Table 1 A depiction of clinical symptoms associated with MCPH

Microcephaly (at least 2 SD below the mean) at birth, mild to severe, non-progressive mental retardation (borderline IQ is possible).

Reduction of cerebral cortical volume (neuronal proliferation defect) and simplification of gyral pattern in most cases

Epilepsy/fits/seizures are very rare but cannot exclude the diagnosis (ASPM)

Premature chromosome condensation in some cases with increased prophase-like cells (MCPH1)

Sloping forehead is although common but is not always associated

Pachygyria with cortical thickening as well as hypoplasia/agenesis of the corpus callosum (neuronal migration defect) in some cases (ASPM, WDR62)

Delay in early motor milestones (Speech delay is common)

In few cases Lissencephaly, schizencephaly, polymicrogyria and, cerebellar hypoplasia have also been observed (WDR62)

Some times aggressive but otherwise have a happy effect (easy to handle)

Short stature in some cases (MCPH1)