Table 1 Phenotype of patients with homozygous c.105C>A [p.(Tyr35Ter)] in exon 1 of AIMP2

From: Homozygosity for a nonsense variant in AIMP2 is associated with a progressive neurodevelopmental disorder with microcephaly, seizures, and spastic quadriparesis

 

Family 1

Family 2

 

P1

P2

P3

Individual

  

Origin

Indian

Indian

Indian

Consanguinity

Yes

Yes

Yes

Gender

Female

Female

Male

Age of presentation

Birth

Birth

Birth

Birth history

Pregnancy

Uncomplicated

Uncomplicated

Uncomplicated

Type of delivery

Normal vaginal delivery

NA

Normal vaginal delivery

Birth weight (g/SD)

3600 (1)

2500 (−2)

2900 (−1)

Examination findings

Weight (kg/SD)

NA

NA

12 (−4.1)

Length (cm/SD)

103 (−10)

NA

97 (−4.3)

OFC (cm/SD)

40 (−10)

NA

38.5 (−10)

Age at assessment

7 years

NA

6 years

Neurological findings

Intellectual disability

Yes

Yes

Yes

Developmental milestones attained

None

None

None

Seizures

Yes

Yes

Yes

Feeding difficulty

Yes

Yes

Yes

Tone

Spasticity

Spasticity

Spasticity

Deep tendon reflexes

Exaggerated

NA

NA

Abnormal movements

No

No

No

Cerebellar signs

No

No

No

Kyphoscoliosis

Yes

No

Yes

Contractures

Yes

NA

Yes

Investigations

MRI brain

Cerebral atrophy, cerebellar atrophy, prominent cisterna magna, hypo-intensities in the bilateral basal ganglia on T2-weighted sequences, spinal cord atrophy, and thinning of corpus callosum

NA

Cerebral atrophy, cerebellar atrophy, hypo-intensities in the bilateral basal ganglia on T2-weighted sequences, prominent cisterna magna, and thinning of corpus callosum and spinal cord

EEG

Multifocal spike wave, epileptiform activity

Hypsarrhythmia

Hypsarrhythmia

Karyotpye

46, XX

NA

NA

Metabolic testing

NA

Normal

NA

Ophthalmology evaluation

NA

Normal

No response on VEP

Other relevant testing

NA

NA

Normal hearing

  1. Metabolic testing includes tandem mass spectrometry and gas chromatography mass spectrometry
  2. NA not available, OFC occipitofrontal circumference, SD standard deviation, VEP visual evoked potential, EEG electroencephalography, MRI magnetic resonance imaging