Table 1 Summary of clinical information of patients with the FAR1 p.Arg480His/Cys/Leu variants.

From: An autosomal dominant neurological disorder caused by de novo variants in FAR1 resulting in uncontrolled synthesis of ether lipids

Patient

Gender

Age at study (years)

Spastic paraparesis

Axial hypotonia

Ambulation age (years) and walking aids

Seizures

Seizure onset (months) and type(s)

Speech and cognitive development

Constipation

Eye findings

FAR1 variant

1

M

19

+

2, ankle braces

+

3, GTCS and ASz

Speech delay, currently fluent, early learning difficulties, attends university

Congenital bilateral cataracts, constricted visual field and unilateral ptosis

c.[1439G>A];[=] p.[Arg480His];[=]

2

F

6

+

2, walker

Delayed speech, currently fluent

Cataracts recognized at 10 months

c.[1439G>A];[=] p.[Arg480His];[=]

3

F

9

+

+

Unable to walk, scoliosis

+

3, GTCS

Delayed speech, currently fluent

+

Bilateral cataracts recognized at 18 months

c.[1438C>T];[=] p.[Arg480Cys];[=]

4

F

4.5

+

+

2, walker

Delayed speech, speaks 2–3 words, trouble forming simple sentences, executive dysfunction

+

Bilateral cataracts recognized at 7 years and 9 months

c.[1438C>T];[=] p.[Arg480Cys];[=]

5

F

6.5

+

3, braces and crutches

+

4, GTCS on AC for 1 year, no recurrence

Mild speech delay, good receptive skills, currently fluent

+

Bilateral cataracts recognized at 2.5 years

c.[1439G>T];[=] p.[Arg480Leu];[=]

6

M

2.3

+

+

2, walker

Mild delayed speech and dysarthria

Bilateral cataracts recognized at 7 months

c.[1438C>T];[=] p.[Arg480Cys];[=]

7

F

5

+

+

?, ankle braces, gait trainer

+

3, focal with secondary GTCS on AC for 2 years, no recurrence

Delayed speech, currently normal language with dysarthria

Congenital bilateral cataracts

c.[1438C>T];[=] p.[Arg480Cys];[=]

8

M

6.5

+

2.5, unable without walker

+

6, GTCS

Delayed speech, uses simple sentences

Congenital bilateral cataracts

c.[1439G>A];[=] p.[Arg480His];[=]

9

M

4

+

1.5, walker or crutches

Mild delay speech, currently fluent

Bilateral cataracts recognized at 8 months, bilateral leukocoria

c.[1439G>A];[=] p.[Arg480His];[=]

10

M

5

+

+

1.5, pedal adaptive bike

+

2, GTCS, focal motor seizures and ASz, AC for 1 year, then discontinued, occasional febrile seizures

Normal speech

+

Cataracts, recognized at 17 months

c.[1438C>T];[=] p.[Arg480Cys];[=]

11

M

3.5

+

2, posterior walker, WC for long distance

+

10, rare complex febrile seizures

Delayed speech, 75 words at 3 years

Congenital bilateral cataracts

c.[1438C>T];[=] p.[Arg480Cys];[=]

12

F

10

+

+

?, forearm crutches

+

3, focal motor seizures, AC discontinued without recurrence

Mild dysarthria

+

Congenital bilateral cataracts

c.[1438C>T];[=] p.[Arg480Cys];[=]

  1. ASz absence seizures, AC anticonvulsants, GTCS generalized tonic–clonic seizures, WC wheelchair, ? unknown.