| Phenotype details |
see paper; ..., severe global developmental delay, severe intellectual disability; moderate muscular hypotonia; grasp, rolling over, sitting unsupported, standing with support, walking few steps with support; no speech; no seizures; EEG abnormal; reduced pain sensation; self-mutilation; crying without tears; ECG-reduced heart rate variability; reduced sweating; no fever without focus/temperature dysregulation; repeated neonatal episodes of apnea and/or desaturations; no thyroid dysfunction; neonatal history hypoglycemia; neonatal history hypoglycemia; (pan)hypopituitarism; low hemoglobin; no thrombocytopenia; exocrine pancreatic insufficiency; obstipation; no diarrhea; malabsorption, hyperintense pancreas in ultrasound; contractures of 3rd finger on left and 4th finger on right hand, cutaneous syndactyly of 2nd and 3rd toes, pes calcaneus, scoliosis, reduced bone age; no genital abnormalities; no hearing loss; esotropia; short palpebral fissure, epicanthus, depressed nasal bridge, hypoplastic alae, small mouth, high palate; increased intra-and extra-axial cerebrospinal fluid spaces; no delayed myelination; no pituitary anomalies |