Table 1

The clinical manifestations of 21 newly assessed patients with epilepsy with PCDH19 pathogenic variants

Proband no. (Sex)Sz onset (months)Sz typesFever sensitivitySeizure clustersStatus
epileptic
Intellectual disabilityPsychiatric problemAEDsAge (years) and seizure frequency at last follow-up PCDH19 variantsTransmissionReported/novel
22 (F)41Focal++VPA4.5/seizure free for 1 yearc.1987delT
p.S663PfsX13
Father (1 sib affected)Novel
23 (F)27GTCS, Focal, MS+++AggressionOXC, TPM, LTG, VPA8/seizure free for 2 years and 4 monthsc.1240G>A
p.E414K
Asymptomatic MotherReported
24 (F)13GTCS, Focal++VPA3/8 months between clustersWhole PCDH19 deletionDe novoReported
25 (M)5Focal++AggressionOXC, LEV, VPA, TPM3/1–2 months between clustersc.317T>A
p.M106R (Mosaic)
De novoNovel
26 (M)9GTCS, AbS, MS+++Aggression, ASDVPA. TPM9/seizure free for 5 yearsc.158dupT
p.D54GfsX35
(Mosaic)
De novoNovel
27 (F)4GTCS, Focal, AbS++Aggression, ASDOXC, LEV, VPA, TPM4/monthly clustersc.262G>T
p.D88Y
De novoReported
28 (F)6GTCS, Focal++Aggression, ASDVPA, OXC, LEV4/4 months between clustersc.497_498insA
p.Y166X
Familial (3-generation affected)Reported
29 (F)12GTCS++LEV2/6 months between clustersc.2341delA
p.I781SfsX19 (Mosaic)
De novoReported
30 (F)11GTCS, Focal+++VPA, LEV2/3 months between clustersc.471C>G
p.D157E
De novoNovel
31 (F)24GTCS, Focal++OXC1/4 months between clustersc.2113C>T
p.R705X
FatherNovel
32 (F)18GTCS+++VPA, LEV, TPM7/seizure free for 1 year and 6 monthsc.134_135delAC
p.D45GfsX43
FatherReported
33 (F)10GTCS++-−AggressionPB, VPA, LEV2/6–8 months between clustersc.64delC
p.L22SfsX8
De novoNovel
34 (F)21GTCS, Focal++AggressionVPA, LEV, CZP4/seizure free for 1 year and 2 monthsc.183_184insT
p.R62SfsX27
De novoNovel
35 (F)9GTCS+++AggressionTPM, LEV6.5/5 months between clustersc.1019A>G
p.N340S
Asymptomatic MotherReported
36 (F)42GTCS+++AggressionVPA, LEV, TPM7/seizure free for 2.5 yearsc.339_340insC
p.V114RfsX112
Familial (3-generation affected)Novel
37 (F)15GTCS, Focal+++AggressionLEV, CZP4.5/5 months between clustersc.1178C>T
p.P393L;
c.1191G>C
p.Q397H
FatherReported;
Novel
38 (F)16GTCS, Focal+++AggressionVPA, LEV, CBZ, LTG11.5/seizure free for 1 year and 9 monthsc.1133C>G
p.S378X
De novoNovel
39 (F)14GTCS+++AggressionTPM2/5 months between clustersc.1681C>T
p.P561S
De novoReported
40 (F)17GTCS, Focal-+++AggressionOXC, VPA2/2–7 months between clustersc.2849-1delGAsymptomatic MotherNovel
41 (F)8GTCS, Focal++++Aggression, ASDLEV, VPA, LTG2.5/monthly clustersc.1804C>T p.R602XDe novoReported
42 (F)10Focal+++OXC, VPA, CZP, LEV3/1–10 months between clustersWhole PCDH19 deletionDe novoReported
  • AbS, absence seizure; AED, antiepileptic drugs; ASD, autism spectrum disorder;  CBZ, carbamazepine; CZP, clonazepam; GTCS, generalized tonic clonic seizure; LEV, levetiracetam; LTG, lamotrigine; MS, myoclonic seizures; OXC, oxcarbazepine; PB, phenobarbital; Sz, seizure; TPM, topiramate; VPA, sodium valproate.