Table 1. Clinical features of 35 individuals with SNIP1-related disorder.
Mean age in years (range) | 6.9 (0.2–26) | |
Neurological phenotype | (% affected) | |
Global developmental delay (severe, non-verbal) | 100% | |
Hypotonia | 100% | |
Hyporeflexia | 100% | |
Seizures | 100% | |
Abnormal brain MRI (ventriculomegaly, white matter defects) | 50% | |
Behavioural problems (irritability, autistic features, ADHD) | 75% | |
Cardiopulmonary features | ||
Upper airway abnormalities (laryngomalacia, apnoea, stridor) | 75% | |
Congenital heart defects (ASD, VSD, aortic coarctation) | 60% | |
Cardiomyopathy | 12% | |
Visual and hearing phenotype | ||
Horizontal nystagmus and/or strabismus | 45% | |
Failed newborn hearing screen (conductive loss) | 21% | |
Gastroenterological features | ||
Feeding difficulties | 100% | |
Small for gestational age | 54% | |
Pulmonary aspiration with/without gastrostomy tube | 46% | |
Endocrine phenotype | ||
Hypothyroidism | 25% | |
Hypoglycaemia | 21% | |
Dysmorphic features | ||
Abnormal skull shape (irregular surface, craniosynostosis) | 100% | |
High arched palate | 100% | |
Wide mouth with cupids bow upper lip | 100% | |
Micrognathia with/without Pierre Robin sequence | 30% | |
Short hands with tapered fingers | 54% | |
Spinal abnormalities (scoliosis, sacral dimple, tethered cord) | 21% | |
Hernias (umbilical, inguinal) | 21% | |
Congenital talipes equinovarus | 13% |
Abbreviations: MRI; magnetic resonance imaging, ADHD; attention deficit hyperactivity disorder, ASD; atrial septal defect, VSD; ventricular septal defect.