| Phenotype details |
see paper; ..., severe global developmental delay; mild muscular hypotonia; grasp, rolling over, sitting unsupported, standing with support; no speech; no seizures; reduced pain sensation; self-mutilation; no crying without tears; no reduced sweating; no fever without focus/temperature dysregulation; repeated neonatal episodes of apnea and/or desaturations; thyroid dysfunction; history hypoglycemia; growth hormone deficiency; (pan)hypopituitarism; low hemoglobin; no thrombocytopenia; exocrine pancreatic insufficiency; no obstipation; diarrhea; dysphagia, gastroesophageal reflux, G-tube; clinodactyly, mild arthrogryposis (contractures at the wrists, elbows, hips and knees), partial hip dysplasia; micropenis with fused and flat scrotum, undescended testes; no hearing loss; strabismus; bitemporal narrowing with enophthalmos, hypoplastic alae, short philtrum, small mouth, high narrow palate, mild retrognathia, micrognathia, short neck; autism; minimal cerebrospinal fluid prominence within posterior fossa versus small arachnoid cyst; no delayed myelination; no pituitary anomalies |