Table 3 Main clinical features in diagnosed cases

From: The role of recessive inheritance in early-onset epileptic encephalopathies: a combined whole-exome sequencing and copy number study

Patient ID LOVD or Decipher ID

sex

(Likely) pathogenic sequence or copy number variant gene / region (inheritance) reference transcript (hg19)

Incidental findings

Ethnicity

Parental consanguinity

Age at last evaluation

Age at seizure onset

Type of encephalopathy and seizures

DD/ID

MRI findings

Hypotonia

Spasticity

Ataxia

Microcephaly

72356

Decipher 370071

f

1p36.23-pter (AD, DN)

deletion (7.7 Mb)

chr1:g.(0_849466)_(7666975_7683885)del

-

Caucasian

No

12 m

Neonatal

EE; Apneas, focal myoclonic (periorbital), My, T, C

Moderate-to-severe

Normal

+

-

-

+

71592

Decipher 370076

m

22q11.22 -q11.23 (AD, DN)

recurrent microduplication

chr22:g.(22953405_22953514)_(25026857_25027086)dup

RAF1? (AD)

Caucasian

No

16 y 2 m

FS at 2 y, seizures at 3 y 3 m

EE; FS, ES, myoclonic-atonic, A, C

Severe

Normal

+

-

+

+

69986

LOVD 176985

f

ACO2 (AR, CH)

NM_001098.2:c.[1859G > A];[2048 G > T]

p.[(Gly620Asp)];[(Gly683Val)]

-

Caucasian

No

1 y 10 m

7 m

EE; Generalized myoclonic, T, focal impaired awareness, SE

Severe

Marked cerebral and cerebellar atrophy, diffuse leukencephalopathy

 + 

 + 

-

 + 

70757

LOVD 176997

f

AP4S1 (AR, HO)

NG_031913.1(NM_007077.4):c.[138 + 3_138+6del];[138+3_138+6del]

p.[?];[?]

-

Caucasian

No

1 y 3 m

Neonatal

EE; T, focal aware, focal impaired awareness

Moderate

Aqueductal stenosis with hydrocephalus internus

+

+

+

-

72892

LOVD 177002

m

ARX (XL-R, inherited)

NM_139058.2:c.1057 C > T

p.(Pro353Ser)

-

Afghan

No

6 m

8w

EE; ES, C

Severe

Normal

 + 

 + 

-

-

73311

LOVD 177003

m

BRAT1 (AR, CH)

NM_152743.3:c.[2125_2128del];[638dup]p.[(Phe709Thrfs*17)];[(Val214Glyfs*189)]

-

Caucasian

No

6 m

Neonatal

EE; My

Severe

NA

-

+

-

-

72128

Decipher 370072

f

CDKL5 (XL-D, DN)

mosaic deletion (25 Kb)

chrX:g.(18592712_18592741)_(18617503_18617862)del

-

Caucasian

No

11 m

6w

EE; ES, T, C, eye lid myoclonia

Moderate

Normal

+

-

-

+

72404

LOVD 177004

m

CDKL5 (XL-D, DN)

NG_008475.1(NM_003159.2):c.282+3_282+6del

-

Caucasian

No

8 y 4 m

1 m

EE; T, GTC

Severe

Normal

+

+

-

-

73324

LOVD 177005

f

GABRB2 (AD, DN)

NM_021911.2:c.719 G > C

p.(Arg240Thr)

-

Caucasian

No

6 y 6 m

2 y 4 m

DEE; GTC, T, My, AA, subclinical SE

Severe

Normal

+

-

+

+

73214

LOVD 176996

f

KCNQ2 (AD, DN)

NM_172107.2:c.740 C > T

p.(Ser247Leu)

-

Caucasian

No

3y4m

Neonatal

EE; T, My

Severe

Normal

+

-

-

+

50126

Decipher 370070

m

MBD5 (AD, DN)

deletion (197 Kb)

chr2:g.(148757084_148762374)_(148959158_ 148960882)del

-

Caucasian

No

13 y 5 m

1 y 7 m

EE; FS (first seizures), GTC, T

Severe

Multiple T2 hyperintensities, multiple parenchymal lesions

-

+

+

+

71693

LOVD 177006

m

POLG (AR, CH)

NM_002693.2:c.[2542 G > A];[824 G > A]p.[(Gly848Ser)];[(Arg275Gln)]

-

Caucasian

No

14 y 7 m

1 y 6 m

DEE; A, eyelid myoclonia, focal clonic (Epilepsia partialis continua)

Moderate

Low-grade glioma in the left thalamus, diffusion restriction in the left occipital region

+

-

+

+

69937

LOVD 177008

m

PRUNE1 (AR, HO)

NM_021222.2:c.[316 G > A];[316 G > A]p.[(Asp106Asn)];[(Asp106Asn)]

-

Sri Lankan

1st degree cousins

1 y 2 m

6 m

DEE; ES, focal aware, T, My

Severe

Immature cortex differentiation (35 GW), punctate cerebellar hemorrhages, signs of hypoxia

+

+

-

+

34124

LOVD 177009

m

SCN1A (AD, DN)

NM_001165963.1:c.5348 C > T

p.(Ala1783Val)

-

Caucasian

No

16 y

4.5 m

EE; Focal clonic (sec gen), GTC with cyanosis, My, AB, recurrent SE, infection-triggered seizures

Severe

Cerebral atrophy, enlargement of Virchow Robin spaces

+

-

+

-

47970

LOVD 177010

m

SCN1A (AD, DN)

NM_001165963.1:c.4754del

p.(Thr1585Metfs*6)

-

Caucasian

No

17 y 6 m

2 m

EE; Focal, GTC, SE (infection-triggered), AB

Severe

Normal

-

+

-

-

75143

LOVD 177011

f

SCN1A (AD, DN)

NM_001165963.1:c.1142del

p.(Gln381Argfs*10)

-

Caucasian

No

28 y

3 m

EE; GTC, T, focal impaired awareness, reflex seizures (photosensitivity)

Severe

Cerebellar atrophy

-

+

-

NA

42680

LOVD 177012

m

SCN2A (AD, DN)

NM_021007.2:c.5408 A > G

p.(Glu1803Gly)

-

Caucasian

No

14 y

Neonatal

EE; T (serial), My, apneas

Severe

Generalized atrophy, hippocampal atrophy and sclerosis, atrophy of corpus callosum

+

+

-

-

43092

LOVD: 177013

m

SCN8A (AD, DN)

NM_014191.3:c.5615 G > A

p.(Arg1872Gln)

CHST6 (carrier)

Caucasian

No

13 y 7 m

3 m

EE; GTC, T, focal sec gen seizures with apneas and cyanosis

severe

Cerebral atrophy

+

-

+

-

72555

LOVD 177014

m

SMS (XL-R, inherited)

NM_004595.4:c.388 C > T

p.(Arg130Cys)

FIG4 (carrier)

Caucasian

No

2 y 11 m

12 m

DEE; ES, T, A, AA

Severe

Hypoplasia of corpus callosum, slight cerebral cortical atrophy

+

+

-

+

47651

Decipher 370082

LOVD 177015

m

SPATA5 (AR, CH)

chr4:g.[(123951799_123952079)_(124003383_124003384)del];[123855735_123855737del]

NM_145207.2:c.[2080_2213del];[989_991del]

p.[(Gly694Phefs*23)];[(Thr330del)]

-

Caucasian

No

13 y

8 m

DEE; ES, T, C, A, AB, gelastic seizures

Severe

Delayed myelination, cortical atrophy, white matter atrophy, thin corpus callosum

-

+

-

-

73068

LOVD 177016

m

SPATA5 (AR, CH, DN on one allele)

NM_145207.2:c.[2389 C > G];[1 A > C]p.[(Pro797Ala)];[(Met1?)]

-

Caucasian

No

5 y 7 m

5 m

EE; ES, GTC, T, focal aware

Severe

Delayed myelination, supra- and infratentorial white matter atrophy

-

 + 

-

+

52236

LOVD 00181099

f

STXBP1 (AD, DN)

chr9:130422393

NG_016623.1(NM_003165.3):c.325+6 T > C

-

Caucasian

No

10 y 2 m

1 m

EE; Focal impaired awareness, eyelid myoclonia

Severe

Normal

+

-

+

-

73805

LOVD 177023

m

STXBP1 (AD, DN)

NM_003165.3:c.1268 T > C

p.(Leu423Pro)

-

Caucasian

No

7 m

Neonatal

EE; T, C, My, ES, fever- and infection triggered seizures

Moderate

Bilateral hyperintense ischemic lesion in the posterior limb of the capsula interna

+

+

-

-

72943

LOVD 177024

m

SZT2 (AR, CH?, DN on one allele)

NM_015284.3:c.1045del(;)1891G > Ap.(Ser349Profs*9)(;)(Glu631Lys)

-

Caucasian

No

1 y 8 m

6 m

EE; ES, GTC, focal impaired awareness

Severe

Dysmorphic corpus callosum, septations in the frontal ventricles, polymicrogyria

 + 

-

-

-

71412

Decipher 370084

f

UBE3A (AD, DN)

15q11.2-q13.11 deletion (4.9 Mb)

chr15:g.(23620154_23620191)_(28545355_28545445)del

OTOF (carrier)

Caucasian

No

2 y 5 m

1 y

DEE; AB

Severe

NA

 + 

-

+

+

49635

Decipher 370081

m

UBE3A (AD, DN)

deletion (134 Kb)

chr15:g.(25583244_25583408)_(25717757_25717851)del

-

Caucasian

No

12 y 10 m

FS at 3 y 10 m, seizures at 6 y 4 m

DEE; FS, GTC, focal impaired awareness

Severe

Normal

-

-

+

-

  1. A atonic, AA atypical absences, AB absences, AD autosomal dominant, AR autosomal recessive, C clonic, CH compound heterozygous, DEE developmental and epileptic encephalopathy, DN de novo, EE epileptic encephalopathy, ES epileptic spasms, F female, FS febrile seizures, GTC generalized tonic-clonic, HO homozygous, M male, m months, My myoclonic, NA not available, SE status epilepticus, sec gen secondarily generalized, T Tonic, w weeks, XL-D X-linked dominant, XL-R X-linked recessive, y years