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However, the Mini-Mental State Examination, the Hasegawa Dementia Scale, and the Kohs block test showed no improvement

Pochini L, Scalise M, Galluccio M, Indiveri C

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The usual presentation of urea cycles disorders is neonates with extremely high levels of ammonia and coma

Both examples reinforce the view that other mechanisms beyond solely triplication of Hsa21 are involved to explain the wide phenotypic variation occurring in DS individuals