Clinical manifestations and electrophysiological studies of the families with gap junction protein β 1 (GJB1) mutations
Clinical manifestations | Electrophysiology | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Family | Mutation | Patient | Age at onset (years) | Sex/age (years) | Muscle wasting (upper/lower) | Sensory disturbance | Tendon reflex | CNS involvement | Ulnar MCV (m/s)/DML (ms) | Ulnar CMAP (mV) | Median SAP | Sural SAP |
±, minimal; +, mild; ++, moderate; +++, severe; AJ, ankle jerks; CMAP, compound motor action potentials; CNS, central nervous system; D, distal; DML, distal motor latency; F, female; Fs, frame shift; M, male; MCV, motor conduction velocity; MRI, magnetic resonance image; P, proximal; SAP, sensory action potential; T2WI, T2 weighted image. *Index case. | ||||||||||||
1 | W24C | 1 | 15 | F/30 | D>P, +/++ | Large fibre, mild | Hyporeflexia | Extensor plantar response | ||||
2 | 11 | F/28 | Large fibre, mild | Absent AJ | 53/2.7 | 8.0 | 3.5 | Absent | ||||
3 | 12* | M/66 | D>>P, +++/+++ | Both, severe | Areflexia | 24/3.6 | 0.1 | Absent | ||||
2 | T55R | 4 | 16* | M/71 | D>>P, ++/+++ | Both, moderate | Areflexia | Deafness and abnormal auditory brainstem potentials | 33/4.9 | 2.5 | Absent | |
3 | E109Stop | 5 | 25 | F/33 | D>P, +/++ | Large fibre, mild | Areflexia | Brain MRI: high signal in the cerebral hemisphere and right mid brain in T2WI | 49/3.8 | 0.72 | ||
6 | 4* | M/12 | D>P, +/++ | No | Areflexia | 37/3.4 | 1.2 | |||||
7 | 15 months | M/5 | D>P, ±/+ | No | Areflexia | 49/2.3 | 2.4 | 16.1 (right medial plantar) | ||||
4 | V125D | 8 | 9* | M/16 | D>>P, ++/+++ | Large fibre, mild | Hyporeflexia, absent AJ | 37/4.5 | 3.5 | Absent | Absent | |
5 | F153S | 9 | 9* | M/12 | D>P, ±/+ | No | Normal, brisk AJ | 51/2.9 | 12.8 | 11.3 (right radial) | Absent | |
10 | F/42 | Asymptomatic | Hyporeflexia | 55/2.6 | 15.0 | Absent | ||||||
11 | 12 | M/52 | D>>P, ++/+++ | Both, moderate | 44.7/3.2 | 6.8 | Absent | |||||
6 | T191Fs | 12 | 16* | M/54 | D>>P, ++/+++ | Large fibre, severe, small fibre, moderate | Areflexia | Deafness and extensor plantar response | 33/4.6 | 1.7 | Absent | Absent |