TRMT1

Clinical Characteristics

The clinical features of MRT68 include:

Neurologic abnormalities

  • Intellectual disability
  • Epilepsy (in some patients)
  • Developmental delay that can be global or limited to:
    • Cognitive delay
    • Speech delay
    • Delayed walking
  • Spasticity of the lower limbs (in some patients)
  • Hypotonia (in some patients)
  • Hearing loss (found in some patients)
  • Structural brain abnormalities on MRI (in some patients):
    • Cerebellar atrophy or hypoplasia
    • White matter abnormalities, including generalized white matter volume loss and/or periventricular leukomalacia

Facial dysmorphisms (variable, mild; found in some patients)

  • Deep-set eyes
  • Epicanthus
  • Smooth philtrum
  • Pointed chin
  • Synophrys 
  • Narrow palpebral fissures
  • Broad eyebrows
  • Broad nasal bridge 
  • Strabismus

Musculoskeletal abnormalities (found in some patients)

  • Pes planus
  • Muscle weakness
  • Joint hyperlaxity (found in 1 patient)
  • Persistent fetal fingertip pads (found in 1 patient)
  • Clinodactyly of the fifth finger (found in 1 patient)

Other (found in some patients)

  • Low birth weight
  • Failure to thrive
  • Microcephaly
  • Thrombocytosis (found in 1 patient)
  • Breath-holding spells (found in 1 patient)