Clinical findings in two males with the same MECP2 variation
Clinical data | Imessaoudene et al17 (G428S) | Our case (G428S) |
---|---|---|
Occurrence | Isolated | Isolated |
Pregnancy/delivery | Normal | Normal |
Developmental delay | + | + |
Severe mental retardation | + | + |
Acquired microcephaly | - | + |
Seizures | - | Frequent and resistant to treatment (presented first at age of 12 months) |
Neurological findings | Restless, uncoordinated movements | Periodic breathing, dorsal extension of the hands |
Hypotonia, hyperlaxity, mild distal muscular atrophy | Neurogenic muscular atrophy | |
Purposeful hand skills | + | Never acquired |
Loss of skills | Retained | - |
Electroencephalogram | Bradyarrhythmia (absence of paroxysmal anomalies) | Generalised slow waves |
Brain imaging (MRI) | Normal | Marked brain atrophy |
Survival | Still alive aged 3 years | Died of respiratory failure at 18 months |