“…Loss of function mutations in NSD1 are a major cause of Sotos Syndrome (Kurotaki et al, 2002(Kurotaki et al, , 2005 which presents with macrocephaly, pre-and postnatal overgrowth, facial dysmorphism, ID, autistic features, developmental delay, and in some cases seizures (Sotos et al, 1964;Fortin et al, 2021). The macrocephaly phenotype associated with NSD1 mutations in Sotos syndrome has variable penetrance as 72-95% of patients present with larger head circumference (Cecconi et al, 2005;Faravelli, 2005;Saugier-Veber et al, 2007;Fortin et al, 2021;Muhsin et al, 2022). In contrast, duplication of NSD1 in the microduplication 5q35 syndrome leads to microcephaly in 74% of cases, with undergrowth, and developmental delay in close to 90% of the cases (Chen et al, 2006;Franco et al, 2010;Dikow et al, 2013;Rosenfeld et al, 2013;Quintero-Rivera et al, 2021).…”