The presentations of MOGHE are highly variable, including but not limited to epileptic spasms (ESs), tonic or clonic seizures, hyperkinetic seizures, and cognitive impairment.4, -, 6 Owing to the overlap in phenotypes, MOGHE can be easily misdiagnosed as focal cortical dysplasia or epileptic encephalopathies before surgeries.7 However, unlike other developmental causes of epilepsy, the surgical prognosis is unexpectedly favorable in some patients despite the seemingly widespread seizure network.4, -, 6,8,9 Furthermore, MOGHE is also strongly associated with SLC35A2 variants. Here, SLC35A2 is linked to epilepsy.