| Phenotype details |
plasma glutamine borderline low; cerebrospinal fluid glutamine normal; ammonia normal; cerebrospinal fluid neurotransmitters normal; 8m-epilepsy, focal, generalized; epilepsy type combined focal and generalized; likely developmental and epileptic encephalopathy; EEG focal electroclinical seizure, persistent hemispheric asymmetry, no interictal epileptiform features; seizures 1-6 per week; treatment response ketogenic diet; global developmental delay; MRI prominent perivascular spaces, thinning corpus callosum, demyelination/hypomyelination |