Neurodevelopmental Disorder with Microcephaly, Hypotonia, and Variable Brain Anomalies, also known as nmihba, is related to amed syndrome, digenic and microcephaly. An important gene associated with Neurodevelopmental Disorder with Microcephaly, Hypotonia, and Variable Brain Anomalies is PRUNE1 (Prune Exopolyphosphatase 1). Affiliated tissues include brain and tongue, and related phenotypes are global developmental delay and gastroesophageal reflux