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Genetic Epilepsy v0.874 HPDL Zornitza Stark Marked gene: HPDL as ready
Genetic Epilepsy v0.874 HPDL Zornitza Stark Gene: hpdl has been classified as Green List (High Evidence).
Genetic Epilepsy v0.874 HPDL Zornitza Stark Classified gene: HPDL as Green List (high evidence)
Genetic Epilepsy v0.874 HPDL Zornitza Stark Gene: hpdl has been classified as Green List (High Evidence).
Genetic Epilepsy v0.873 HPDL Zornitza Stark gene: HPDL was added
gene: HPDL was added to Genetic Epilepsy. Sources: Literature
Mode of inheritance for gene: HPDL was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: HPDL were set to 32707086
Phenotypes for gene: HPDL were set to Neurodevelopmental disorder with progressive spasticity and brain white matter abnormalities (NEDSWMA), MIM#619026; Progressive neurological disorder; Leigh-like syndrome
Review for gene: HPDL was set to GREEN
Added comment: 17 individuals from 13 families, with a spectrum of neurologic impairment ranging from a severe congenital form without any neurological development (n = 2/17, 12%) to infantile-onset presentations (n = 10/17, 59%) with moderate to severe neurodevelopmental issues, partly with a pathology reminiscent of mitochondrial disease (Leigh-like syndrome), to juvenile-onset spastic paraplegia (n = 5/17, 29%).

Seizures/epilepsy were reported in 9/17, 53%.

Frequently observed additional clinical findings included chronic progression of neurological signs (n = 16/17, 94%), motor developmental delay (n = 12/17, 71%), intellectual impairment (n = 11/17, 65%), microcephaly (n = 9/16, 56%) . Other relevant clinical findings were visual disturbances/strabismus (n = 9/17, 53%) and loss of developmental milestones (n = 6/17, 35%).

Acute central respiratory failure leading to life-threatening events requiring partly mechanically assisted ventilation occurred in half of individuals with infantile presentation (n = 5/10, 50%), respectively one third of all individuals (n = 5/17, 29%).

Demyelinating neuropathy was present in three individuals (n = 3/11, 27%), with reduced sensory nerve conduction velocity (NCV) in all and severely reduced motor NCV in one.
Sources: Literature