Pitt-Hopkins syndrome
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Epidemiology
- rare
- males & females equally affected
Pathology
Genetics
- most cases sporadic
- associated with haploinsufficiency of TCF4
- autosomal dominant
Clinical manifestations
- syndromic encephalopathy
- severe psychomotor delay
- epilepsy
- daily bouts of diurnal hyperventilation starting in infancy
- mild postnatal growth retardation
- postnatal microcephaly
- distinctive facial features