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Article History

Received: 25 May 2020

Accepted: 22 September 2020

First Online: 23 October 2020

Ethics approval and consent to participate

: The present study has been approved by the Institutional Review Board II, Medical Faculty Mannheim, Heidelberg University (2020-832R).

: The patient described in this manuscript finally died in 2014. Since then, her parents have not visited our hospital again, and we have failed to contact them recently to ask for their consent to the present publication. No identifiable photos of the child have been added to the manuscript, and due to the huge catchment area of our hospital, including a population of approximately two million citizens, identification of the family by the clinical description seems largely excluded. We, however, hope that the case description as well as the representative neuroradiological imaging and the impressive figure concerning telomer shortening may remain in the present review.

: The authors declare that they have no competing interests.