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Symptom information is presented for all possible pathogenic cluster combinations gathered from patient entries in the database.

Cluster 1Cluster 2A467TP587LCluster 3Cluster 4Cluster 5G737RW748S
Cluster 1
developmental delay30.0%
movement disorder (ataxia)25.0%
PEO25.0%
muscle weakness20.0%
hypotonic20.0%
dementia20.0%
in a total of 20 patients
encephalopathy43.8%
developmental delay43.8%
epilepsy35.4%
alpers syndrome32.3%
movement disorder (ataxia)19.8%
PEO19.8%
in a total of 96 patients
encephalopathy59.4%
developmental delay53.6%
epilepsy46.4%
alpers syndrome43.5%
movement disorder (ataxia)21.7%
hypotonic20.3%
in a total of 69 patients
ptosis44.4%
PEO44.4%
peripheral neuropathy33.3%
ragged red fibers22.2%
muscle weakness22.2%
lactic acidosis16.7%
in a total of 18 patients
movement disorder (ataxia)44.4%
encephalopathy33.3%
developmental delay33.3%
epilepsy27.8%
PEO27.8%
failure to thrive22.2%
in a total of 18 patients
hypotonic80.0%
failure to thrive60.0%
GI problems40.0%
hearing loss40.0%
ragged red fibers20.0%
muscle weakness20.0%
in a total of 5 patients
movement disorder (ataxia)41.2%
developmental delay37.3%
encephalopathy33.3%
epilepsy31.4%
alpers syndrome31.4%
liver failure23.5%
in a total of 51 patients
parkinson's disease33.3%
no known symptoms16.7%
lactic acidosis16.7%
intractable seizure16.7%
polyneuropathy16.7%
sensomotor neuropathy16.7%
in a total of 6 patients
developmental delay45.9%
epilepsy40.5%
movement disorder (ataxia)40.5%
encephalopathy40.5%
alpers syndrome40.5%
liver failure29.7%
in a total of 37 patients
Cluster 2
movement disorder (ataxia)53.6%
PEO36.2%
ptosis27.5%
epilepsy26.1%
peripheral neuropathy26.1%
myoclonic seizures24.6%
in a total of 69 patients
encephalopathy57.1%
developmental delay57.1%
myoclonic seizures42.9%
liver failure42.9%
alpers syndrome42.9%
status epilepticus28.6%
in a total of 7 patients
ptosis100.0%
PEO100.0%
atrial hypertrophy100.0%
in 1 patient
PEO45.5%
epilepsy27.3%
ptosis24.2%
encephalopathy24.2%
dysphagia21.2%
developmental delay18.2%
in a total of 33 patients
epilepsy50.0%
hypotonic50.0%
failure to thrive37.5%
PEO25.0%
encephalopathy25.0%
developmental delay25.0%
in a total of 8 patients
movement disorder (ataxia)68.3%
PEO41.7%
epilepsy30.0%
ptosis25.0%
dysarthria25.0%
headache/ migraine21.7%
in a total of 60 patients
epilepsy100.0%
myopathy50.0%
liver dysfunction50.0%
encephalopathy50.0%
developmental delay50.0%
alpers syndrome50.0%
in a total of 2 patients
epilepsy100.0%
liver failure100.0%
in 1 patient
A467T
movement disorder (ataxia)67.4%
PEO32.6%
myoclonic seizures30.4%
epilepsy30.4%
peripheral neuropathy28.3%
status epilepticus23.9%
in a total of 46 patients
ptosis66.7%
PEO66.7%
movement disorder (ataxia)33.3%
sensory ataxia33.3%
peripheral neuropathy33.3%
polyneuropathy33.3%
in a total of 3 patients
epilepsy37.5%
encephalopathy33.3%
ptosis29.2%
PEO29.2%
developmental delay25.0%
liver failure16.7%
in a total of 24 patients
failure to thrive100.0%
epilepsy66.7%
hypotonic66.7%
GI problems66.7%
myoclonic seizures33.3%
delayed myelination33.3%
in a total of 3 patients
movement disorder (ataxia)33.3%
PEO33.3%
myopathy22.2%
ptosis22.2%
encephalopathy22.2%
dysarthria22.2%
in a total of 9 patients
movement disorder (ataxia)100.0%
cerebellar atrophy100.0%
PEO100.0%
hearing loss100.0%
cerebellar ataxia50.0%
sensory ataxia50.0%
in a total of 2 patients
movement disorder (ataxia)85.7%
PEO45.2%
epilepsy33.3%
headache/ migraine31.0%
dysarthria28.6%
ptosis26.2%
in a total of 42 patients
P587L
PEO80.0%
myopathy60.0%
epilepsy20.0%
ptosis20.0%
encephalopathy20.0%
developmental delay20.0%
in a total of 5 patients
PEO100.0%
myopathy28.6%
dysphagia28.6%
movement disorder (ataxia)14.3%
polyneuropathy14.3%
axonal sensorimotor polyneuropathy14.3%
in a total of 7 patients
epilepsy40.0%
PEO40.0%
hypotonic40.0%
encephalopathy40.0%
developmental delay40.0%
alpers syndrome40.0%
in a total of 5 patients
ptosis100.0%
in 1 patient
No data
ptosis50.0%
PEO50.0%
ophthalmoplegia50.0%
diplopia50.0%
external ophthalmoplegia50.0%
parkinson's disease50.0%
in a total of 2 patients
Cluster 3
PEO42.9%
epilepsy33.3%
ptosis33.3%
encephalopathy33.3%
developmental delay33.3%
lactic acidosis23.8%
in a total of 21 patients
No data
PEO53.3%
ptosis40.0%
epilepsy26.7%
movement disorder (ataxia)26.7%
dysarthria26.7%
encephalopathy20.0%
in a total of 15 patients
muscle weakness100.0%
ptosis100.0%
PEO100.0%
in 1 patient
status epilepticus50.0%
epilepsy50.0%
ptosis50.0%
lactic acidosis25.0%
myoclonic seizures25.0%
epilepsia partialis25.0%
in a total of 4 patients
Cluster 4
No data
myoclonic seizures50.0%
epilepsy50.0%
hemiparesis25.0%
epilepsia partialis25.0%
movement disorder (ataxia)25.0%
peripheral neuropathy25.0%
in a total of 4 patients
movement disorder (ataxia)100.0%
peripheral neuropathy100.0%
tremor100.0%
in 1 patient
myoclonic seizures66.7%
epilepsy66.7%
hemiparesis33.3%
epilepsia partialis33.3%
liver failure33.3%
liver dysfunction33.3%
in a total of 3 patients
Cluster 5
movement disorder (ataxia)87.1%
epilepsy47.1%
PEO38.6%
dysarthria35.7%
nystagmus31.4%
myoclonic seizures24.3%
in a total of 70 patients
No data
no known symptoms50.0%
epilepsia partialis50.0%
in a total of 2 patients
G737R
No data
movement disorder (ataxia)100.0%
ptosis100.0%
PEO100.0%
ophthalmoplegia100.0%
diplopia100.0%
external ophthalmoplegia100.0%
in 1 patient
W748S
movement disorder (ataxia)89.4%
epilepsy50.0%
PEO37.9%
dysarthria37.9%
nystagmus33.3%
myoclonic seizures25.8%
in a total of 66 patients
Cluster 1Cluster 2A467TP587LCluster 3Cluster 4Cluster 5G737RW748S
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