PIK3CA and fleck corneal dystrophy: Somatic and/or germline variants in numerous PI3K–AKT–mTOR pathway genes, including TSC2, TSC1, MTOR, PIK3CA, AKT3, RHEB, DEPDC5, NPRL3 and NPRL2, are known to be associated with malformations within the FCD–hemimegalencephaly spectrum55,135–139.