Table 1 Clinical characteristics of patients and genetic findings.

From: Molecular characterization of recessively inherited ataxic and neuropathic disorders in consanguineous Pakistani families

Family

Individual

Gender

Age of onset

Age at examination

Phenotypes

Gene Variant

RDFA05

IV:1

(Proband)

M

15–18 years

55years

Cerebellar ataxia showing slow saccadic oculomotor disturbances, dysarthria, Ataxia, impaired limb coordination,

muscular atrophy, pes cavus feet

MFSD8 c.935T > C, p.Ile312Thr

IV:3

M

15–18 years

53 years

Cerebellar ataxia having similar disease symptoms as the proband but evaluations could not be performed by the neurologist

MFSD8 c.935T > C, p.Ile312Thr

IV:4

M

15–18 years

50 years

Cerebellar ataxia having similar disease symptoms as the proband but evaluations could not be performed by the neurologist

MFSD8 c.935T > C, p.Ile312Thr

IV:5

M

15–18 years

45 years

Cerebellar ataxia showing slow saccadic oculomotor disturbances, dysarthria, Ataxia, impaired limb coordination, muscular atrophy, pes cavus feet

MFSD8 c.935T > C, p.Ile312Thr

RDFA09

IV:3

(Proband)

F

1 year

12 years

Spastic ataxia type 5 showing symptoms of facial spasms, speech difficulty, dystonia in neck and arms, pes planus feet

AFG3L2 2167G > A, p.Val723Met

IV:4

M

infancy

10 years

Spastic ataxia type 5 having symptoms of generalized dystonia, Inability to walk, generalized muscular atrophy

Inability to obtain blood sample due to dystonic postures and enough saliva was not available for DNA extraction

RDFA11

V:2

(Proband)

M

15-17years

50 years

Ataxia with oculomotor apraxia type 2 showing symptoms of ataxia, inability to walk unaided, head titubation, oculomotor apraxia, dysarthria, neuropathy and hand contractures, limb muscle amyotrophy, pes cavus feet

SETX: c.4633_4636delAGTG, p.Ser1545AlafsTer25

V:3

M

15-17years

45 years

Ataxia with oculomotor apraxia type 2 showing symptoms of gait ataxia and inability to walk unaided, oculomotor apraxia, dysarthria, muscle atrophy, neuropathy and hand contractures

SETX: c.4633_4636delAGTG, p.Ser1545AlafsTer25

VI:3

F

15-17years

35 years

Ataxia with oculomotor apraxia type 2 showing mild symptoms of ataxic gait, dysarthria, hand contractures

SETX: c.4633_4636delAGTG, p.Ser1545AlafsTer25

IV:4

M

15-17years

30 years

Ataxia with oculomotor apraxia type 2 showing symptoms of ataxia with frequent falls, head titubation, oculomotor apraxia, dysarthria, muscular atrophy

SETX: c.4633_4636delAGTG, p.Ser1545AlafsTer25

IV:5

M

15 years

16 years

Minor symptoms of gait ataxia, mild dysarthria, cerebellar atrophy reported on brain imaging (data not shown)

SETX: c.4633_4636delAGTG, p.Ser1545AlafsTer25

RDFA07

IV:10

(Proband)

M

Infancy

15 years

Ataxic cerebral palsy showing symptoms of delayed developmental milestones,

Wide based ataxic gait, intellectual disability and inability to speak, esotropia of eyes, dysmorphic facial features, microcephaly

No finding

(regions of homozygosity on chromosomes 2, 3, 6 and 18)

V:4

M

1–2 years of life

7 years

Ataxic cerebral palsy showing symptoms of wide based ataxic gait, esotropia of eyes, pes planus feet

No finding

(regions of homozygosity on chromosomes 2, 3, 6 and 18)

RDFA08

V:1

(Proband)

M

14 months

7 years

Ataxic cerebral palsy having wide based ataxic gait leading to loss of ability to walk, dysmorphic facial features with bulbous nose, speech difficulty, slight microcephaly, esotropia, muscular atrophy, mild contractures in hands and feet

No finding

(regions of homozygosity on chromosomes 3, 1, 18, 19)

V:3

M

1 year

13 years

Ataxic cerebral palsy showing symptoms of ataxia with narrow based gait and lateral body sway, slurred speech, minor hand contractures

No finding

(regions of homozygosity on chromosomes 3, 1, 18, 19)

V:7

M

2 years

6 years

Juvenile onset amyotrophic lateral sclerosis with dysmorphic facial features having bulbous nose, speech difficulty, hand and feet contractures, inability to walk, spasticity of lower limbs

ALS2 c.3520 A > T, p.Lys1174Ter

RDFA03

V:1

(Proband)

M

9 years

17 years

CMT having symptoms of head titubation, dysmorphic facial features, dysphonia, muscle atrophy and areflexia of distal limb muscles, hand contractures, valgus wrists and ankles, inability to walk, pes cavus feet

GDAP1 c.840delC, p.Tyr280Ter and MMACHC c.176T > C, p.Leu59Pro

V:3

M

2 years

6 years

CMT showing symptoms wide based ataxic gait, muscle atrophy of limbs, hand contractures, No wrist and ankle movements

GDAP1 c.840delC, p.Tyr280Ter

V:6

F

15 years

24 years

CMT with inability to walk, No wrist and ankle movements, pes planus feet, foot drop

GDAP1 c.840delC, p.Tyr280Ter

 

V:8

M

14 years

20 years

CMT showing symptoms of mild gait ataxia, atrophy and areflexia of distal muscles, hand contractures, valgus wrist and ankle, pes cavus feet

GDAP1 c.840delC, p.Tyr280Ter

RDFA04

IV:1

(Proband)

M

8–10 years

35 years

CMT having symptoms of amyotrophy and areflexia of distal limb muscles, contractures of hands and feet, valgus wrists and ankles

GDAP1 c.347T > G, p.Met116Arg

IV:3

M

8–10 years

30 years

CMT with symptoms of amyotrophy and areflexia of distal limb muscles, Severe hand and feet contractures

GDAP1 c.347T > G, p.Met116Arg

  1. M=Male, F=Female.