raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1186

Infantile-onset spinocerebellar ataxia

Synonyms: IOSCA · Ohaha syndrome · Ophthalmoplegia-hypotonia-ataxia-hypoacusis-athetosis syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

Infantile-onset spinocerebellar ataxia (IOSCA) is a hereditary neurological disorder with early and severe involvement of both the peripheral and central nervous systems. It has only been described in Finnish families.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enInfantile-onset spinocerebellar ataxiaIOSCA · Ohaha syndrome · Ophthalmoplegia-hypotonia-ataxia-hypoacusis-athetosis syndrome
frAtaxie spinocérébelleuse infantileSyndrome Ohaha · Syndrome d'ophtalmoplégie-hypotonie-ataxie-hypoacousie-athétose
deAtaxie, infantile spinozerebelläreIOSCA · Ohaha-Syndrom · Ophtalmoplegie-Hypotonie-Ataxie-Hypoakusis-Atethose-Syndrom
esAtaxia espinocerebelosa de inicio en el lactanteIOSCA · Oftalmoplejía-ataxia-hipoacusia · Síndrome de Ohaha
itAtassia spinocerebellare a esordio infantileIOSCA · Oftalmoplegia - atassia - ipoacusia · Sindrome di Ohaha
nlInfantiele spinocerebellaire ataxieIOSCA · OHAHA-syndroom · Oftalmoplegie - hypotonie - ataxie - hypoacousis - athetose-syndroom
ptAtaxia espinocerebelosa de início na infânciaIOSCA · Oftalmoplegia-ataxia-surdez · Síndrome Ohaha
plDziecięca ataksja rdzeniowo-mózdżkowaIOSCA · Oftalmoplegia - hipotonia - ataksja - niedosłuch - atetoza · Zespół Ohaha
csSpinocerebelární ataxie s nástupem v dětském věkuIOSCA · OHAHA syndrom · Syndrom zahrnující oftalmoplegii, hypotonii, ataxii, hypakuzi a atetózu
ukІнфантильна спіноцеребеллярна атаксіяIOSCA · Синдром Охаха · Синдром офтальмоплегії-гіпотонії-атаксії-гіпоакузії-атетозу
zh婴儿起病型脊髓小脑共济失调眼外肌麻痹-肌张力低下-共济失调-听觉减退-手足徐动综合征
trİnfantil başlangıçlı spinoserebellar ataksiIOSCA · Ohaha sendromu · Oftalmopleji-hipotoni-ataksi-hipoakuzi-atetoz sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM271245Evalidated
ICD-10G11.1NTBTattributedvalidated
ICD-11LD90.YNTBTindexvalidated
MONDO0010060Evalidated
MeSHC535523Evalidated
UMLSC1849096Evalidated
GARD4062Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TWNKDisease-causing germline mutation(s) inAssessedHGNC:1160ENSG0000010781560607510q24.31twinkle mtDNA helicase20301746[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families29 casesWorldwideCase(s)Validated27551684[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20301746[PMID]_27551684[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

7 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100022Abnormality of movement
HP:0002270Abnormality of the autonomic nervous system
HP:0001251Ataxia
HP:0000365Hearing impairment
HP:0000602Ophthalmoplegia
HP:0000648Optic atrophy
HP:0001315Reduced tendon reflexes

Run the differential on the 7 obligate / very frequent terms

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Sources for this card