Table 1

Clinical findings in patients with PIGT mutations

Clinical featurePatient
V-1V-2V-4V-5
Gestation length40 weeks39 weeks37 weeks37 weeks
Birth length53 cm + 1.5 SD54 cm + 2 SD53 cm+2.5 SD53 cm+2.5 SD
Birth weight4735 g+3 SD4500 g+2.5 SD3460 g+1 SD3240 g+0.5 SD
OFC38 cm+2 SD39 cm+3 SD35 cm+1 SD36 cm+1.5 SD
Neurologic features++++
ID++++
Hypotonia++++
SeizuresMyoclonicHead jerks, blinkings, absenceMyoclonicGeneralised tonic clonic
Brain imagingCT: primitive Sylvian fissures indicating a possible neuronal migration disorderCT: normal findingsMRI age 2.7 years: global atrophy with predominant vermis and cerebellar atrophy, atrophy of basal gangliaMRI age 2.7 years: global atrophy with predominant vermis and cerebellar atrophy, hypomyelination
EEGMultifocal epileptiform abnormalitiesMultifocal epileptiform abnormalitiesTheta wavesMultifocal epileptiform abnormalities
Ophthalmologic features++++
Strabismus++++
Nystagmus++++
Cerebral visual impairment++++
Hyperopia++++
Down gaze palsyna+nana
Skeletal features++++
CraniosynostosisMetopic. Surgically corrected at the age of 5 monthsLamboid sin. Surgery not requirednana
Pectus excavatum+
Short arms++++
Scoliosis++
Delayed bone age++++
Reduced mineralisation++++
Urologic/renal features++++
Nephrocalcinosis++++
Ureteral dilation+++
Cysts and dysplasia+
Tooth abnormalities++++
Cardiologic featuresMinor PDANormal ECG and echocardiogramMild restrictive CMP on echocardiogramIncreased atrial load on ECG
OtherInverted mamillaeInverted mammillae
Hyperlobulated lungs
Died at the age of 3 years (bronchopneumonia)
  • CMP, cardiomyopathy; ECG, electrocardiogram; EEG, electroencephalogram; ID, intellectual disability; MRS, magnetic resonance spectroscopy; na, results not available; OFC, occipitofrontal circumference; PDA, patent ductus arteriosus.