| GAMT (n = 7) | CRTR (n = 12) |
---|---|---|
CLINICAL DATA | Â | Â |
Sex | Â | Â |
 Male | 5/7 | 11/12 |
 Female | 2/7 | 1/12 |
 Ratio (M/F) | 2.5 | 11 |
Consanguinity | +++ | - |
Age of onset (years) | ||
 ≤ 2 years | 6/7 | 12/12 |
 > 2 years | 1/7 | 0/12 |
Age at diagnosis(years) | ||
 ≤ 2 years | 1/7 | 0/12 |
 [2–5 years] | 3/7 | 3/12 |
 [5–10 years] | 0/7 | 4/12 |
 > 10 years | 3/7 | 5/12 |
Main clinical signs | ||
 Intellectual disability | ++++ | ++++ |
 Speech delay | ++++ | +++ |
 Failure to thrive | + | + |
 Hypotonia | ++ | + |
 Myopathy | + | - |
 Motor delay | ++ | +++ |
 Epilepsy | ++ | + |
 Extrapyramidal signs | + | - |
 Attention deficit | ++++ | +++ |
 Sleeping disturbances | ++ | + |
 Agressive behaviour | +++ | - |
 Autistic behaviour | ++ | + |
Signs leading to consult | ||
 Combined motor and speech delay | +++ | +++ |
 Epilepsy | ++ | + |
 Intellectual disability | + | - |
 Autistic behavior | - | ++ |
 Familial exploration | + | + |
METABOLIC DATA | ||
Plasma GAA (μmol/l) | ||
 < 15 years: [0.35-1.8]a | [14–23] | [0.8 - 2.5] |
 > 15 years: [1.0-3.5] a | [20-23] | 2.9 |
Plasma creatine (μmol/l) | ||
 < 10 years: [17–109]a | [3.3 - 10] | 59; 65 |
 > 10 years: [6.0-50]a | [4–6] | 100; 112 |
Urine GAA/creatinine (mmol/mol) | ||
 < 15 years: [2–220]a | [399–1319] | [30–219] |
 > 15 years: [3–78]a | 242; 558 | 37; 38 |
Urine creatine/creatinine (mmol/mol) | ||
 < 4 years: [6–1208]a | 11; 33 | 2762 |
 4–12 years: [17–721]a | 18; 26 | [1638–3015] |
 > 12 years: [11–244]a | [12–32] | [1181–3195] |
Brain1H-MRS investigation | Absence of creatine peak (n = 5) | Absence of creatine peak (n = 6) |
GENETIC DATA | ||
 Non-sense mutation | 2/6 | 0/11 |
 Missense mutation | 1/6 | 2/11 |
 Insertion | 0/6 | 0/11 |
 Deletion | 0/6 | 6/11 |
 Duplication | 2/6 | 0/11 |
 Splicing mutation | 1/6 | 3/11 |
FUNCTIONNAL TESTS | ||
GAMT Activity (lymphoblasts) | Deficiency (2/2) | / |
Creatine transport assay (fibroblasts) | / | Deficit of transport (3/3) |