“…Homozygous deletion of SMN1 was indeed observed in atypical forms of SMA including those associated with congenital heart defects, arthrogryposis, or, in some patients, those affected with congenital axonal neuropathy or an adult form of SMA 6, 11, 13, 23, 53, 104. In contrast, neither deletion of the SMN1 gene nor linkage to chromosome 5q has been observed in SMA associated with diaphragmatic involvement, SMA with olivopontocerebellar atrophy, the autosomal dominant form of SMA, or the post‐polio syndrome 2, 43, 49, 75, 89. Although SMN1 gene deletion testing has allowed accurate prenatal prediction, the genomic complexity of the region and its high degree of variability have hampered the ability to directly detect the SMA carriers.…”