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Microcephaly, Epilepsy, and Diabetes Syndrome 1: A Moroccan Case Report of Novel Compound Heterozygous IER3IP1 Mutations and Literature Review

Open Access
|Oct 2025

Figures & Tables

Figure 1.

Family pedigree.
Family pedigree.

Figure 2.

Brain MRI of the patient(a) Axial T2-image showing partial agenesis of the corpus callosum with moderate ventriculomegaly.(b) Axial FLAIR image showing a simplified gyral pattern consistent with lissencephaly.
Brain MRI of the patient(a) Axial T2-image showing partial agenesis of the corpus callosum with moderate ventriculomegaly.(b) Axial FLAIR image showing a simplified gyral pattern consistent with lissencephaly.

Figure 3.

Clinical features of the patient.
Clinical features of the patient.

Clinical and Genetic Findings in Reported MEDS1 Cases and Current Case

ArticlePoulton et al 2011Abdeslam et al 2012Shalev et al 2013Valenzuela et al 2017Rjiba et al 2021Söbü et al 2022Zegarra et al 2023Current report
Case123456789101112
Parental originMoroccoArgentinaEgyptEgyptEgyptEgyptLibya-Tangier ColombiaSpainTunisiaTurkeyNRNorthern Moroccp
Consanguinity+Presumed++++++
SexMMMFFFMMMMFM
Diabetes onset2 moAt birth<1 wk2 mo40 days2 wk2 mo5 wk2 mo18 mo4 mo3 mo
Epilepsy onset2 mo2 moFew days of life2 moAt birth2 mo2 moNR2 mo2 mo2 mo1 mo
Microcephaly++++++++++++
Dysmorphic featuresNRNR++++++++NR+
Skeletal manifestationsNRNR++++NRNRNR
Abnormal genitaliaHypogonadismRetractile testes/normal genitaliaSmall genitalia/unilateral cryptorchidism
Age of death1 y 5 mo2 y 3 mo5 y 5 mo2 y 3 mo3 y 5 moNR8 y7 weeks1 yNRNR1 y 3 mo
IER3IP1 Variantsp.Val21Glyp.Leu78Prop.Leu78Prop.Leu78Prop.Leu78Prop.Leu78Prop.Val21Gly)/p.phe27fsSer*25p.Leu78Prop.Val21Glyp.Ala18Valp.Leu80*)/c2T>A(initiator codon)p.Val21Gly/p.Leu79Ter
Variant statusHomozygusHomozygusHomozygusHomozygusHomozygusHomozygusCompound hoterozygousHomozygusHomozygusHomozygusHomozygusCompound hoterozygousCompound hoterozygous
Language: English
Published on: Oct 8, 2025
Published by: Macedonian Academy of Sciences and Arts
In partnership with: Paradigm Publishing Services
Publication frequency: 2 times per year

© 2025 H Jelti, K Khabbache, S Bouressas, F Hacht, A Oulmaati, A Lamzouri, published by Macedonian Academy of Sciences and Arts
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.