Main clinical features
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generalized hypotonia, respiratory insufficiency, arthrogryposis, microcephaly, congenital brain malformations and hyperglycinemia, leading to early death
encephalomyopathy and myopathy resulting from mitochondrial dysfunction
prenatal ultrasound showed intrauterine growth retardation, polyhydramnios, microcephaly, and dilated cerebral ventricles
at birth, hypotonia with absent primitive reflexes, microcephaly and dysmorphic features, including retrognathia, high palate, widely spaced nipples, and arthrogryposis of elbows, wrists, fingers, and knees
brain MRI showed white matter abnormalities, hypoplasia of the corpus callosum, frontoparietal polymicrogyria, brainstem hypoplasia, cavitating leukodystrophy |