Table 1

Neurological features reported as part of the major (+M) or minor criteria (+m) defined for the current EDS types (8)

EDS typesRareUltra-rare
cEDSvEDS*kEDSaEDSBCSclEDS 1clEDS 2mEDSmcEDSpEDSspEDS
InheritanceADADARADARARARAD/ARARARAR
Gene COL5A1 COL5A2 COL1A1 COL3A1 PLOD1 FKBP14 COL1A1 COL1A2 ZNF469 PRDM5 TNXB AEBP1 COL12A1 CHST14
DSE
C1R/ C1S B4GALT7† B3GALT6† SLC39A13†
Prevalence1:20 0001:90 0001:100 000<1:106 <1:106 <1:106 <1:106 <1:106 <1:106 <1:106 <1:106
(Congenital) hypotonia+M+m+m (hypotonia in infancy (usually mild)+M+M
(Congenital) contracturesTalipes+m+M proximal+M
Delayed motor development+1 +1 +m+1 +m
Delayed cognitive development+m
White matter abnormalities+2
Mild proximal and distal weakness+m
Other1)Stroke due to dissection of cervical arteries 2)Spontaneous CCSFAxonal Polyneuropathy (+m) & muscle atrophy hands and feet (+m)Myopathy on muscle biopsy (+m)
  • No neurological features reported as part of the major or minor diagnostic criteria in cvEDS, dEDS and hEDS.

  • +1: resulting from (congenital) hypotonia. +2: present in large majority of patients who head imaging of the head.

  • *Rarely, specific Arg>Cys variants in the COL1A1 gene have been reported to cause vEDS.

  • †Gene specific criteria are in place for this condition.

  • aEDS, arthrochalasia EDS; BCS, brittle cornea syndrome; CCSF, carotid-cavernous sinus fistula; cEDS, classical EDS; clEDS 1 and 2, classical-like EDS type 1 and 2; cvEDS, cardiac-valvular EDS; dEDS, dermatosparaxis EDS; hEDS, hypermobile EDS; kEDS, kyphoscoliotic EDS; mcEDS, musculocontractural EDS; mEDS, myopathic EDS; pEDS, periodontal EDS; spEDS, spondylodysplastic EDS; vEDS, vascular EDS.