Clinical feature | Patient | |||
---|---|---|---|---|
V-1 | V-2 | V-4 | V-5 | |
Gestation length | 40 weeks | 39 weeks | 37 weeks | 37 weeks |
Birth length | 53 cm + 1.5 SD | 54 cm + 2 SD | 53 cm+2.5 SD | 53 cm+2.5 SD |
Birth weight | 4735 g+3 SD | 4500 g+2.5 SD | 3460 g+1 SD | 3240 g+0.5 SD |
OFC | 38 cm+2 SD | 39 cm+3 SD | 35 cm+1 SD | 36 cm+1.5 SD |
Neurologic features | + | + | + | + |
ID | + | + | + | + |
Hypotonia | + | + | + | + |
Seizures | Myoclonic | Head jerks, blinkings, absence | Myoclonic | Generalised tonic clonic |
Brain imaging | CT: primitive Sylvian fissures indicating a possible neuronal migration disorder | CT: normal findings | MRI age 2.7 years: global atrophy with predominant vermis and cerebellar atrophy, atrophy of basal ganglia | MRI age 2.7 years: global atrophy with predominant vermis and cerebellar atrophy, hypomyelination |
EEG | Multifocal epileptiform abnormalities | Multifocal epileptiform abnormalities | Theta waves | Multifocal epileptiform abnormalities |
Ophthalmologic features | + | + | + | + |
Strabismus | + | + | + | + |
Nystagmus | + | + | + | + |
Cerebral visual impairment | + | + | + | + |
Hyperopia | + | + | + | + |
Down gaze palsy | na | + | na | na |
Skeletal features | + | + | + | + |
Craniosynostosis | Metopic. Surgically corrected at the age of 5 months | Lamboid sin. Surgery not required | na | na |
Pectus excavatum | + | − | − | − |
Short arms | + | + | + | + |
Scoliosis | + | + | − | − |
Delayed bone age | + | + | + | + |
Reduced mineralisation | + | + | + | + |
Urologic/renal features | + | + | + | + |
Nephrocalcinosis | + | + | + | + |
Ureteral dilation | − | + | + | + |
Cysts and dysplasia | − | + | − | − |
Tooth abnormalities | + | + | + | + |
Cardiologic features | Minor PDA | Normal ECG and echocardiogram | Mild restrictive CMP on echocardiogram | Increased atrial load on ECG |
Other | Inverted mamillae | Inverted 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.