Patient 1 (1091) | Score | Patient 2 (RTT00967) | Score | Patient 3 (RTT01158) | Score | Patient 4 (60718368) | Score | Patient 5 Ariani et al3 | Score | Patient 6 Ariani et al3 | Score | |
Age/sex | 13 y 2 m/female | 8 y/female | 3 y/female | 3 y 2 m/female | 22 y/female | 7 y/female | ||||||
Inheritance | Parents not available (NA) | De novo | Parents' DNA requested | De novo | De novo | De novo | ||||||
Mutation | c.681C>G; p.N227K | c.643T>C; p.F215L | c.551_552insC; p.S185fsX454 | c.624C>G; p.Y208X | c.765G>A; p.W255X | c.969delC; p.S323fsX325 | ||||||
OFC at birth | NA | 34 cm 50–75th cnt | 32.5 cm 3–10th cnt | 33.5 cm 25–50th cnt | 34 cm 50th cnt | 34 cm 50th cnt | ||||||
Weight at birth | 3900 g 90th cnt | 3300 g 50–75th cnt | 2800 g 10th cnt | 3150 g 50th cnt | 3150 g 25–50th cnt | 3350 g 50th cnt | ||||||
Length at birth | NA | 49 cm 50th cnt | 48 cm 50th cnt | 50 cm 50th cnt | 49 cm 50th cnt | 50 cm 50th cnt | ||||||
Perinatal signs | NA | Inconsolable crying | Hypotonia, psychomotor retardation | Sleepiness, cries only if hungry | Inconsolable crying | Inconsolable crying | ||||||
Age of regression | 6 months | 2 | 6 months | 2 | 3 months | 2 | 3 months | 2 | 3 months | 2 | 3 months | 2 |
Present OFC | 46 cm −6 SD | 2 | 48 cm −2.24 SD | 2 | 43 cm −5 SD | 2 | 42 cm −5 SD | 2 | 49 cm −4 SD | 2 | 47 cm −3.7 SD | 2 |
Present weight | NA | NA | 13.4 kg 3rd cnt | 1 | 10 kg <5th cnt | 2 | 38 kg <5th cntBMI 19.1 | 2 | 18.5 kg <5th cntBMI 15.3 | 2 | ||
Present height | NA | NA | 97 cm 75th cnt | 0 | 87 cm <3rd cnt | 2 | 141 cm <<5th cnt | 2 | 110 cm <5th cnt | 2 | ||
Hand stereotypy | NA | Intermittent: hand to mouth, washing | 1 | Intermittent | 1 | Constant: hand to mouth | 2 | Constant: clapping, hand to mouth | 1 | Constant: clapping, hand to mouth | 2 | |
Age of stereotypy onset | NA | NA | NA | 12 months | NA | 12 months | ||||||
Jerky movements | NA | Yes | Yes | Occasional | Yes | Yes | ||||||
Rocking | Yes | NA | Absent | No | Yes | No | ||||||
Voluntary hand use | NA | Poor | 1 | Absent | 2 | Poor | 1 | Absent | 2 | Absent | 2 | |
Sitting | NA | 15 months | 0 | Not acquired | 2 | No sitting alone | 2 | Not acquired | 2 | 10 months | 1 | |
Walking | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 |
Age at walk | Never | Never | 2 | Never | 2 | Never | 2 | Never | 2 | Never | 2 | |
Speech | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 | Not acquired | 2 |
Age of increasing words | Never | 2 | Never | 2 | Never | 2 | Never | 2 | Never | 2 | Never | 2 |
Level of speech | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 |
Level of phrases | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 |
Epilepsy | Not controlled by therapy | 2 | No epilepsy | 0 | Recurrent status epilepticus controlled by treatment | 1 | No epilepsy (3 years) | 0 | Not controlled by therapy | 2 | Controlled by therapy | 1 |
Seizure onset | NA | Never | 17 months | Never (3 years) | 14 years | 30 months | ||||||
Sleep disturbances | NA | Yes | Yes, severe | No | Yes | Yes | ||||||
Eye contact | NA | Poor | Poor | Good at 12 months | Poor | Poor | ||||||
Gastro-intestinal disturbances | NA | Moderate constipation | 1 | Severe, reflux and constipation | 2 | Constipation | 1 | Constipation | 1 | Constipation | 1 | |
Breathing disorders | NA | No | 0 | No | 0 | Apnoeas | 1 | Sporadic hyperventilation episodes | 1 | Prolonged inspirations | 1 | |
Cold extremities | NA | Yes | 1 | No | 0 | No | 0 | Mild | 1 | Mild | 1 | |
Tongue protruding movements | NA | Yes | No | Yes | Yes | Yes | ||||||
Bruxism | Yes | No | Yes | Yes, teeth chattering | Yes | Teeth beating/teeth-chattering | ||||||
Sialorrhea | NA | No | Yes | Yes | Yes | Yes | ||||||
Pain threshold | NA | Normal | Normal | High | High | |||||||
Joint rigidity | NA | No | No | No | Yes, large and small joints | Small joints | ||||||
Strabismus | NA | Yes | Yes | Yes | Yes | Yes | ||||||
Sphincter control | NA | No | 2 | Absent | 2 | Absent | 2 | Absent | 2 | Absent | 2 | |
Genu valgu | NA | NA | No | 0 | Absent | Severe | 2 | Absent | 0 | |||
Pes planus | NA | Absent | 0 | NA | Mild | 1 | NA | NA | ||||
Scoliosis | Severe | 2 | No | 0 | No | 0 | Absent | 0 | Severe | 2 | Absent | 0 |
Kyphosis | NA | No | 0 | Yes | 1 | Severe | 2 | Severe | 2 | Absent | 0 | |
Corpus callosum thinning at brain MRI | NA | No | Yes | Yes | Yes, mild | Yes, mild | ||||||
Total score | – | – | 28 | 32 | 38 | 31 |