Child (family) | 1 (A) | 2 (A) | 3 (A) | 4 (A) | 5 (A) |
Necessary criteria | |||||
Infantile hypotonia | Y | Y | Y | Y | Y |
Profound psychomotor retardation | Y | Y | Y | Y | Y |
Convulsive disorders presenting with myoclonias and infantile spasms | Y | Y | Y | Y | Y |
Absence or early loss of visual fixation | Y | Y | Y | Y | Y |
Atrophy of optic disc by 2 years | Y | Y | Y | Not examined after 2 years | Y |
Progressive brain atrophy: affecting cerebellum±brainstem | Y | Normal at 6 months | No MRI | Images not found | Y |
Supportive criteria | |||||
Dysmorphic features | Y | Y | Y | Y | Y |
Oedema of the face and limbs | Y | Y | Y | Y | N |
Features contrary to PEHO | |||||
Other features | – | – | – | – | – |
Diagnosis assigned | |||||
Diagnosis assigned | PEHO | PEHO-like | PEHO-like | PEHO-like | PEHO |
Genetics | |||||
Gene | PCLO | PCLO | PCLO | PCLO | PCLO |
Inheritance | Homozygous Autosomal Recessive (AR) | ||||
Nucleotide change | c.2703C>T | ||||
c.7080C>G | |||||
Protein change | p.(Gln901*Ter) | ||||
p.(Tyr2360*Ter) | |||||
ExAC frequency | 0 | ||||
Pathogenicity* | Assumed pathogenic and see ref 34 |
Children 1–5 are from family A; children 8–10 are from family B; children 14–16 are from family C.
*For each mutation pathogenicity, details are within the paper. Here we give either a reference confirming pathogenicity or where this is unavailable, the SIFT score ().
ExAc, Exome Aggregation Consortium; PEHO, progressive encephalopathy, hypsarrhythmia and optic atrophy; SIFT, Scale Invariant Feature Transform.