raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1568

X-linked intellectual disability-Dandy-Walker malformation-basal ganglia disease-seizures syndrome

Synonyms: Pettigrew Syndrome · AP1S2-related neurodevelopmental disorder · AP1S2-related X-linked intellectual disability

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Neonatal
Status
active

A rare central nervous system malformation characterized by severe intellectual deficit, early hypotonia with progression to spasticity and contractures, choreoathetosis, seizures, dysmorphic face (long face with prominent forehead), and brain imaging abnormalities such as Dandy-Walker malformation, and iron deposition.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability-Dandy-Walker malformation-basal ganglia disease-seizures syndromePettigrew Syndrome · AP1S2-related neurodevelopmental disorder · AP1S2-related X-linked intellectual disability
frSyndrome de déficience intellectuelle liée à l'X-malformation de Dandy-Walker-anomalies des noyaux gris centraux-convulsionsSyndrome de Pettigrew · Syndrome de déficience intellectuelle liée à l'X-malformation de Dandy-Walker-anomalies des ganglions de la base-convulsions · Trouble du neurodéveloppement associé à AP1S2 · Syndrome de déficience intellectuelle liée à l'X associé à AP1S2
deX-chromosomale Intelligenzminderung-Dandy-Walker-Fehlbildung-Basalganglienkrankheit-Krämpfe-SyndromX-chromosomale Intelligenzminderung, AP1S2-assoziierte · Pettigrew-Syndrom · AP1S2-assoziierte neurologische Entwicklungsstörung
esSíndrome de discapacidad intelectual-malformación de Dandy-Walker-enfermedad de los ganglios basales-crisis ligado al cromosoma XSíndrome de Pettigrew · Discapacidad intelectual asociada al gen AP1S2
itSindrome disabilità cognitiva legata all'X-malformazione di Dandy-Walker-malattia dei gangli della base-epilessiaDisabilità intellettiva legata all'X correlata ad AP1S2 · Sindrome di Pettigrew · Malattia del neurosviluppo correlata ad AP1S2
nlX-gebonden intellectuele achterstand - Dandy-Walker malformatie - aandoening van basale ganglia - insulten-syndroomAP1S2-gerelateerde neurologische ontwikkelingsstoornis · AP1S2-gerelateerde X-gebonden intellectuele achterstand · Syndroom van Pettigrew
ptSíndrome de perturbação do desenvolvimento intelectual-malformação Dandy-Walker-doença dos gânglios basais-convulsões ligada ao XSíndrome Pettigrew
plNiepełnosprawność intelektualna sprzężona z chromosomem X - malformacja Dandy'ego i Walkera - choroba zwojów podstawnych - napady padaczkoweSprzęzony z chromosomem X zespół niepełnosprawności intelektualnej, malformacji Dandy-Walkera, choroby zwojów podstawy mózgu oraz drgawek
csSyndrom zahrnující X-vázanou mentální retardaci, Dandyho-Walkerovu malformaci, postižení bazálních ganglií a záchvatySyndrom zahrnující X-vázanou mentální retardaci, Dandy-Walkerovu malformaci, postižení bazálních ganglií a záchvaty
ukХ-зчеплена розумова відсталість - вада розвитку Денді-Уокера - хвороба базальних гангліїв - судомний синдромСиндром Петтігрю
zhX连锁智力障碍-Dandy-Walker畸形-基底神经节疾病-癫痫发作综合征
trX'e bağlı zihinsel yetersizlik-Dandy-Walker malformasyonu-bazal ganglion hastalığı-nöbet sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM304340NTBTvalidated
ICD-10Q04.8NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO10574Evalidated
MeSHC535773Evalidated
UMLSC0796254Evalidated
GARD8520Evalidated

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 (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AP1S2Disease-causing germline mutation(s) inAssessedHGNC:560ENSG00000182287300629Xp22.2adaptor related protein complex 1 subunit sigma 223756445[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated23756445[PMID]_23756445[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

7 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0002120Cerebral cortical atrophy
HP:0000028Cryptorchidism
HP:0000023Inguinal hernia
HP:0000256Macrocephaly
HP:0000486Strabismus
HP:0002119Ventriculomegaly

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card