Phenotype #0000187350

Individual ID 00248354
Associated disease NDD
Diagnosis/Initial severe DD/ID
Diagnosis/Definite -
Phenotype details severe developmental delay/intellectual disability; Generalized, tonic-clonic seizures (onset at 5 months), initially controlled with phenobarbital, developed drug-resistance, partially controlled with carbamazepine, clobazam, nitrazepam and phenobarbital; Axial hypotonia, peripheric hypertonia; normal vision, normal hearing; MRI brain pachygyria of frontal lobes, abnormal opercularization of insulae with thicker insular cortices, wide Sylvian fissures, cerebral atrophy, brainstem hypoplasia, increased volume of the trigones and occipital horns of the lateral ventricles; microcephaly; Large nose with bulbous nasal tip and low hanging columella; short philtrum; Wide mouth with square upper lip; teeth and gum abnormalities; Micrognathia; synophrys, hypertrichosis; mesomelic dysplasia 4 limbs; arms and legs Madelung deformity, slender limb bones, fibular hypoplasia/agenesis; Hypoplastic talipes, fusion of tarsal bones; Severe scoliosis, C2-C3 vertebral fusion, L5-S1 vertebral cleft; normal hips and pelvis; osteopenia, osteoporosis; no horseshoe kidney; gastroesophageal reflux disease, constipation; failure to thrive; Neonatal respiratory distress, recurrent pneumonia, frequent hiccups improved with carbamazepine, respiratory arrest leading to death at 21 years
Inheritance Isolated (sporadic)
Age/Examination 18y (18 years)
Age/Diagnosis -
Age/Onset -
Phenotype/Onset -
Owner name Johan den Dunnen
Database submission license Creative Commons Attribution-NonCommercial-ShareAlike 4.0 InternationalCreative Commons License
Created by Johan den Dunnen
Date created 2019-07-22 16:48:52 +02:00 (CEST)
Date last edited 2021-05-09 15:02:29 +02:00 (CEST)

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