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24 patient data entries in database for clusters 5 and 5 in age group "juvenile".

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
416E1143G
W748S5
E1143G
W748S5
Seizures, status epilepticus, visual symptoms, nystagmus, valproic acid induced liver failure
-status epilepticus
-liver failure
-nystagmus
juvenile
1721n/aUusimaa et al, 2008;

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675W748S5
W748S5
He presented with two focal seizures with jerking of the right arm and leg. Brain imaging showed a T2-hyperintense lesion in the left frontal lobe. Focal status epilepticus characterized by visual hallucinations in the left visual fields. An appendicular ataxia, nystagmus and areflexia. His level of consciousness deteriorated, evolving into a refractory subtle SE. The patient died eventually after 5 months of continuous epileptic activity due to a septic shock.
-status epilepticus
-focal seizures
-movement disorder (ataxia)
-areflexia
-nystagmus
juvenile
172020Janssen et al, 2016;

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554W748S5
W748S5
Epilepsy, stroke-like episode, Ataxia, Neuropathy, PEO.
-epilepsy
-movement disorder (ataxia)
-PEO
-stroke
juvenile
15n/a57Tzoulis et al, 2014;

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553W748S5
W748S5
Epilepsy, stroke-like episode, Ataxia, Neuropathy, PEO.
-epilepsy
-movement disorder (ataxia)
-PEO
-stroke
juvenile
16n/a24Tzoulis et al, 2014;

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550W748S5
W748S5
Epilepsy, stroke-like episode, Ataxia, Neuropathy, PEO.
-epilepsy
-movement disorder (ataxia)
-PEO
-stroke
juvenile
17n/a43Tzoulis et al, 2014;

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549W748S5
W748S5
Epilepsy, stroke-like episode, Ataxia, Neuropathy
-epilepsy
-movement disorder (ataxia)
-stroke
juvenile
15n/a24Tzoulis et al, 2014;

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467W748S5
W748S5
Epilepsy, stroke-like episodes, ataxia, peripheral neuropathy, progressive external ophthalmoplegia (PEO).
-epilepsy
-movement disorder (ataxia)
-peripheral neuropathy
-PEO
-ophthalmoplegia
-external ophthalmoplegia
-stroke
-stroke-like episodes
juvenile
16n/a24Tzoulis et al, 2013;

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464W748S5
W748S5
Epilepsy, stroke-like episodes, ataxia, peripheral neuropathy.
-epilepsy
-movement disorder (ataxia)
-peripheral neuropathy
-stroke
-stroke-like episodes
juvenile
1734n/aTzoulis et al, 2013;

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463W748S5
W748S5
Epilepsy, stroke-like episodes, ataxia, peripheral neuropathy, progressive external ophthalmoplegia (PEO).
-epilepsy
-movement disorder (ataxia)
-peripheral neuropathy
-PEO
-ophthalmoplegia
-external ophthalmoplegia
-stroke
-stroke-like episodes
juvenile
17n/a43Tzoulis et al, 2013;

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451R627W5
W748S5
This previously healthy 17-year-old patient developed repeated complex partial seizures starting with visual sensations, as well as myoclonic jerks of her right arm that rapidly evolved to generalized tonic-clonic seizures. Repeated complex partial seizures and considerable mental impairment.
-no known symptoms
juvenile
1717n/aNolte et al, 2013;

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450R627W5
W748S5
Generalized tonic-clonic seizures which, within 3 days, evolved to epilepsia partialis continua (EPC) with continuous left-sided myoclonic jerks. Multifocal brain lesions and global brain atrophy.
-epilepsia partialis
juvenile
131617Nolte et al, 2013;

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417W748S5
E1143G
W748S5
E1143G
Migraine like headaches, visual symptoms, focal generalized seizures, severe liver failure, valproate induced liver failure
-liver failure
-headache/ migraine
juvenile
15n/a20Uusimaa et al, 2008;

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156W748S5
W748S5
reported as Alpers, onset at 16 years, presenting encephalopathy with epilepsy, hepatopathy, and movement disorder (ataxia). 108% mtDNA copy number in muscle.
-epilepsy
-movement disorder (ataxia)
-encephalopathy
-Alpers syndrome
-developmental delay
juvenile
16n/an/aAshley et al, 2008;

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415W748S5
E1143G
W748S5
E1143G
Headache, visual symptoms, migraine-like headache, Athetosis, nystagmus, emiparesis, valproic acid induced Liver failure, sepsis, pancreatitis, status epilepticus
-status epilepticus
-liver failure
-headache/ migraine
-pancreatitis
-nystagmus
juvenile
1415n/aUusimaa et al, 2008;

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410W748S5
W748S5
Presented with focal epileptic seizures, external ophthalmoplegia and gait unsteadiness. At age 28, during her first pregnancy, she was admitted with focal epileptic seizures that were highly resistant to treatment. Two months later her symptoms worsened and included myoclonic jerks in the extremities and facial dyskinesias. Treatment with sodium valproate resulted in acute severe hepatic failure and she underwent a successful liver transplantation. At 35 mild cognitive deficit, cerebellar dysarthria, palatal tremor, facial dyskinesias, myoclonus, cerebellar and sensory ataxia and signs of peripheral neuropathy with loss of reflexes and sensory disturbance were also present
-myoclonic seizures
-movement disorder (ataxia)
-sensory ataxia
-peripheral neuropathy
-ophthalmoplegia
-external ophthalmoplegia
-liver failure
-dysarthria
-tremor
juvenile
1935n/aJohansen et al, 2008;

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400E1143G
W748S5
E1143G
W748S5
Presented with epilepsy, ataxia, status epilepticus, headaches, myoclonus, neuropathy, ptosis/ PEO onset at age 28. Acute liver failure after 4 months of sodium valproate treatment
-status epilepticus
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-ptosis
-PEO
-liver failure
-headache/ migraine
juvenile
1933n/aTzoulis et al, 2006;

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399W748S5
E1143G
W748S5
E1143G
Presented with migraine like headaches, ataxia, epilepsy, status epilepticus, nystagmus, myoclonus, neuropathy, ptosis/ PEO onset at age 26
-status epilepticus
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-ptosis
-PEO
-headache/ migraine
-nystagmus
juvenile
1738n/aTzoulis et al, 2006;

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398W748S5
E1143G
W748S5
E1143G
Presented with migraine like headaches, ataxia, epilepsy, status epilepticus, nystagmus, neuropathy
-status epilepticus
-epilepsy
-movement disorder (ataxia)
-headache/ migraine
-nystagmus
juvenile
1727n/aTzoulis et al, 2006;

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397W748S5
E1143G
W748S5
E1143G
Presented with epilepsy, ataxia, status epilepticus, headaches, myoclonus, neuropathy
-status epilepticus
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-headache/ migraine
juvenile
1819n/aTzoulis et al, 2006;

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395E1143G
W748S5
E1143G
W748S5
Presented with progressive gait unsteadiness and headaches, ataxia, epilepsy, status epilepticus, nystagmus, neuropathy. Died 2 months after treatment with sodium valproate, cause of death status epilepticus
-status epilepticus
-epilepsy
-movement disorder (ataxia)
-headache/ migraine
-nystagmus
juvenile
15n/a57Tzoulis et al, 2006;

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392W748S5
E1143G
W748S5
E1143G
Presented with epilepsy, status epilepticus, nystagmus, neuropathy
-status epilepticus
-epilepsy
-nystagmus
juvenile
1718n/aTzoulis et al, 2006;

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375W748S5
E1143G
W748S5
E1143G
Onset with epilepsy, Gait and limb ataxia, Epilepsy, Myoclonus, head tremor, facial Involuntary movements, Dysarthria, Nystagmus, other eye-movement abnormalities, Cognitive impairment, Psychiatric symptoms, cramps
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-dysarthria
-nystagmus
-tremor
juvenile
1745n/aHakonen et al, 2005;

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369W748S5
E1143G
W748S5
E1143G
Onset with epilepsy, Gait and limb ataxia, Myoclonus, Involuntary movements, Dysarthria, Dysphagia, Nystagmus, other eye-movement abnormalities, Cognitive impairment, Obesity, sensory neural hearing deficit, sensory motor polyneuropathy
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-polyneuropathy
-dysphagia
-dysarthria
-nystagmus
juvenile
1944n/aHakonen et al, 2005;

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365W748S5
E1143G
W748S5
E1143G
Onset with epilepsy, Gait and limb ataxia, Epilepsy, Myoclonus, facial Involuntary movements, Dysarthria, Dysphagia, Nystagmus, other eye-movement abnormalities, Cognitive impairment, Psychiatric symptoms, Muscle strength decreased, Obesity
-myoclonic seizures
-epilepsy
-movement disorder (ataxia)
-dysphagia
-dysarthria
-nystagmus
juvenile
1637n/aHakonen et al, 2005;

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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: 24
Avg age of onset in displayed cases: 16.5
Std dev in onset in displayed cases: 1.5

Search criteria for patient entries:
Mutations Entry IDs Clusters Reference Residue range
Patients for cluster combinations:
First cluster: Second cluster:
Age group: Any Infantile Childhood Juvenile Adult
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