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Table 1 Clinical features of SD subtypes [5, 6]

From: Clinical and genetic features of a case with juvenile onset sandhoff disease

Subtypes of SD

Onset age

Clinical features

Neuroimaging

Infantile onset

Before the age of 12 months

Most common subtype, acute onset, psychomotor retardation, seizures, blindness, early death blindness and cherry-red spots in the eyes

Bilateral thalamic and basal ganglia abnormal signals

Juvenile onset

1–18 years old

Gait disturbances, speech problems, incoordination, pyramidal signs, muscle wasting, intellectual impairment, dysphagia, seizures, and proximal or distal weakness

Cerebellar/cerebral atrophy

Adult onset

After 18 years old

Motor neuron disease, ataxia (spinocerebellar), tremor (mainly postural), dystonia, psychiatric symptoms, and neuropathy (sensorimotor or autonomic)

Cerebellar/cerebral atrophy

  1. SD = Sandhoff disease