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 |