raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:139441

Hypomyelination with atrophy of basal ganglia and cerebellum

Synonyms: H-ABC

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Childhood, Infancy, Neonatal
Status
active

A rare disorder characterized by slowly progressive spasticity, extrapyramidal movement disorders (dystonia, choreoathetosis and rigidity), cerebellar ataxia, moderate to severe cognitive deficit, and anarthria/dysarthria. Patients present with distinctive MRI findings of diffuse hypomyelination of the cerebral hemispheres, mild to severe cerebellar atrophy, and atrophy of the basal nuclei.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHypomyelination with atrophy of basal ganglia and cerebellumH-ABC
frHypomyélinisation avec atrophie des noyaux gris centraux et du cerveletH-ABC · Hypomyélinisation avec atrophie des ganglions de la base et du cervelet
deHypomyelinisierung mit Atrophie der Basalganglien und des Kleinhirns= en
esHipomielinización con atrofia de los ganglios basales y del cerebelo= en
itIpomielinizzazione con atrofia dei gangli basali e del cervelletto= en
nlHypomyelinisatie met atrofie van basale ganglia en cerebellum= en
ptHipomielinização com atrofia dos gânglios basais e do cerebelo
plHipomielinizacja z zanikiem zwojów podstawnych i móżdżku= en
csHypomyelinizace s atrofií bazálních ganglií a mozečku= en
ukГіпомієлінізація з атрофією базальних гангліїв і мозочка= en
zh髓鞘形成不足伴基底节和小脑萎缩= en
trBazal gangliyon ve beyincik atrofisi ile seyreden hipomiyelinazyon= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612438BTNTvalidated
OMIM617899BTNTvalidated
ICD-10E75.2NTBTattributedvalidated
ICD-118A44.3NTBTindexvalidated
MONDO12905Evalidated
GARD10917Evalidated

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 (1):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TUBB4ADisease-causing germline mutation(s) inAssessedHGNC:20774ENSG0000010483360266219p13.3tubulin beta 4A class IVa23582646[PMID]
UFM1Disease-causing germline mutation(s) inAssessedHGNC:20597ENSG0000012068661055313q13.3ubiquitin fold modifier 128931644[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families216 casesWorldwideCase(s)Validated39951964[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card