| Phenotype details |
no microcephaly; growth delay; motor delay; 23m-walk; speech delay, 18m-first words; moderate intellectual disability; normal behaviour; no seizures; EEG normal; hypotonia; MRI brain 16m-thin corpus callosum; slight epicanthal folds, prominent forehead, short nose, anteverted nares, rounded nasal tip, flatter nasal bridge, prominent philtrum; no hearing loss; normal vision; no cardiac anomalies; rnormal espiratory system; persistent elevation of ALT/AST, G-tube nutrition (difficulty swallowing); normal urogenital system; no skin/hair/nail anomalies; small endocrine system; sleep disturbance, severe obstructive sleep apnea, improved by tonsillectomy, adenoidectomy, supraglottaplasty; pectus deformity of chest |