Retarded growth and development
The patient cannot sit stably yet when admitted at 3 year old. Language delay and cerebral dysplasia
were also observed in this patient. Cranial MRI showed bilateral lateral ventricle and subarachnoid space
enlargement, and myelination of the brain white matter was slower than full-term normal infants.
Others
A series of biochemical analysis also helped to exclude metabolic diseases. All of the biochemical results
were normal. GS/MS metabolic disorder test was also negative, with no evidence of metabolic diseases.
According to the above clinical observations and laboratorial results, the patient was finally diagnosed
as CHARGE syndrome.