Unlike PDX1 or GATA6 mutations, which are often associated with additional congenital anomalies (e.g., cardiac defects or cerebellar hypoplasia), ZNF808-related agenesis appears to predominantly affect the pancreas, though extra-pancreatic features (e.g., renal hypoplasia in this case) may still occur [11]. Here, ZNF808 is linked to Cerebellar hypoplasia.