We report a 5-year-old Spanish male with a homozygous SPOUT1 variant (NM₀16390. 4: c. 1058C>T; p. Thr353Met), identified by re-analysis of whole-genome sequencing. His phenotype includes severe developmental delay, microcephaly, epilepsy evolving to Lennox-Gastaut-like syndrome, growth impairment, dysmorphic features, and multiple congenital anomalies. Our case expands the SPOUT1-related neurodevelopmental spectrum and underscores the diagnostic value of periodic genomic data re-analysis.
Valle et al. (Sun,) studied this question.