic secondary generalized epileptiform activity in the form of diffuse burst of polymorphic complexes spike/polyspike/sharp-slow waves with a focus in the right central temporal leads. Burst suppression. In wakefulness and sleep, status epilepticus. Epileptiform activity in the form of irregular sharp waves and complexes sharp slow waves Periodic epileptiform activity with complexes of sharp-slow waves Bursts of spike/polyspike/sharp-slow waves followed by a short suppression of the electrical activity of the brain Constant pattern of burst suppression
Cognitive status Speech delay Intellectual delayed Normal Speech delay Intellectual delay
MRI Normal MR signs of diffuse lesions of the white matter of the brain with the formation of cysts Normal leukoencephalopathy Hypoplasia of the temporal lobes and corpus callosum
Response to therapy Poor response to levetiracetam and valproate Good response to IV diazepam; partial response to topiramate; no response to valproate Good response to topiramate, valproate led to increased seizure frequency Levetiracetam, lamotrigine, phenobarbital, clonazepam, pregabalin–not efficacious.
Response to calcium folinate therapy
The seizures were stopped by the introduction of propofol until an infusion of pyridoxine was made for diagnostic purposes