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From the Department of Neurology and Division of Neuroscience (Drs. Poolos, Clark, and Noebels), and Department of Pediatrics (Dr. Clark), Baylor College of Medicine, Houston, TX; Department of Human Genetics (Drs. Das and Dobyns), University of Chicago, IL; and Department of Neurology (Drs. Lardizabal and Wyllie), Cleveland Clinic Foundation, OH.
Address correspondence and reprint requests to Nicholas P. Poolos, MD, PhD, Dept. of Neurology, Harborview Medical Center, Box 359745, University of Washington, Seattle, WA 98104; e-mail: npoolos{at}u.washington.edu
Subcortical band heterotopia (SBH) is seen predominantly in females, resulting from mutations in the X-linked doublecortin (DCX) gene, and can present with mild mental retardation and epilepsy. Males carrying DCX mutations usually demonstrate lissencephaly and are clinically much more severely affected. This article reports two cases of males with SBH indistinguishable from the female phenotype, both resulting from somatic mosaicism for DCX mutation.
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