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Figure S1

(A) Sanger sequencing confirmed the nonsense variant c.5941C>T in the patient. (B) Axial and coronal brain MRI showing terminal zones of unfinished myelination posteriorly and asymmetric ventricles as well as the Virchow-Robin spaces in the same location. (C) Facial features, (D) hands and (E) feet anomalies in patient at 7 years of age.
(A) Sanger sequencing confirmed the nonsense variant c.5941C>T in the patient. (B) Axial and coronal brain MRI showing terminal zones of unfinished myelination posteriorly and asymmetric ventricles as well as the Virchow-Robin spaces in the same location. (C) Facial features, (D) hands and (E) feet anomalies in patient at 7 years of age.

Comparison of major clinical features and their frequency in patients with likely pathogenic variants in the MED13L gene and this study patient.

Clinical feature Number of patients This study patient
Clinical findings ID or DD 69/69 +(severe ID and DD)
Speech delay 68/69 +(no speech)
Hypotonia 46/66 +(axial hypotonia)
Coordination problems 20/60 +(stereotypic movements, wide-based gait)
Congenital heart defects 12/64
Autistic features 16/69
Abnormal brain MRI 26/58 +(lateral ventricles asymmetry, wider posterior part of the left ventricle)
Seizures 10/63
Behavioural problems 16/51 +(self-destructive behaviour – biting hands)
Strabismus 3/24 +(convergent strabismus – esotropia)
Dysmorphic features Depressed/flat nasal bridge 19/33 +(flat nasal bridge)
Broad/prominent forehead 16/21 +(prominent frontal eminence)
Bulbous nasal tip 50/67 +
Upslanting palpebral fissures 26/65 +(slight epicanthic folds)
Low seat ears 17/33
Bitemporal narrowing 8/33
Horizontal eyebrows 7/33 +
Macrosomia 14/33 +
Macroglossia 9/33
eISSN:
2719-535X
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