Roger has severe spatial difficulties, an elongated face, is hyperactive and is prone to anxiety. Based on this information, it is more likely that he has:

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Fragile X syndrome is characterized by intellectual disability, behavioral and learning challenges, and various physical features. The symptoms described, such as severe spatial difficulties, an elongated face, hyperactivity, and proneness to anxiety, are consistent with Fragile X syndrome. Fragile Y syndrome does not exist, Klinefelter's syndrome involves a different set of symptoms primarily related to physical and reproductive development, and Down syndrome is associated with a distinct set of physical and intellectual characteristics.

Roger Has Severe Spatial Difficulties, an Elongated Face, Is Hyperactive