Table 2 Clinical features of patients with MFN2 mutations.

From: Clinical and genetic features of a cohort of patients with MFN2-related neuropathy

Mutation

Patient #

Proximal weakness UL *

Distal weakness UL *

Proximal weakness LL *

Distal weakness LL *

Cutaneous sensation UL/LL§

Pallesthesia UL/LL§

Proprioception UL/LL§

Optic atrophy

Scoliosis

Intellectual disability

Restrictive lung disease/Non-invasive respiratory support

Additional symptoms

R94Q

01–1

+++

+

+++

+/+

−/−

−/−

R104W

02–1

+++

+

+++

−/−

−/−

−/−

+

+

Bilateral cataracts, epilepsia partialis continua

03–1

+

+

++

++

−/−

−/+

−/−

+

+

Lower limbs myoclonus, spastic paraparesis, dysphagia, sensorineural hearing defect

03–2

+

+++

+++

+++

−/−

−/−

−/−

+

+

Dysarthria, ataxic gait features

03–3

++

+++

++

+++

−/+

−/−

−/−

+

+

Dysarthria, lower limbs myoclonus

T236M

04–1

+

++

−/−

−/−

−/−

S249C

05–1

+

+

+++

−/−

−/−

−/−

R280H

06–1

+

+

++

−/−

−/−

−/−

+

Sensorineural hearing defect

07–1

++

+++

−/−

−/−

−/−

Dysphagia, ptosis

08–1

++

−/−

−/−

−/−

+

MEPs/SSEPs alteration

K357E

09–1

+

+++

+++

+++

+/+

+/+

+/+

+

+

+

Vocal cord paresis

A383V

10–1

+

+

+++

−/−

−/−

−/−

10–2

+++

+++

−/−

+/+

−/−

  1. LL lower limbs, LMN lower motor neuron, MEP motor evoked potentials, SSEP somato-sensory evoked potentials, UL upper limbs.
  2. *Motor weakness assessed by Medical Research Council scale (MRC): UL proximal weakness assessed by deltoids, biceps brachii and triceps, UL distal weakness assessed by first dorsal interosseus, abductor pollicis brevis and adductor digiti minimi muscles, LL proximal weakness assessed by iliopsoas, quadriceps and hamstring muscles, LL distal weakness assessed by anterior tibialis, gastrocnemius and extensor hallucis longus muscles. −: no weakness; +: slight weakness (> / = 4);++: moderate weakness (3 to 4);+++: severe weakness (< / = 3).
  3. §Cutaneous sensation is based on pinprick examination: normal is no definite decrease compared to a normal reference point. Pallesthesia is assessed with Rydel-Seiffer tuning fork: normal is ≥ 5. Proprioception is based on joint position sensation. In the Table, cutaneous sensation, pallesthesia and proprioception are defined as normal (+) or impaired (−) in upper limbs/lower limbs.