Abstract
Mutations in KAT6A encoding a histone acetyltransferase involved in chromatin remodeling and in other
genes involved in histone acetylation and/or deacetylation have been implicated in
broad phenotypes of congenital and developmental abnormalities. However, limited genotype–phenotype
correlations are available for some of the most rare or recently reported genetic
disorders related to chromatin dysregulation. We hereby report a de novo truncating
mutation in KAT6A (c.3338C > G; p.S1113X) in a young male patient with intellectual disability associated
with impaired speech and autistic features, who also presented with infantile seizures
and a complex movement disorder phenotype with paroxysmal episodes of abnormal startle
responses.
Keywords
KAT6A - startle reflex syndrome - global developmental delay