Phenotype details |
last assessment middle childhood; microcephaly; no short stature; intellectual disability; developmental delay; speech not yet achieved; early adolescence absence seizure suspected, generalized tonic clonic seizure, petit mal, infantile spasms, drop seizures, foods can act as trigger; hypotonia; small hands and feet; osteoporosis diagnosed during middle childhood; essential tremor starting during middle childhood, stereotypic movements, hand flapping; optical nerve hypoplasia diagnosed during infancy with associated vision loss; normal hearing; no dysmorphism; constipation; no autism spectrum disorder, autistic features (no formal diagnosis), self-stimulatory behavior (hand flapping); no failure to thrive; recurrent insomnia; brachydactyly of hands and feet, decreased bone mineralization during middle childhood, bone deformation of lower extremities requiring medical fracture and fixation for correction; chronic bronchitis diagnosed during infancy, tonsilectomy; MRI brain normal; Spot EEG normal as a toddler, 24hr EEG in middle childhood was abnormal; |