Clinical and molecular characteristics of 8 patients with GJA1 variantsa
Patient 1# | Patient 2# | Patient 3 | Patient 4* | Patient 5* | Patient 6* | Patient 7 | Patient 8 | |
---|---|---|---|---|---|---|---|---|
Sex/age at examination (yr) | Male/64 | Female/34 | Female/25 | Female/49 | Female/22 | Female/19 | Female/49 | Male/56 |
Family history | Dominant | Dominant | None | Dominant | Dominant | Dominant | None | Dominant |
ODDD dysmorphia | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Age (yr)/symptom at onset | 50/Gait | 28/Gait | 18/Urinary | 14/Urinary | 14/Urinary | 16/Urinary | 15/Gait | 50/Gait |
Current disability stage | 1 | 3 | 3 | 3 | 1 | 1 | 6 | 1 |
LL reduced strength | None | Prox. | Prox. | Prox. | None | None | Prox./dist. | None |
LL spasticity | Yes | Yes | Yes | Yes | No | No | Yes | Yes |
UL/LL reflexes | ↑/↑ | ↑/↑ | ↑/↑ | ↑/↑ | ↑/↑ | ↑/↑ | ↑/↑ | ↑/↑ |
Plantar reflexes | Indifferent | Extensor | Extensor | Extensor | Extensor | Extensor | Extensor | Extensor |
UL/LL vibration sense | N/↓ | N/↓ | N/↓ | ↓/↓ | N/N | N/N | N/↓ | N/↓ |
Romberg sign | No | Yes | Yes | No | No | No | Yes | No |
Oculomotor signs | Hypermetric saccades | Saccadic pursuit | None | Saccadic pursuit | Hypermetric saccades | None | None | Saccadic pursuit |
Dysmetria/dysarthria | Yes/No | Yes/No | No/No | Yes/No | Yes/No | No/No | No/No | No/No |
Urinary symptoms | No | + | +++ | +++ | ++ | ++ | ++ | No |
Cognition | Dysexec. | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
GJA1 variant | c.93T>G | c.93T>G | c.443G>A | c.428G>A | c.428G>A | c.428G>A | c.412G>A | c.634T>A |
Amino acid change | p.I31M | p.I31M | p.R148Q | p.G143D | p.G143D | p.G143D | p.G138S | p.F212I |
Note:—* and # indicate patients belonging to the same family; UL, upper limbs; LL, lower limbs; Prox., proximal; dist., distal; ↑, increased; ↓, decreased; Dysexec., dysexecutive syndrome; N, normal; +, mild; ++, moderate; +++, severe.
↵a Disability stage index: 1, no functional handicap but signs at examination; 3, moderate, unable to run, limited walking without aid; 6, unable to walk, requiring wheelchair.