Table 1. Clinical characteristics of a cohort of 26 individuals with CDD.
The cohort is predominantly female, with refractory generalized or mixed epilepsy, and severe global developmental delay. They lack specific malformations of cortical development and have a variety of encephalopathy patterns on EEG. EEG = electroencephalogram, IQR = Interquartile range, MRI = magnetic resonance imaging
| Clinical characteristics | N(%) or Median [IQR] |
|---|---|
| Sex, Female | 22/26 (84.6%) |
| MRI | |
| Normal | 15/26 (57.7%) |
| Diffuse volume loss | 7/26 (26.9%) |
| Benign cysts | 2/26 (7.7%) |
| T2 signal change, white matter and/or deep grey matter | 4/26 (15.4%) |
| Diffuse hyperperfusion (likely seizure related) | 1/26 (3.8%) |
| Ongoing refractory epilepsy | 22/26 (84.6%) |
| Seizure types | |
| Focal | 17/26 (65.4%) |
| Generalized | 26/26 (100.0%) |
| EEG encephalopathy patterns | |
| Hypsarrhythmia | 10/26 (38.5%) |
| Generalized slowing | 17/26 (65.4%) |
| Discontinuity | 3/26 (11.5%) |
| Slow spike and wave | 2/26 (7.7%) |
| Continuous spike and wave in sleep | 1/26 (3.8%) |
| No encephalopathy pattern | 5/26 (19.2%) |
| Vigabatrin use, N (%) and median duration [IQR] | 13/26 (50%) 1.7 y [1.1, 3.1] |
| Developmental features | |
| Global developmental delay, if evaluated at age >1 year | 23/23 (100%) |
| Developmental regression | 15/26 (57.7%) |
| With worsening of seizures | 10/15 (66.7%) |
| Independent of seizures | 5/15 (33.3%) |
| Mobilizes, crawling or walking with or without support | 10/26 (38.5%) |
| Pincer grasp or presses switches | 6/26 (23.1%) |
| Communicates purposefully with words, signs, or augmentative communication | 10/26 (38.5%) |