label: PURA-related severe neonatal hypotonia-seizures-encephalopathy syndrome
label_lc: pura-related severe neonatal hypotonia-seizures-encephalopathy syndrome
description: A rare neurologic disease characterized by neonatal hypotonia, global developmental delay, feeding difficulties, and often seizures or seizure-like episodes. Other frequently observed signs and symptoms include variable dysmorphic features, myopathic facies, respiratory problems, and visual abnormalities, such as strabismus or esotropia. Brain imaging may show delayed myelination and other white matter abnormalities.