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ResearchIn-Press PreviewCell biologyGeneticsNeuroscience Open Access | 10.1172/JCI195336

Pathogenic variants in BORCS5 Cause a Spectrum of Neurodevelopmental and Neurodegenerative Disorders with Lysosomal Dysfunction

Niccolò E. Mencacci,1 Georgia Minakaki,1 Reza Maroofian,2 Raffaella De Pace,3 Adeline Paimboeuf,4 Tiago Branco Fonseca,1 Tatiana Abramova,1 Patrick Shannon,5 David Chitayat,6 Francesca Magrinelli,7 Wesley J. Peng,1 Diptaman Chatterjee,1 Sara H. Eldessouky,8 Julia Baptista,9 Tamas Marton,10 Julie Vogt,11 Juan Dario Ortigoza-Escobar,12 Loreto Martorell,13 Marta Gómez-Chiari,14 Ingrid M. Wentzensen,15 Erik-Jan Kamsteeg,16 Maha S. Zaki,17 Annarita Scardamaglia,2 Giovanni Zifarelli,18 Zuhair Nasser Al-Hassnan,19 Elka Miller,20 Shiri Shinar,21 Lova S. Matsa,22 Sri Hari Chandan Appikonda,22 Ghada A. Otaify,17 Khalid Al-Thihli,23 Almundher Al-Maawali,23 Michael Schwake,24 Mariasavina Severino,25 Henry Houlden,2 Shunmoogum A. Patten,4 Juan S. Bonifacino,3 Kailash P. Bhatia,7 and Dimitri Krainc1

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Mencacci, N. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Minakaki, G. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Maroofian, R. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by De Pace, R. in: PubMed | Google Scholar |

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Paimboeuf, A. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Branco Fonseca, T. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Abramova, T. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Shannon, P. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Chitayat, D. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Magrinelli, F. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Martorell, L. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Scardamaglia, A. in: PubMed | Google Scholar |

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Zifarelli, G. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Miller, E. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Shinar, S. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Matsa, L. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Appikonda, S. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Otaify, G. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Al-Thihli, K. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Al-Maawali, A. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Schwake, M. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Severino, M. in: PubMed | Google Scholar

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

Find articles by Bhatia, K. in: PubMed | Google Scholar |

1Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

2Department of Neuromuscular Disorders, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

3Division of Neuroscience and Cellular Structure, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, United States of America

4Institut National de la Recherche Scientifique (INRS), Centre Armand Frappier Santé Biotechnologie, Laval, Canada

5Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Canada

6The Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital, University of Toronto, Toronto, Canada

7Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom

8Prenatal Diagnosis & Fetal Medicine Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

9Department of Medical & Molecular Genetics, King's College Hospital, Synnovis, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom

10Cellular Pathology Department, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

11West Midlands Regional Genetics Service, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United Kingdom

12Movement Disorders Unit, Pediatric Neurology Department, Institut de Recerca, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Spain

13Department of Genetic, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

14Diagnostic Imaging Department, Sant Joan de Déu Barcelona Children's Hospital, Esplugues de Llobregat, Spain

15GeneDx, LLC, Gaithersburg, United States of America

16Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands

17Department of Clinical Genetics, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt

18CENTOGENE, Rostock, Germany

19Department of Medical Genomics, Genomic Medicine Centre of Excellence, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia

20Department of Diagnostic and Interventional Radiology, Hospital for Sick Children, University of Toronto, Toronto, Canada

21Department of Obstetrics and Gynecology, Ontario Fetal Center, Mount Sinai Hospital, University of Toronto, Toronto, Canada

22Genomic Precision Diagnostic Department, Igenomix FZ LLC, Dubai, United Arab Emirates

23Department of Genetics, Sultan Qaboos University Hospital, University Medical City, Muscat,, Oman

24Biochemistry III, Department of Chemistry, University of Bielefeld, Bielefeld, Germany

25Neuroradiology Unit, RCCS Institute Giannina Gaslini, Genova, Italy

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Published April 21, 2026 - More info

J Clin Invest. https://doi.org/10.1172/JCI195336.
Copyright © 2026, Mencacci et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published April 21, 2026 - Version history
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Abstract

BORCS5 encodes a subunit of the BLOC-One-Related Complex (BORC), which is known to promote anterograde movement and fusion of lysosomes. We identified 16 individuals from nine families with bi-allelic BORCS5 variants, revealing a spectrum of neurodevelopmental and neurodegenerative phenotypes. Carriers of homozygous protein-truncating variants (PTVs), resulting in complete loss of BORCS5, presented with prenatally lethal arthrogryposis multiplex congenita, brain malformations, and neuropathological evidence of neuroaxonal dystrophy. Individuals with missense or splice-site variants presented differently, with microcephaly, developmental epileptic encephalopathy, optic atrophy, spasticity, and progressive movement disorders. In this group, brain MRI showed diffuse hypomyelination, corpus callosum abnormalities, as well as progressive global cerebral atrophy, consistent with neurodegeneration. Borcs5 knockout in zebrafish exhibited microcephaly, motor deficits, and increased seizure susceptibility, mirroring the patients’ clinical presentation. At the cellular level, only BORCS5 PTVs, but not missense variants, led to perinuclear lysosomal clustering and impaired lysosomal axonal trafficking in induced pluripotential stem cell-derived forebrain neurons. However, both PTVs and missense variants were associated with reduced lysosomal proteolysis and activity of lysosomal hydrolases glucocerebrosidase and cathepsin B, indicating lysosomal dysfunction. Our study reveals a role for BORCS5 in modulation of lysosomal function, in addition to its known role in lysosome movement and fusion, possibly underlying the diverse clinical manifestations in individuals with BORCS5-related disorders.

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Copyright © 2026 American Society for Clinical Investigation
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