1naresh
Array ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) ) 1nareshArray ( [urn:ac.highwire.org:guest:identity] => Array ( [runtime-id] => urn:ac.highwire.org:guest:identity [type] => guest [service-id] => ajnr-ac.highwire.org [access-type] => Controlled [privilege] => Array ( [urn:ac.highwire.org:guest:privilege] => Array ( [runtime-id] => urn:ac.highwire.org:guest:privilege [type] => privilege-set [privilege-set] => GUEST ) ) [credentials] => Array ( [method] => guest ) ) )Table 1: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.