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14 patient data entries in database for mutation R627Q.

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
64R627Q5
S305R3
generalized seizures and myoclonic jerks at age 5, ataxia and sensory-axonal peripheral neuropathy onset in teen years.
-movement disorder (ataxia)
-peripheral neuropathy
childhood
525n/aBaruffini et al, 2011;

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67R627Q5
R309H3
Onset at 0.5 years with encephalopathy and hepatopathy. Diagnosed as alpers. Death at 1.3 years
-encephalopathy
-Alpers syndrome
-developmental delay
-epilepsy
infantile
0.5n/a1.3Horvath et al, 2006;

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143R1096H3
R627Q5
Onset at 7 years with encephalopathy, hepatopathy, and SLE seizures. Diagnosed as alpers. Death at 8 years.
-encephalopathy
-Alpers syndrome
-developmental delay
-epilepsy
childhood
7n/a8Horvath et al, 2006;

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144R1096H3
R627Q5
At 43 years of age, cerebellar ataxia, dysarthria/dysphagia, sensory neuropathy, PEO, distal muscle wasting, mild cerebellar atrophy.
-cerebellar ataxia
-movement disorder (ataxia)
-cerebellar atrophy
-PEO
-dysphagia
-dysarthria
-distal muscle wasting
adult
2543n/aSchulte et al, 2009;

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145G848S1
R627Q5
vomiting, headache, sensory ataxia, areflexia, focal seizures, status epilepticus. MELAS.
-status epilepticus
-focal seizures
-movement disorder (ataxia)
-sensory ataxia
-headache/ migraine
-vomiting
-areflexia
adult
21n/an/aDeschauer et al, 2007;

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146R852C1
G11D
R627Q5
Dementia/encephalopathy, infantile spasms, cerebral artery occlusion, headache/migraine, stroke, constipation. 74% mtDNA copy number in blood.
-stroke
-headache/ migraine
-encephalopathy
-dementia
juvenile
n/a25n/aTang et al, 2011;

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147G848S1
R627Q5
At 35 years of age, dysarthria/dysphagia, sensory neuropathy, PEO, distal muscle wasting, phobia anxiety disorder, mild cerebellar atrophy (MRI)
-cerebellar atrophy
-PEO
-dysphagia
-dysarthria
-distal muscle wasting
adult
2935n/aSchulte et al, 2009;

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240Q1236H
R627Q5
A467T2
developed progressive blepharoptosis at the age of 20 and ophthalmoplegia during subsequent years, at 35, the patient developed progressive unsteadiness of gait. She noted fatigue, myalgia and cramps, which were triggered by moderate exercise. At 44, restless legs syndrome, deficits in memory and concentration, and suffered from recurrent episodes of depression, at 46 showed bilateral blepharoptosis, limited eye movements in all directions except downwards, lateral rotatory nystagmus and slight upbeat nystagmus in upward gaze, but no saccades. She had facial muscle weakness, dysarthria and slight proximal muscle weakness. She had glove and stockinglike hypoesthesia, distally impaired vibration sense, absent ankle reflexes and weak other tendon reflexes, as well as mild dysmetria. Her gait was broad-based, with further impairment with eyes closed. Tandem gait was impaired. deltoid muscle showed myopathic features, structurally abnormal mitochondria with para-crystalline inclusions,
-muscle weakness
-ptosis
-ophthalmoplegia
-dysarthria
-nystagmus
adult
2046n/aLuoma et al, 2005;

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241R627Q5
Q1236H
Developed bilateral blepharoptosis in his youth. Neurological examination at the age of 72 showed severe blepharoptosis, lids almost covering his entire pupils. Eye movements were normal, his muscle strength and sensation were good and tendon reflexes were normal, but his gait was unsteady. Early onset ptosis, ataxia
-movement disorder (ataxia)
-ptosis
adult
2273n/aLuoma et al, 2005;

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246R627Q5
Q1236H
displays mild bilateral blepharoptosis and slight unsteadiness during tandem gait. Early onset ptosis, ataxia
-movement disorder (ataxia)
-ptosis
juvenile
n/a19n/aLuoma et al, 2005;

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507R627Q5
A467T2
Ataxia, ptosis, myalgia, sensory neuropathy, motor neuropathy, axonal neuropathy, demyelinating neuropathy.
-movement disorder (ataxia)
-demyelinating neuropathy
-ptosis
adult
4650n/aHanisch et al, 2014;

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578R1096H3
R627Q5
early-onset ataxia, PEO, dysarthria, ptosis, sensory neuropathy, hypoacusis, cerebellar athropy.
-movement disorder (ataxia)
-ptosis
-PEO
-dysarthria
adult
22n/an/aSchicks et al, 2010;

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625G11D
R627Q5
R852C1
Seizures, PEO, Ataxia Neuropathy Spectrum, Stroke, chorea, ataxia, ptosis, retinitis pigmentosa, liver transplant
-movement disorder (ataxia)
-ptosis
-PEO
-stroke
juvenile
1519n/aWong et al, 2008;

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628G11D
R627Q5
R852C1
Ataxia Neuropathy Spectrum, Seizures, PEO, lactic acidosis, stroke, chorea, ataxia, ptosis, retinitis pigmentosa, liver transplans
-lactic acidosis
-movement disorder (ataxia)
-ptosis
-PEO
-stroke
juvenile
15n/an/aWong et al, 2008;

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1-5 pathogenic cluster assignment of mutations. Mutations displayed without a superscript number are outside of the assigned pathogenic clusters. See cluster definitions for details.

Number of displayed patient cases: 14
Avg age of onset in displayed cases: 19.4
Std dev in onset in displayed cases: 10.8

Search criteria for patient entries:
Mutations Entry IDs Clusters Reference Residue range
Mutations:
Allele 1:Allele 2:
Separate multiple mutations with commas.
Use "PNF" for non-missense mutations.
Match: Inclusive Exact
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