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At 8 years of age hyperkinetic movement occurred. At age 13, whole-exome sequence identified a heterozygous missense variant, NM_014232.2c.199GC,[p.(Ala67Pro)] in exon 3 of VAMP2 which was a de novo non-synonymous variant. CONCLUSION This is the first case report of VAMP2 variant in Japan. Hypotonia at early infancy, poor visual fixation, and absence of purposeful hand movements may be indicative of the diagnosis for VAMP2 variant. BACKGROUND Riboflavin may prevent migraine episodes; however, there is limited evidence of its effectiv

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