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. 2021 Sep 15;13(1):56–63. doi: 10.1159/000516201

Table 1.

Clinical and genetic findings of the previously reported and present cases with polymicrogyria and pachygyria

Patient 1 Patient 2 Passemard et al. [2009] Ariani et al. [2012] Hu et al. [2014] Nakamura et al. [2015] Letard et al. [2018] Letard et al. [2018]
Sex F M M M NA M M M

Age, years 9 10 20 29 23 8 4 7

HC at birth, cm 32 31 NA NA NA 29.5 NA NA

HC at examination age, SD −6.01 −5.88 −5 −7.8 NA −7.6 −10.8 −5.6

Intellecual disability Moderate Severe Mild Moderate-severe Moderate Severe NA NA

Age of epilepsy onset, years 7 5 14 4 4 6

Type of epilepsy Secondary generalized tonic-clonic seizures Focal motor epilepsy Generalized tonic-clonic seizures Focal and generalized epilepsy Tonic seizures

Additional neurological findings Fine motor problems and required surgery for strabismus Increased muscle tone and mild spasticity in the arms and severe spasticity in the legs Spastic tetraplegia

Dysmorphic features Narrow, sloping forehead Synophrys Narrow, sloping forehead Narrow bitemporal distance, sloping forehead, oxycephaly Sloping forehead, long face, thick lips NA NA NA

MRI findings Symmetrical ventriculomegaly, thinning of the corpus callosum, simplified gyral pattern located in the left frontotemporal region, and polymicrogyria located in the right frontotemporal region Symmetrical ventriculomegaly, simplified gyral pattern located in both hemispheres and pachygyria Extensive unilateral perisylvian polymicrogyria from the frontal pole to the occipital pole; contralateral simplified frontal and occipital gyral pattern Global reduction in brain size, thin brain stem, normal corpus callosum, temporal pachygyria Reduced gyration, parietal
polymicrogyria and a myelination defect
Frontal-dominant pachygyria with enlarged lateral ventricles and a slightly thickened corpus callosum Thick frontal gyri, gyral simplification, thick corpus callosum, extensive bilateral posterior polymicrogyria Gyral simplification, polymicrogyria in frontoinsular region

ASPM mutation Homozygous c.5219_5225delGAGGATA (p.Arg1740Thrfs*7) Homozygous c.7792C>T (p.Gln2598*) Homozygous c.9507delG (p.lle3170Leufs*9) Compound heterozygous c.3796 G>T (p.Glul266*); c.7815_7816del (p.Glu2605Aspfs*31) Compound heterozygous c.8227C> Τ (p. Arg2743*); c.7772_7775delAAAA (p.Lys2591Argfs*24) Compound heterozygous c.3055C>T (p.Argl019*);c.6750delT (p.Phe2250Leufs*10) Homozygous c.8702delA (p.His2901Leufs*37) Homozygous c.7744delA (p.lle2582Serfs*34)

Mutation location Exon 18 Exon 18 Exon 23 Exon 16 and 18 Exon 18 and 18 Exon 11 and 18 Exon 18 Exon 18

MRI, magnetic resonance imaging; HC, head circumference; NA;, not available; SD, standard deviation.