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To further delineate the electroclinical features of individuals with SYNGAP1 pathogenic variants. Participants with pathogenic SYNGAP1 variants and available video-electroencephalogram (EEG) recordings were recruited within five European epilepsy reference centers. We obtained molecular and clinical data, analyzed EEG recordings and archived video-EEGs of seizures and detailed characteristics of interictal and ictal EEG patterns for every patient. We recruited 15 previously unreported patients and analyzed 72 EEGs. Two distinct EEG patt