Table 1.
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 |