Child (family) | 17 | 18 | 19 | 20 |
Necessary criteria | ||||
Infantile hypotonia | Y | N | N | Y |
Profound psychomotor retardation | Y | Y | Y | Y |
Convulsive disorders presenting with myoclonias and infantile spasms | Y | Y | Y | Y |
Absence or early loss of visual fixation | Y | Y | Y | ? |
Atrophy of optic disc by 2 years | Y | Y | Y | N |
Progressive brain atrophy: affecting cerebellum±brainstem | Y | ? | Y | N |
Supportive criteria | ||||
Dysmorphic features | Y | Y | Y | N |
Oedema of the face and limbs | Y | Y | Y | Y |
Features contrary to PEHO | ||||
Other features | Microcephaly at birth | Hypertonia in infancy | Hypertonia in infancy | – |
Abnormal gyral formation | ||||
Diagnosis assigned | ||||
Diagnosis assigned | PEHO-like | PEHO-like | PEHO-like | Excluded |
Genetics | ||||
Gene | SCN1A | No clear pathogenic mutation found | PLAA | |
Inheritance | Heterozygous AD | Homozygous AD | ||
Nucleotide change | c.1252A>C | c.68G>T | ||
Protein change | p.(Iso418Leu) | p.(Gly23Val) | ||
ExAC frequency | 0 | 0 | ||
Pathogenicity* | SIFT=0.01 | SIFT=0.01 and see ref 26 |
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.