Table 1

Clinical features of patients with FOXG1 mutations

Patient 1 (1091)ScorePatient 2 (RTT00967)ScorePatient 3 (RTT01158)ScorePatient 4 (60718368)ScorePatient 5 Ariani et al3ScorePatient 6 Ariani et al3Score
Age/sex13 y 2 m/female8 y/female3 y/female3 y 2 m/female22 y/female7 y/female
InheritanceParents not available (NA)De novoParents' DNA requestedDe novoDe novoDe novo
Mutationc.681C>G; p.N227Kc.643T>C; p.F215Lc.551_552insC; p.S185fsX454c.624C>G; p.Y208Xc.765G>A; p.W255Xc.969delC; p.S323fsX325
OFC at birthNA34 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 birth3900 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 birthNA49 cm
50th cnt
48 cm
50th cnt
50 cm
50th cnt
49 cm
50th cnt
50 cm
50th cnt
Perinatal signsNAInconsolable cryingHypotonia, psychomotor retardationSleepiness, cries only if hungryInconsolable cryingInconsolable crying
Age of regression6 months26 months23 months23 months23 months23 months2
Present OFC46 cm
−6 SD
248 cm
−2.24 SD
243 cm
−5 SD
242 cm
−5 SD
249 cm
−4 SD
247 cm
−3.7 SD
2
Present weightNANA13.4 kg
3rd cnt
110 kg
<5th cnt
238 kg
<5th cntBMI 19.1
218.5 kg
<5th cntBMI 15.3
2
Present heightNANA97 cm
75th cnt
087 cm
<3rd cnt
2141 cm
<<5th cnt
2110 cm
<5th cnt
2
Hand stereotypyNAIntermittent: hand to mouth, washing1Intermittent1Constant: hand to mouth2Constant: clapping, hand to mouth1Constant: clapping, hand to mouth2
Age of stereotypy onsetNANANA12 monthsNA12 months
Jerky movementsNAYesYesOccasionalYesYes
RockingYesNAAbsentNoYesNo
Voluntary hand useNAPoor1Absent2Poor1Absent2Absent2
SittingNA15 months0Not acquired2No sitting alone2Not acquired210 months1
WalkingNot acquired2Not acquired2Not acquired2Not acquired2Not acquired2Not acquired2
Age at walkNeverNever2Never2Never2Never2Never2
SpeechNot acquired2Not acquired2Not acquired2Not acquired2Not acquired2Not acquired2
Age of increasing wordsNever2Never2Never2Never2Never2Never2
Level of speechAbsent2Absent2Absent2Absent2Absent2Absent2
Level of phrasesAbsent2Absent2Absent2Absent2Absent2Absent2
EpilepsyNot controlled by therapy2No epilepsy0Recurrent status epilepticus controlled by treatment1No epilepsy (3 years)0Not controlled by therapy2Controlled by therapy1
Seizure onsetNANever17 monthsNever (3 years)14 years30 months
Sleep disturbancesNAYesYes, severeNoYesYes
Eye contactNAPoorPoorGood at 12 monthsPoorPoor
Gastro-intestinal disturbancesNAModerate constipation1Severe, reflux and constipation2Constipation1Constipation1Constipation1
Breathing disordersNANo0No0Apnoeas1Sporadic hyperventilation episodes1Prolonged inspirations1
Cold extremitiesNAYes1No0No0Mild1Mild1
Tongue protruding movementsNAYesNoYesYesYes
BruxismYesNoYesYes, teeth chatteringYesTeeth beating/teeth-chattering
SialorrheaNANoYesYesYesYes
Pain thresholdNANormalNormalHighHigh
Joint rigidityNANoNoNoYes, large and small jointsSmall joints
StrabismusNAYesYesYesYesYes
Sphincter controlNANo2Absent2Absent2Absent2Absent2
Genu valguNANANo0AbsentSevere2Absent0
Pes planusNAAbsent0NAMild1NANA
ScoliosisSevere2No0No0Absent0Severe2Absent0
KyphosisNANo0Yes1Severe2Severe2Absent0
Corpus callosum thinning at brain MRINANoYesYesYes, mildYes, mild
Total score28323831