A contiguous deletion of the S-promoter/first S exon and its downstream exo
n 56 of the dystrophin gene was identified in a Japanese dystrophinopathy f
amily in which two brothers and their half brother were affected. Character
istically, severe mental retardation cosegregated with the deletion even th
ough they grew up in different environments. Furthermore, mild cerebral atr
ophy was observed by CT scan and MRI in the eldest brother.