CASE 44: 4y/o male patient with ataxia and failure to thrive.

This patient has intellectual disability  and progressive ataxia that are comprimising the overall development. Medical history reveals facial alterations but with no detail in what kind of alterations.

Pediatrician suspects a congenital disorder due to phenotypic characteristics but he also wants to rule out sequels of perinatal hypoxia.

Here are the relevant images:

Findings?...soon the conclusion.