Table 1.
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] | |
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Sex | F | M | M | M | NA | M | M | M |
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Age, years | 9 | 10 | 20 | 29 | 23 | 8 | 4 | 7 |
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HC at birth, cm | 32 | 31 | NA | NA | NA | 29.5 | NA | NA |
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HC at examination age, SD | −6.01 | −5.88 | −5 | −7.8 | NA | −7.6 | −10.8 | −5.6 |
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Intellecual disability | Moderate | Severe | Mild | Moderate-severe | Moderate | Severe | NA | NA |
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Age of epilepsy onset, years | 7 | 5 | 14 | − | 4 | 4 | − | 6 |
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Type of epilepsy | Secondary generalized tonic-clonic seizures | Focal motor epilepsy | Generalized tonic-clonic seizures | − | Focal and generalized epilepsy | Tonic seizures | − | − |
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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 | − |
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Dysmorphic features | Narrow, sloping forehead | Synophrys Narrow, sloping forehead | Narrow bitemporal distance, sloping forehead, oxycephaly | Sloping forehead, long face, thick lips | NA | − | NA | NA |
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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 |
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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) |
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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.