“…Loss function of NSD1 gene is due to microdeletion and mutations (missense variants, nonsense variants, splice variants, small insertions, and rearrangements) (Mencarelli et al., 2018 ), mainly leading to macrocephaly and overgrowth (12/14). Almost patients presented with development milestones delay in speech, dyskinesia, and different degrees of learning impairment (14/14) (Han et al., 2017 ; Piccione et al., 2011 ). Many cases were reported other clinical features, such as scoliosis, renal malformations, cardiac anomalies, syndactyly, neonatal hypotonia, joint hyperlaxity, reproductive system diseases, seizures, myopia, and conductive hearing loss (Foster et al., 2019 ; Sohn et al., 2013 ; Tatton‐Brown et al., 2005 ).…”