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GTR Home > Conditions/Phenotypes > Combined oxidative phosphorylation defect type 14

Summary

Excerpted from the GeneReview: FARS2 Deficiency
The spectrum of FARS2 deficiency ranges from the infantile-onset phenotype, characterized by epileptic encephalopathy with lactic acidosis and poor prognosis (70% of affected individuals), to the later-onset phenotype, characterized by spastic paraplegia, less severe neurologic manifestations, and longer survival (30% of affected individuals). To date FARS2 deficiency has been reported in 37 individuals from 25 families. Infantile-onset phenotype. Seizures are difficult to control and may progress quickly at an early age to intractable seizures with frequent status epilepticus; some children have hypsarrhythmia on EEG. All have developmental delay; most are nonverbal and unable to walk. Feeding difficulties are common. More than half of affected children die in early childhood. Later-onset phenotype. All affected individuals have spastic paraplegia manifested by weakness, spasticity, and exaggerated reflexes of the lower extremities associated with walking difficulties; some have developmental delay/intellectual disability; some have brief seizures that resolve over time.

Available tests

41 tests are in the database for this condition.

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Genes See tests for all associated and related genes

  • Also known as: COXPD14, FARS1, HSPC320, PheRS, SPG77, mtPheRS, FARS2
    Summary: phenylalanyl-tRNA synthetase 2, mitochondrial

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