Clinical and imaging features of patients with variants in TUBB2A
Patient | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Sex | M | M | F | M | F | M | M | F | F | F | M | M |
Nucleotide sequence variation | c.145G>A | c.1186C>T | c.146T>G | c.267C>A | c.5G>A | c.1070C>T | c.1070C>T | c.743C>T | c.743C>T | c.1228G>A | c.689C>T | c.743C>T |
Protein sequence variation | p.(Val49Met) | p.(His396Tyr) | p.(Val49Gly) | p.(Asn89Lys) | p.(Arg2His) | p.(Pro357Leu) | p.(Pro357Leu) | p.(Ala248Val) | p.(Ala248Val) | p.(Glu410Lys) | p.(Ser230Leu) | p.(Ala248Val) |
Inheritance | De novo | De novo | De novo | De novo | De novo | De novo | De novo | De novo | De novo | De novo | De novo | De novo |
Age at examination | 5 years | 7 years | 2 years 6 months | 6 years 8 months | 2 years 8 months | 15 years | 11 years | 8 years 2 months | 3 years | 4 years 2 months | 32 years | 4 years 8 months |
Mircocephaly | No | Yes | Yes | No | Yes | Yes | No | n/a | n/a | No | No | Yes |
Dysmorphic features | Yes | n/a | No | Facial dysmorphisms, abnormal dermatoglyphs | Facial dysmorphisms, clinodactyly of toes | Mild dysmorphisms | No | No | n/a | Epicanthus | Facial asymmetry | No |
ID | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Motor impairment | Ambulant>2 years | Non-ambulatory | Non-ambulatory | Broad-based gait, stereotypes | Ambulant at 26 months, broad-based gait | Severe impairment | Non-ambualtory, GMFCS5 | Walks with support | Ambulated at 38 months | No | Ambulated at 2 years | Ambulated at 25 months |
Speech | Non-verbal | Non-verbal | Non-verbal | Non-verbal | Single words | Non-verbal | Non-verbal | Non-verbal | Non-verbal | Delayed and impaired | Delayed and impaired | Delayed and impaired |
Social | Autistic traits | n/a | Poor contact | ASD, short attention span, impulsive behaviour | Short attention span, startle response to noises | Poor eye contact | n/a | Autistic traits, short attention span | Poor eye contact | Well-integrated in a Montessori kindergarden | Hyperactive behaviour, autistic features as adult | Normal |
Epilepsy | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Clinically suspected, normal EEG | Yes | Yes |
Age at seizure onset | 8 months | 5 years | 5 months | 7 months | 10 months | 6 months | 2 months | 6 months | Neonatal | n/a | 3 years | 4 years |
Seizure type | Convulsive febrile and non-febrile seizures | Generalised tonic–clonic seizures, myoclonia | n/a | Infantile spasms, myoclonic seizures | Febrile seizures, multifocal seizures | Infantile spasms, tonic seizures | Infantile spasms, tonic seizures | Infantile spasms, intractable epilepsy | Crytopgenic generalised epilepsy | / | Complex focal seizures with tonic–clonic generalisation | Focal seizures |
Refractory | No | No | No | Yes | Yes | No | Yes | Yes | n/a | / | No | No |
Brain imaging | ||||||||||||
Age at MRI | 5 years | n/a | 2 months 3 weeks | 1 years 11 months and 7 years | 10 months | n/a | 10 months | 8 years1 month | 3 years 7 months | 4 years 5 months and 12 years | 8years 4months | 17 months/25 months/4.5 years |
Gyral pattern | Normal | Dysgyria | Dysgyria | Dysgyria | Normal | Dysgyria | Dysgyria | Normal | Normal | Dysgyria | Cortical heterotopia | Dysgyria |
Severity | / | Mild | Severe | Mild | / | Severe | Severe | / | / | Mild | / | n/a |
Gradient | / | Temporoparietal | Insular, parietal | Anterior>posterior | / | Diffuse | Diffuse | / | / | Normal | Right parietal region | Insular, parietal |
White matter | Normal | Normal | Normal | Prominent Virchow-Robin spaces | Reduced | Severely reduced | Reduced | Normal | Mildly reduced, posterior>anterior | Normal | Normal | Prominent Virchow-Robin spaces |
Lateral ventricles | Normal | Normal | Enlarged (left>right) | Enlarged | Enlarged | Enlarged, hooked frontal horns | Dilated, hooked frontal horns | Enlarged, asymmetric septal region | Enlarged occipital horns (left>right) | Normal | Enlarged occipital horns (left>right) | Normal |
Corpus callosum | Normal | Dysmorphic | Partial agenesis | Mildly dysmorphic | Hypoplasia | Partial agenesis | Diffuse hypoplasia | Hypoplasia | Normal | Normal | Normal | Thin body |
Basal ganglia | Normal | Normal | Dysplasia | Normal | Normal | Dysmorphic | Dysmorphic | Normal | Mildly dysmorphic | Normal | Normal | Normal |
Hippocampus | Normal | Normal | Normal | Normal | Normal | Dysplastic | Normal | Normal | Normal | Normal | Normal | Normal |
Brainstem | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
Cerebellum | Normal | Normal | Small haemorrhage (left hemisphere) | Normal | Normal | Vermis hypoplasia and asymmetry, mild cortical atophy | Vermis hypoplasia and dysplasia | Mild vermis hypoplasia | Normal | Normal | Dysplastic vermis | Normal |
/, not applicable; ASD, autistic spectrum disorder; DCDA, dichorionic–diamniotic; EEG, electroencephalogram; GMFCS, Gross Motor Function Classification Scale; n/a, not available.