| Symptom/ sign | Neo natal | Infancy | Child hood | Adolescence | Adulthood | |
---|---|---|---|---|---|---|---|
CNS | Tone regulation | Floppy infant | + | ++ | Â | Â | Â |
Hypotonia (mainly truncal) | + | ++ | ++ | ++ | ++ | ||
Poor head control | + | + | + | + | + | ||
Hypertonia (mainly limbs) | + | + | + | + | + | ||
Movement disorders | Dyskinesia (eg hyperkinesia, chorea, athetosis) | ± | + | + | + | + | |
Dystonia | - | ++ | ++ | ++ | ++ | ||
Oculogyric crisis | ± | ++ | ++ | ++ | ++ | ||
Hypokinesia and/ or bradykinesia | ± | ++ | ++ | ++ | ++ | ||
Myoclonus | ± | ± | ± | ± | ± | ||
Tremor | ± | ± | ± | ± | ± | ||
Developmental Delay | Delayed motor development | ± | ++ | ++ | ++ | ++ | |
Delayed cognitive development |  | ± | + | + | + | ||
Delayed speech development |  | ± | + | + | + | ||
Behavioural Problems | Irritability | ++ | ++ | + | + | + | |
Autistic features |  |  | ± | ± | ± | ||
Dysphoria/ Mood problems | ± | ± | ± | ± | ± | ||
Excessive crying | + | ++ | + | - | - | ||
Sleeping Problems | Insomnia and or hypersomnia | Â | + | + | + | + | |
Other | Epileptic seizures | - | ± | ± | ± | ± | |
Fatiguability | ± | ± | ± | ± | ± | ||
Diurnal fluctuation |  | ± | ± | ± | ± | ||
Dysarthria |  |  | ± | ± | ± | ||
Poor eye fixation | Â | + | + | + | + | ||
Increased startle | ± | ± | ± | ± | ± | ||
ANS | Eyes | Ptosis | + | + | + | + | + |
Miosis | ± | ± | ± | ± | ± | ||
Upper respiratory tract | Nasal congestion | - | + | + | ± | ± | |
Excessive drooling | - | + | + | ± | ± | ||
Stridor | ± | ± | ± | ± | ± | ||
Skin | Excessive sweating | - | + | + | + | + | |
Homeostasis | Temperature instability | + | + | + | + | + | |
Cardiovascular | (Orthostatic) Hypotension | - | - | ± | + | + | |
Bradycardia | ± | ± | ± | ± | ± | ||
Heart rhytm abnormalities | ± | ± | ± | ± |  | ||
Gastrointestinal | Diarrhea | ± | + | + | + | ± | |
Obstipation | ± | + | + | + | ± | ||
Metabolic/ endocrine | Hypoglycemia | ± | ± | ± | - | - | |
Hyperprolactinemia | ± | ± | ± | ± | ± | ||
General | Feeding/ Swallowing Problems | + | + | + | + | + | |
Gastrointestinal reflux | + | + | + | ± | ± | ||
Gastrointestinal problems unspecified | + | ++ | + | + | + | ||
Failure to thrive | ± | + | + | + |  | ||
Contractures | - | - | - | ± | ± | ||
Small hand and feet | ± | ± | ± | ± | ± |