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Table 1 Clinical and neurophysiological features

From: The cerebellar phenotype of Charcot-Marie-Tooth neuropathy type 4C

Patient

1

2

3

4

5

Sex/Current age (years)

M/50

F/73

F/58

M/32

F/81

Ethnicity

Swedish

Swedish

Swedish

Central Europeana/Swedish

Swedish

Age of onset/Disease duration (years)

7/43

6/67

7/51

6/26

9/72

Initial symptoms

Feet supination

Unsteady gait

Unsteady gait

Running difficulties

Toe walking

LL paresis distal/ proximal

Severe/Moderate

Severe/Normal

Moderate/Absent

Mild/Absent

Severe/Moderate

UL paresis distal/proximal

Severe/Moderate

Moderate/Normal

Mild/Absent

Absent

Moderate/Absent

Walking disability

Wheelchair

Sticks

Minimal disability

Minimal disability

Wheelchair

Deep tendon reflexes

Absent

Absent

Absent

Absent

Absent

Pinprick sensation

Absent to the knee + reduced to the wrists

Reduced to the ankles + wrists

Reduced to the ankles +wrists

Reduced to the ankles + wrists

Reduced to the ankles + wrists

Vibration sense

Absent at knee

Absent at knee

Absent at knee

Absent at knee

Reduced to sternum

Pes cavus

Y

Y

Y

Y

Y

Scoliosis

Y

Y

Y

Y

Y

Hearing loss

Y

Y

Y

Y

Y

Eye movement abnormalities

Horizontal gaze evoked nystagmus, hypermetric saccades

Horizontal gaze evoked nystagmus,

Absent

Square wave jerks on fixation, horizontal gaze evoked nystagmus,

Hypometric saccades, gaze-evoked nystagmus,

Other features

Dysphagia, aspiration pneumonia in later stages

Trigeminal neuralgia

Tremor, trigeminal neuralgia

Urinary incontinence

Dysarthria

Dysphagia

FARS

5

4

1

1

5

SARA (age of last exam, years)

22 (50)

8.5 (72)

4.5 (57)

5 (30)

30.5 (78)

CMTES

28

13

9

10

19

NCS

Demyelinating neuropathy

Demyelinating neuropathy

Demyelinating neuropathy

Demyelinating neuropathy

Axonal and demyelinating neuropathy

Brain MRI

Normal

Normal

Bilateral thickening of trigeminal nerves

Normal

Cerebellar and frontoparietal atrophy

  1. The course of disease was slow in most cases, however in patient 1 it has been faster and more aggressive making him wheel-chair bound at age 50. All patients harbor the homozygous R954X mutation in SH3TC2. a One parent was Hungarian. Key: M Male, F Female, n/a Not available, LL Lower limbs, UL Upper limbs, Y Yes, N No, FARS NA, no assessed, Friedreich’s Ataxia Rating Scale, SARA Scale for the Assessment and Rating of Ataxia, CMTES Charcot-Marie-Tooth examination score, NCS Nerve conduction studies