Abstract
An ultrarare neurodevelopmental disorder, 14q11.2 microduplication syndrome involves the SUPT16H and CHD8 genes. We describe a 12-year-old male patient with a de novo 743 kb interstitial duplication detected using chromosomal microarray. He presented with a complex neurodevelopmental disorder incorporating developmental delay, intellectual disability, autism spectrum disorder, epilepsy, attention-deficit/hyperactivity disorder, obesity, aggressive behaviors, dysmorphic features, and cerebral palsy. This report adds to the limited literature on this ultrarare condition and underscores the importance of comprehensive genetic evaluation in patients with complex neurodevelopmental presentations, even in the presence of known perinatal complications.