1 | 2 | 3 | 4 | 5-I | 5-II | 6 | 7-I | 7-II | 8 | 9 | 10 | 11 | 12 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Nucleotide change | c.92G > C | c.92G > C | c.92G > C | c.92G > C | c.92G > C | c.92G > C | c.395A > C | c.395A > C | c.395A > C | c.395A > C (he) g.del37781240-37787410 (he) | c.395A > C (he) c.743_749delinsA (he) | c.325-4_329dupGTAGTATGT (he) c.334G > A (he) c.395A > C (he) | c.325 T > A (he) c.395A > C (he) | c.404G > A |
Amino acid change | p.G31A | p.G31A | p.G31A | p.G31A | p.G31A | p.G31A | p.D132A | p.D132A | p.D132A | p.D132A; deletion exon 1-3 | p.D132A; p.L248* | p.P111*; p.V112I; p.D132A | p.Y109N; p.D132A | p.G135E |
Ethnic background | Roma | Roma | Roma | Roma | Roma | Roma | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Pakistan |
Pregnancy duration | 39w, CS | at term | 38w | 37w | 37w | 40w | 39w | u | 35w | 39w | 38w | 42w | 41w | 40w |
Hypotonia at birth | + | + | + | + | + | + | + | + | + | + | + | ± | + | + |
OFC (SD) a (age) | −4 (1.5 m) | −2.5 (birth) | 0 (birth) | +3 (4.5mo) | 0 (4mo) | +2.5 (4mo) | +3 (4.5mo) | −0.5 (11y) | −2 (6.5y) | −1 (birth) | u | −0.5 (10w) | −1.5 (6.5mo) | −1 (8w) |
Nystagmus | - | - | u | + | - | - | + | + | + | - | u | - | - | + |
Optic atrophy | Pale optic disc | - | u | - | - | - | - | u | u | + | u | - | Small optic discs | Pale optic disc |
Seizures | - | - | - | - | - | - | - | + | - | + West syndrome at 5 mo | - | - | - | - |
Dyskinesia/dystonia | - | - | - | - | - | - | + 1 episode, admitted with high temp and pneunomia | + | + | - | - | - | - | - |
Tendon reflexes | absent | absent | absent | absent | absent | absent | brisk | brisk | reduced | reduced | absent | reduced | absent | absent |
Response on visual/auditory stimuli | - | - | u | - | - | - | ++ | + | + | ± | - | ± | - | - |
Age at death (cause) | 4.5mo (cardiac arrest) | 7mo (pneumonia, sepsis) | 5d (respiratory failure) | 5mo (u) | 6mo (viral infection) | 4mo (u) | 7y (respiratory failure) | 12y (GI failure) | 10y (pseudomonas infection) | 6mo (respiratory infection) | 14w (respiratory failure) | 6mo (respiratory infection) | 8.5mo (respiratory failure) | 8w (respiratory failure) |
Lower motor neuron signs | Neurogenic muscle atrophy | Neurogenic muscle atrophy | u, diagnosed following patient 5-II (cousin) | Tongue fasciculations, denervation (EMG), neurogenic muscle atrophy | u, diagnosed following patient 5-II (sister) | Muscle denervation (EMG) | u | u, diagnosed following patient 7-II (brother) | Denervation (EMG) | Neurogenic muscle atrophy | Denervation (EMG) | Denervation (EMG), reduced motor nerve conduction velocity | Tongue fasciculations, neurogenic muscle atrophy | Denervation, neurogenic muscle atrophy |