Leonardo

Leonardo is undiagnosed
Leonardo is undiagnosed
Date of Report

Leonardo

Neurological issues with hypertonia in arm & legs and hypotonia in the trunk and aspirates. Developmental delay and cannot sit, roll, walk, talk etc.

Gender and year of birth

Male, 2018


Description

Leonardo has severe neurological issues with hypertonia in arm and legs, hypotonia in the trunk, and aspirates. He has global developmental delays and cannot sit, roll, walk, talk etc. He wears hand and foot orthoses and uses glasses He has had one occurrence of seizures He has microcephaly and complete agenesis of the corpus callosum.


Symptoms / Signs

  • Microcephaly
  • Complete agenesis of the corpus callosum
  • Mild third ventriculomegaly
  • Feeding difficulties (oropharyngeal phase dysphagia)
  • Reflux
  • Phlegm build-up
  • Drooling
  • Global developmental delays
  • Hypertonia
  • Hypotonia
  • Deficient upgaze
  • Seizures

Current Treatments

  • Physical, feeding and occupational therapies
  • PEP-mask
  • G-tube
  • Baclofen
  • Melatonin
  • Lacrofarm
  • Junior Nexium
  • Ergenyl
  • Buccolam (in case of seizure, never been used)

Prior Treatments

  • Ketogenic diet

Considered treatments

  • Additional muscle relaxers

Previously Considered Diagnoses

  • PDCD 
  • VARS 2 (Leonardo, his father and his sister has mutation, this has however been ruled out after further testing - VARS2 deletion/duplication analysis negative and targeted long-read sequencing of VARS2 on a research basis negative.)
  • Metabolic disease
  • Mitochondrial disease

Genetic Variants of Interest

  • VARS 2 (Leonardo, his father and his sister has mutation, this has however been ruled out after further testing)

Evaluated at

Seattle Children's Hospital in cooperation with University of Washington Medical School

Siblings, age & gender

Sister 5 years old


Contact

If this participant sounds like you or someone you know, please contact Wilhelm Foundation at info@wilhelmfoundation.org


Bio

Leonardo is  a very social boy, with a wonderful laughter. Leonardo loves to play, be in the water, be in his swing, dance (assisted), try foods, walk (in his walker), attempt to crawl etc. He can do a couple of signs and a few sounds.


More pictures