From: Mutation screening of SPTLC1 and SPTLC2 in amyotrophic lateral sclerosis
Clinical feature | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 |
---|---|---|---|---|---|---|
Gene change | p.S331T | p.R239Q | p.E406K | p.Q229R | p.T409M | p.G435V |
Sex | Male | Female | Female | Male | Male | Female |
Fasciculation | Yes | No | No | Yes | Yes | No |
Spasticit | No | No | No | No | No | No |
Drug exposure | No | No | No | No | No | No |
Smoking | Now | No | No | No | Now | No |
Drinking | Used to drink | No | No | Used to drink | No | No |
Sensory | Normal | Normal | Normal | Normal | Normal | Normal |
Toxin | Pesticide | No | No | No | Pesticide | No |
Onset site | Proximal lower limb | Distal upper limb | Bulbar | Proximal upper limb | Proximal upper limb | Proximal lower limb |
Onset symptom | Fatigue | Fatigue | Dysarthria | Fatigue | Fatigue | Fatigue |
Tongue myoclonus | No | Yes | Yes | Yes | Yes | No |
Tongue atrophy | No | Yes | Yes | Yes | Yes | No |
Choking | No | Yes | Yes | No | No | No |
Dysphagia | No | Yes | Yes | No | No | No |
Dysarthria | No | Yes | Yes | No | No | No |
Pharyngeal reflex | Hyporeflexia | Hyperreflexia | Disappear | Hyporeflexia | Disappear | Normal |