Ethnicity |
Afghan |
Caucasian, Native American |
Parental consanguinity |
First cousins |
No |
Family history |
Epileptic encephalopathy in paternal uncle |
No |
Sex |
Male |
Male |
CACNA2D1 variants (NM_000722.3) |
c.818_821dup/p.(Ser275Asnfs*13) homozygous |
c.13_23dup/p.(Leu9Alafs*5) and c.626G>A/p.(Gly209Asp) compound heterozygous |
Pregnancy |
Uncomplicated |
Uncomplicated |
Birth at |
37 weeks, uncomplicated |
40 weeks |
Birth weight, g/z-score |
2960/−0.5 |
3345/−0.73 |
Birth length, cm/z-score |
50/−0.2 |
Unknown |
OFC at birth, cm/z-score |
33/−1.0 |
Unknown |
Age at last examination |
4 years 11 months |
4 years |
Weight at last examination, kg/z-score |
18/−0.4 |
15.5/−0.52 |
Length at last examination, cm/z-score |
110/−0.2 |
97.8/−0.68 |
OFC at last examination, cm/z-score |
48.9/−2.1 |
47.5/−2.02 |
Manifestation
|
First symptoms at age of |
3 months |
<2 months |
First clinical signs |
Severe hypotonia with poor head control, no visual attention |
Hypotonia with poor head control, decreased visual attention |