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    1. The patient is a boy of Estonian and Spanish origin with early-onset muscular hypotonia and delayed motor development.

      Case#: proband, young boy

      DiseaseAssertion: muscular hypotonia

      CasePresentingHPOs: HP:0008947, HP:0008947, HP:0002421, HP:0006829, HP:0008994, HP:0008981

      "Infantile muscular hypotonia, delayed motor development, poor head control, severe muscular hypotonia, proximal muscle weakness in lower limbs, calf muscle hypertrophy"

      CasePreviousTesting: ENMG at 3.5 months interpreted as normal, but at 6 months showed features of myopathy or muscular dystrophy

      GenotypingMethod: Whole exome sequencing (WES) of the parents-offspring trio, Mutation was confirmed as de novo with Sanger sequencing. In silico analysis using both MutationTaster and MutPred Splice predicted the variant to disrupt splicing

      Variant: NM_000257.4:c.5655G>A

      ClinVar: 378215

      CAID: CA16606815

      gnomAD: https://gnomad.broadinstitute.org/variant/14-23883216-C-T

      Total Allele Frequency: 0.00001193 European (non-Finnish): 0.00002637