Clinical features of female patients with alterations in the FOXG1 gene
Feature | This study | Ariani et al11 | Shoichet et al16 | Bisgaard et al29 | Papa et al25 | Kamnasaran et al28 | |||
Patient 1 | Patient 2 | Case 1 | Case 2 | Case 3 (Grammatico et al26) | Case 5 (Schuffenhauer et al27) | ||||
Mutation | p.Trp308X | p.Tyr400X | p.Trp255X | p.Ser323fsX325 | t(2;14)(p22;q12) breakpoint in intron 3 | 2.65–3.5 Mb deletion and t(X;3) | 3.4 Mb deletion | ∼4 Mb deletion | ∼10 Mb deletion |
Gender | F | F | F | F | F | F | F | M | M |
Age at last clinical examination (years) | 22 | 11 | 22 | 7 | 7 | 14 | 7 | 7 | 3 |
Normal perinatal period | Yes | Yes | Yes | Yes | No | Yes | Yes | ? | No |
Age of onset | 4 months | 6 months | 3 months | 3 months | 2 weeks | 7 months | 6 months | few months | – |
Acquired microcephaly | Yes | Yes | Yes | Yes | Yes | Yes | No (present at birth) | Yes | Yes |
Loss of voluntary hand use | No | No | ? | ? | ? | ? | ? | ? | |
Hand stereotypies | Yes | Yes | Yes | Yes | ? | ? | Yes | ? | No |
Speech | No | No | No | No | No | ? | ? | No | |
Cognitive impairment | Yes (severe) | Yes | Yes | Yes | Yes | ? | Yes | Yes | Yes |
Autistic features | Yes | Yes | ? | ? | No | ? | Yes | Yes | ? |
Walking | No | Yes (at 2.5 years) | No | No | No | ? | No | ? | No |
Hypotonia | Yes | No | ? | ? | No (muscle rigidity) | ? | Yes | Yes | Yes |
Inappropriate laughing | Yes | Yes | ? | ? | ? | ? | ? | ? | |
Growth retardation | Yes | No | ? | ? | ? | ? | Yes (intrauterine) | ? | Yes |
Bruxism | Yes | No | Yes | Yes | ? | ? | Yes | ? | ? |
Abdominal bloating | Yes | No | ? | ? | ? | ? | Yes | ? | ? |
Breathing irregularities | No | No | Yes | Yes | ? | ? | ? | ? | |
Scoliosis | No | No | Yes | Yes | ? | ? | Yes | ? | ? |
Cold feet | No | No | Yes | Yes | ? | ? | Yes | ? | Yes |
Brain malformations | Yes | No | Yes | Yes | Yes | No | No | ? | Yes |
Corpus callosum | Hypoplasia | – | Hypoplasia | Hypoplasia | Agenesis | – | – | ? | Agenesis |
Ventricles | Enlargement | – | No | No | Enlargement | – | – | – | Yes (asymmetric) |
Epilepsy (age of onset) | Yes (2nd year) | No | Yes (14 years) | Yes (21/2 years) | Yes (?) | No | Yes (6 months) | Yes | No |
MECP2/CDKL5 tested | Yes/Yes | Yes/No | Yes/Yes | Yes/Yes | No/No | No/No | Yes/Yes | No/No | No/No |
Large deletions that were not precisely mapped by means of molecular analysis were not included.