LARP7 and microcephalic primordial dwarfism, Alazami type: Here, we report a boy with severe NDD, absent speech with profound neurosensorial deafness, growth restriction, and facial dysmorphisms, resulting from double homozygosity in LARP7, causing Alazami syndrome and OTOG, associated with a very rare form of autosomal recessive neurosensorial deafness.