Mowat-Wilson syndrome: neurological and molecular study in seven patients

Arq Neuropsiquiatr. 2015 Jan;73(1):12-7. doi: 10.1590/0004-282X20140182. Epub 2015 Jan 1.


Objective: To present a seven-cases serie of Mowat-Wilson syndrome (MWS).

Method: All patients with positive mutation for the ZEB2 were evaluated by a geneticist and a neurologist, with clinical and laboratorial characterization.

Results: A peculiar facies and mental retardation were present in all patients. The Denver II scale showed intense delay in all aspects, especially fine motor and adaptive. Acquired microcephaly was observed in five patients. Only one patient did not present epilepsy. Epilepsy was focal and predominating in sleep, with status epilepticus in three patients. The initial seizure was associated with fever in most patients (4/6). The EEG showed epileptic focal activity (5/7). The imaging studies revealed total agenesis (4/7) and partial agenesis of the corpus callosum (1/7).

Conclusion: Physicians who care for patients with mental retardation and epilepsy should be aware of SMW.

MeSH terms

  • Child
  • Child, Preschool
  • Facies
  • Female
  • Hirschsprung Disease / genetics*
  • Hirschsprung Disease / physiopathology
  • Homeodomain Proteins / genetics*
  • Humans
  • Infant
  • Intellectual Disability / genetics*
  • Intellectual Disability / physiopathology
  • Male
  • Microcephaly / genetics*
  • Microcephaly / physiopathology
  • Mutation*
  • Repressor Proteins / genetics*
  • Retrospective Studies
  • Zinc Finger E-box Binding Homeobox 2


  • Homeodomain Proteins
  • Repressor Proteins
  • ZEB2 protein, human
  • Zinc Finger E-box Binding Homeobox 2

Supplementary concepts

  • Mowat-Wilson syndrome