Case Report

Whole-Exome Sequencing Identifies a Novel POLG Frameshift Variant in an Adult Patient Presenting with Progressive External Ophthalmoplegia and Mitochondrial DNA Depletion

Table 1

Summary of reported patients with the c.3104+3A > T POLG variant in compound heterozygosity.

AuthorsSexPtosis onset (age, years)Additional POLG variantSymptoms

Milone et al. [13]M62p.(Phe749Ser)(i) Moderate bilateral ptosis
(ii) Severe ophthalmoplegia
(iii) Mild generalized weakness
(iv) Distal superficial sensory loss

Milone et al. [13]MMid-40sp.(Gly848Ser)(i) Ptosis
(ii) Limited eye movements
(iii) Exercise intolerance
(iv) Sensorineural hearing loss
(v) Dysphagia
(vi) Generalized weakness

Roos et al.a [12]M20p.(Thr914Pro)(i) Bilateral ptosis
(ii) Ophthalmoplegia
(iii) Exercise intolerance
(iv) Dysphagia
(v) Respiratory weakness

Roos et al.a [12]M50p.(Thr914Pro)(i) Ophthalmoplegia
(ii) Ptosis
(iii) Proximal limb weakness
(iv) Facial weakness
(v) Respiratory weakness

Kurtz, et al. (current)F52p.(Gly23Serfs236)(i) Ophthalmoplegia
(ii) Bilateral ptosis
(iii) Exercise intolerance
(iv) Generalized muscle weakness
(v) Left-sided intention tremor

aSiblings.