| Phenotype details |
gestational diabetes (insulin), hypertension; birth at term, C-section; seizures multifocal myoclonic, generalized myoclonic; 8m-infantile spasms, responsive to pyridoxine, 3y-myoclonic, 4y-myoclonic/tonic, later atonic, generalized tonic-clonic, now refractory; EEG multifocal sharp waves, generalized spike-wave to hypsarrhythmia to pattern of Lennox-Gastaut syndrome (multifocal spikes, runs of slow spike-wave, generalized spike-wave bursts and periods of diffuse supression); epileptic encephalopathy, acquired microcephaly (<2nd percentile); severe delay with episodic regression; nonverbal, limited comprehension; hypotonia, with increased ankle tone; incoordination, gait instability |