Phenotype details |
see paper; ..., severe global developmental delay, spastic quadraplegia, dystonia, no progressive scoliosis, 3m-4m epilepsy, no cortical visual impairment, no tracking, no impaired hearing, contractures in elbows, knees, anales and fingers, hip dislocation; facial dysmorphism, bitemporal narrowing, full cheeks, prominent nasal tip, long philtrum, open, wide mouth, tented upper lip, thin upper lip, pointed chin; feeding difficulties, PEG tube feeds, G-tube procedure, maintained borderline weight; increased deep tendon reflexes |