Table 2. Various clinical and laboratory features of neuronal ceroid lipofuscinoses.
Parameter | CLN1 n = 21 (35%) |
CLN2 n = 21 (41.66%) |
CLN 6 n = 5 (8%) |
CLN7 n = 3 (5%) |
CLN8 n = 3 (5%) |
---|---|---|---|---|---|
Mean age of presentations | 9.9 months | 2 years 10 months | 4 years 2 months | 2 years 3 months | 3 years 2 months |
Developmental delay | 12 (57) | 16 (64) | 3 (60) | 2 (66) | 2 (66) |
Regression | 21 (100) | 25 (100) | 5 (100) | 3 (100) | 3 (100) |
Abnormal eye findings | 15 (71) | 23 (92) | 2 (40) | 3 (100) | 2 (66) |
Epilepsy | 21 (100) | 25 (100) | 5 (100) | 3 (100) | 3 (100) |
Myoclonic epilepsy | 18 (86) | 25 (100) | 5 (100) | 3 (100) | 3 (100) |
Involuntary movements | 21 (100) | 25 (100) | 5 (100) | 3 (100) | 3 (100) |
Electroencephalography | |||||
PPR at low IPS frequencies of 1 to 3 Hz | 0 | 04 (16) | 0 | 0 | 0 |
Periodic discharges | 0 | 1 | 0 | 0 | 1 |
Multifocal epilepsy | 13 (21) | 20(33) | 4(6) | 2(3) | 2(3) |
Magnetic resonance imaging of brain | |||||
Thalamus | 10 (47) | 2 (8) | 0 | 0 | 01 (33) |
Caudate | 13 (62) | 2 (8) | 0 | 0 | 0 |
Cerebellar and cerebral atrophy | 21 (100) | 25 (100) | 5 (100) | 3 (100) | 3 (100) |
Electron microscopy done in | 16 | 22 | 4 | 0 | 1 |
Abnormal | 6 (37) | 10 (45) | 2 (50) | 1 (100) | |
Curvilinear inclusions | 4 | 8 | 0 | 1 | |
GRODS | 1 | 2 | 2 | ||
Curvilinear + GRODS | 1 | 0 | 0 | ||
Enzyme assay done | 20 | 26 | 5 | 1 | 3 |
Low levels of enzyme | 15 | 21 | Normal | Normal | Normal |
Pathogenic variant by genetic testing | 4 | 5 | 4 | 3 | 3 |
Abbreviations: GRODS, granular round osmiophilic deposits; IPS, intermittent photic stimulation; PPR, photoparoxysmal response.