“…To date, only 20 families (including the present one) in whom microcephaly was transmitted as an auto-soma1 dominant trait have been reported (Hennekam et al 1992, Merlob et al 1988). There is considerable variation in the clinical phenotypic expression of autosomal dominant microcephaly: 1) slightly dysmorphic facies (six families); 2) short stature (three families); 3) mild mental retardation (four families); 4) seizure (three families); 5 ) congenital heart disease (three families); 6) lymphedema (two families) (Haslam & Smith 1979, Burton Akaboshi et al 1981, Rossi & Battilana 1982, Haslam 1982, Ramirez et al 1983, Leung 1985, Crowe & Dicke'rman 1986, Rossi et al 1987, Merlob et al 1988, Hennekam et al 1992. Neurological abnormalities such as clonus and hyperactivity were present only in two families, but there was no association with external hydrocephalus (Haslam & Smith 1979, Haslam 1982.…”