“…Other abnormalities include lingual hypoplasia, sensorineural hearing loss, craniofacial malformations (epicanthic folds, micrognathia), and abnormalities of the extremities (syndactyly, pes planus, valgus femur) [6,8]. Cardiovascular abnormalities are rarely present but can include dextrocardial, atrial, or ventricular septal defect, transposition of the great vessels, and total anomalous pulmonary venous connection [9][10][11][12][13]. Although most patients have normal intelligence, approximately 10 % of patients have mental retardation, and another 30-40 % may be diagnosed with autism [8,9].…”