Table 2.
Major Aspects | AS Due to Maternal del15q11–13 | AS Due to Non-Deletion | ||
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Paternal Uniparental Disomy for Chromosome15q11–q13 (UPD) |
Imprinting Defect | Pathogenic UBE3A Mutation | ||
Development | More delayed across all development domains than other types Cognitive skills lower than other types Delayed gross and fine motor skills more severe Reduced developmental age regarding visual perception, receptive language, and expressive language |
Higher overall age equivalent scores and growth score equivalents than deleion type but lower than UBE3A mutation subtype; Better development and expressive language ability in patients with UPD and imprinting defect Higher scores and greater rates of skill attainment in all development domains in patients UBE3A mutation |
||
Seizures | More common and severe in the deletion group | Lower prevalence of epilepsy, and more with late-onset seizures. UPD subtype has the lowest frequency of epilepsy and exhibits the least severe epilepsy phenotype The severity of epilepsy in the UBE3A mutation subtype ranks second after the deletion subtype |
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Behavior | Lower response rates to the social reinforcement paradigm than other types |
The imprinting defect a high rate of reinforcement by social stimuli. Patients with UBE3A mutations | ||
Sleep | Common in all subtypes but Sleep problems are more prevalent in children with UPD and UBE3A mutations | |||
Others | Higher rate of hypopigmentation | UPD and imprinting defects have a higher risk of obesity than deletion type |