From: Phenotypic expression of swallowing function in Niemann–Pick disease type C1
Characteristic | All patients (n = 120) | Early childhood (n = 63) | Late childhood (n = 40) | Adult onset (n = 11) | No neurological symptoms (n = 6) | Overall p valuea | ECO versus LCO p valueb |
---|---|---|---|---|---|---|---|
Demographic | |||||||
Age at visit, median (IQR), years | 9.8 (3.8–19.0) | 4.5 (2.9–8.5) | 17.3 (12.6–21.1) | 36.1 (32.5–62.5) | 1.5 (1.1–9.7) | < 0.001 | < 0.001 |
Sex, F | 63 (52.5%) | 29 (46.0%) | 21 (52.5%) | 9 (81.8%) | 4 (66.7%) | 0.15 | 0.55 |
Patients with follow-up visits, (n = 57) | 57 (100%) | 30 (52.6%) | 20 (35.1%) | 5 (8.8%) | 2 (3.5%) | 0.66 | 0.98 |
Clinical | |||||||
Onset of neurological symptomsc | 114 (95.0%) | 63 (100.0%) | 40 (100.0%) | 11 (100.0%) | 0 (0.0%) | < 0.001 | NA |
Age at onset of neurological symptoms, median (IQR), years | 5.0 (2.0–8.0) (n = 114) | 2.0 (1.5–3.0) | 8.0 (6.5–11.0) | 21.0 (18.0–43.0) | NA | < 0.001 | < 0.001 |
Duration of neurological symptoms, median (IQR), years | 4.2 (1.2–10.3) (n = 114) | 2.0 (0.3–5.4) | 8.6 (4.5–11.8) | 15.9 (10.5–17.9) | NA | < 0.001 | < 0.001 |
Onset of seizure symptoms | 29 (24.2%) | 20 (31.8%) | 8 (20.0%) | 1 (9.1%) | 0 (0.0%) | 0.18 | 0.26 |
Age at onset of seizures, mean (SD) | 8.2 (5.2) (n = 29) | 6.3 (4.2) | 11.9 (4.4) | 18 (.) | NA | 0.003 | 0.014 |
Seizure diagnosis | 16 (13.3%) | 10 (15.9%) | 5 (12.5%) | 1 (9.1%) | 0 (0.0%) | 0.90 | 0.78 |
Age at onset of first symptom, median (IQR), years | 1.1 (0–6.0) | 0.1 (0–1.5) | 6.0 (1.5–8.5) | 21.0 (18.0–43.0) | 0 (− 0.3 to − 3.0) | < 0.001 | < 0.001 |
Duration of diagnostic delay, median (IQR), years | 4.0 (1.0–9.0) (n = 119) | 1.9 (0.7–4.5) (n = 62) | 8.5 (4.5–11.5) | 11.0 (5.0–17.0) | 0.7 (0.3–9.0) | < 0.001 | < 0.001 |
Miglustat use | 44 (36.7%) | 21 (33.3%) | 19 (47.5%) | 4 (36.4%) | 0 (0.0%) | 0.13 | 0.21 |
Primary outcomes | |||||||
ASHA-NOMS, median score (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–1.0) | 0 (0–1.0) | 0 (0–0) | 0.18 | 0.20 |
PAS, median score (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–0.5) | 0 (0–1.0) | 0 (0–0) | 0.085 | 0.21 |
Dietary modification, median score (IQR) | 0 (0–0) | 0 (0–0) | 1.0 (0–1.0) | 0 (0–1.0) | 0 (0–0) | 0.003 | 0.009 |
Solid modification, median score (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–0.5) | 0 (0–0) | 0 (0–0) | 0.34 | 0.17 |
Liquid modification, median score (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–1.0) | 0 (0–1.0) | 0 (0–0) | 0.095 | 0.16 |
Tongue strength, median score (IQR) | 2.0 (1.0–3.0) (n = 115) | 2.0 (1.0–3.0) (n = 60) | 2.0 (2.0–3.0) | 3.0 (2.0–3.0) | 1.0 (1.0–1.5) (n = 4) | 0.036 | 0.21 |
Lip strength, median score (IQR) | 2.0 (1.0–3.0) (n = 114) | 2.0 (1.0–3.0) (n = 60) | 2.0 (1.0–3.0) (n = 39) | 3.0 (2.0–3.0) | 1.0 (1.0–1.0) (n = 4) | 0.011 | 0.11 |
Dysarthria, median score (IQR) | 2.0 (1.0–3.0) (n = 108) | 2.0 (1.0–3.0) (n = 56) | 3.0 (2.0–3.0) (n = 38) | 3.0 (2.0–3.0) | 1.0 (1.0–1.0) (n = 3) | 0.008 | 0.051 |