TABLE 1

Clinical features and EEG finding of 6 patients with 22q11.2 deletion syndrome with epilepsy.

Age/sexAge at onset of seizureseizure typeEEG findingResponse to AEDBrain MRI findingsDelayed developmentIntellectual disabilityPsychiatric disorderDeletion size
3 yr/M20 daysFocalG. slow BAWell-controlled on BZOMultifocal T2 HSI in WM, cerebral atrophy+NA(he died)_2.5 Mb
22 yr/M19 yearsGTCG. slow BAWell-controlled on LEVSuperior cerebellar vermis hypoplasia++_Fish: 46,XY.ish 22q11.2(TUPLE1x1)
13 yr/M3 monthsGTCNormalWell-controlled on PHB, currently off AEDNormal+Borderline intellectual abilityADHD4.9 Mb
20 yr/M8 yearsGTCNormalWell-controlled on VPAPallidal and subcortical calcification++Psychosis, mood disorder2.5 Mb
5 yr/M5 yearsFocalNormalWell-controlled on LEVNormal++_652 Kb
2.5 yr/M1 monthFocalBIRD+ED over the central regionWell-controlled on LEVScattered abnormalities in the deep WM, tiny lacunar infarct at right thalamus, CSP, thin CC, cerebral atrophy++_2.5 Mb
M - Male, yr - Year, GTC - Generalized tonic-clonic, G - Generalized, BA - Background activity, BIRD - Brief ictal rhythmic discharge, ED - Epileptiform discharge, BZO - Benzodiazepine, LEV - Levetiracetam, VPA - Valproic acid, AED - Antiepileptic drug, HSI - High signal intensity, WM - White matter, CSP - Cavum septum pellucidum, CC - Corpus callosum, NA - Not applicable, ADHD - Attention deficit hyperactivity disorder