0:00:00we are supporting by this article to the reality of an enlargement with thirteen children
0:00:07the all of them actually arm in major age
0:00:11and one of them the main children
0:00:15actually aged forty four years old was brought by his relatives
0:00:20to our facility with clinically very clear dimension
0:00:25perform a matter why you were very large and diffuse recall and support of batik
0:00:30changes where c so we have had the can equally it's suspicion of the calluses
0:00:38there are two we perform the genetic analysis
0:00:41a trying to find a notch limitations in the chromosome nineteen so to the let's
0:00:49see to collect the i am right imaging and correspond such imaging we've the integral
0:00:55over dementia rating found
0:00:57annotation example for
0:01:00and the this was the
0:01:03reason why we thought
0:01:05the criteria for clinical a clear and maybe
0:01:11right logically the conforms
0:01:15tactless of colours where matt
0:01:18after we found in addition we perform the same genetic analysis quantity should not the
0:01:23family and we found that in addition only to the older sister of the family
0:01:28which is
0:01:28actually fifty also
0:01:30one or very the
0:01:33astonish astonishment
0:01:35we did not found in this regard to changes in or any neurological deficits
0:01:40it
0:01:41to the system of the feminine which is fifty or so although she had
0:01:46the
0:01:47very characteristic them right changes in the people cut is that have also
0:01:54the same annotation
0:01:55the scene additional was not found to the model of seventeen or was it is
0:01:59found in the other eleven subjects of the family
0:02:03so what opinion we are dealing with a very low an utterance irritation
0:02:08in the than in family
0:02:11this is the first case
0:02:12i we are referring the
0:02:15a large family with thirteen siblings
0:02:17the formal only two
0:02:20or i
0:02:22something in addition leading to the titles of got a simple
0:02:27clinical diagnosis was met
0:02:29in only one of the
0:02:31thank you