We report a rare case of a 14-month-old male child who was referred for developmental delay. Clinical examination revealed a
hypotonic infant with speech delay and no dysmorphic features. The banding cytogenetics revealed a small supernumerary marker
chromosome. Upon silver staining, the marker showed the presence of satellite regions on either ends. Further, analysis using fluorescence
in situ hybridization on marker chromosome revealed its origin from chromosome 15.
