Table 2: Comparison of DES-H, Cayman Syndrome, and Uner Tan Syndrome

CHARACTHERISTICS DES-H CAYMAN UNER TAN SYNDROME
Genetics
Chromosomes
Genes

9p24
VLDLR

19p13.3
ATCAY

Heterogeneous: 17p13, 9p24
(or not)
Cong. Hypotonia Yes Yes No
Quadrupedalism No No Yes
Truncal ataxia Yes Yes Yes
Dysarthria Severe Severe Severe (no speech in 3/4 families)
Mental retardation Mild to severe Mild to severe Profound
MRI
Cerebellum
Vermis
Corpus callosum
Cerebral cortex

Hypoplasia
Hypoplasia
Normal
Gyral simplification

Hypoplasia
Hypoplasia
Unknown
Gyral simplification

Hypoplasia (13/14)
Hypoplasia
Thin in 5, normal in 9
Gyral simplification
PET Scan Unknown Unknown Decreased glucose metabolic rate in cerebello-vermial areas and cortex; normal in one patient
Reflexes
Upper extremity
Lower

Normal
Hyperactive

Unknown
Vivid
or normal Hyperactive
Intention tremor Present Present Present only in 1 of 4 families
Nystagmus Present Present Present in 3 of 4 families
Muscle power Decreased Decreased Increased
Babinsky Positive (8%) Not reported Positive (42%)
Basal ganglia Not reported Normal Normal
Hippocampus Normal Normal Normal
N. dentatus Not reported Normal Normal
Vestibular system Unknown Unknown Central, peripheral or normal