raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:166063

Pontocerebellar hypoplasia type 4

Synonyms: Fatal infantile encephalopathy with olivopontocerebellar hypoplasia · Olivopontocerebellar hypoplasia · PCH4

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal
Status
active

A severe, genetic form of pontocerebellar hypoplasia (PCH) characterized by delayed neocortical maturation with underdeveloped cerebral hemispheres and pontocerebellar hypoplasia and a severely affected vermis. Clinically, the disorder manifests with prenatal onset of polyhydramnios and contractures followed by hypertonia, severe clonus, primary hypoventilation leading to an early postnatal death.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPontocerebellar hypoplasia type 4Fatal infantile encephalopathy with olivopontocerebellar hypoplasia · Olivopontocerebellar hypoplasia · PCH4
frHypoplasie pontocérébelleuse type 4Encéphalopathie fatale infantile avec hypoplasie olivopontocérébelleuse · HPC4 · Hypoplasie olivopontocérébelleuse
dePontozerebelläre Hypoplasie Typ 4Fatale infantile Enzephalopathie mit olivopontozerebellärer Hypoplasie · Olivopontozerebellärer Hypoplasie · PCH4
esHipoplasia pontocerebelosa tipo 4Encefalopatía letal del lactante con hipoplasia olivopontocerebelosa · HPC4 · Hipoplasia olivopontocerebelosa
itIpoplasia pontocerebellare, tipo 4Encefalopatia infantile fatale con ipoplasia olivo-ponto-cerebellare · Ipoplasia olivo-ponto-cerebellare · PCH4
nlPontocerebellaire hypoplasie type 4Fatale infantiele encefalopathie met olivopontocerebellaire hypoplasie · Olivopontocerebellaire hypoplasie · PCH4
ptHipoplasia pontocerebelosa tipo 4
plHipoplazja mostowo-móżdżkowa typu 4Hipoplazja oliwkowo-mostowo-móżdżkowa · PCH4 · Śmiertelna niemowlęca encefalopatia z hipoplazją oliwkowo-mostowo-móżdżkową
csPontocerebelární hypoplázie, typ 4Fatální infantilní encefalopatie s olivopontocerebelární hypoplázií · Olivopontocerebelární hypoplázie · PCH4
ukПонтоцеребеллярна гіпоплазія тип 4Фатальна дитяча енцефалопатія з гіпоплазією оливопонтоцеребеллярного типу · Оливопонтомозочкова гіпоплазія · PCH4
zh桥脑小脑发育不全4型致命性婴儿脑病伴橄榄体脑桥小脑发育不良
trPontoserebellar hipoplazi tip 4PCH4 · Olivopontoserebellar hipoplazi · Olivopontoserebellar hipoplazili letal infantil ensefalopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM225753Evalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LD20.01NTBTindexvalidated
MONDO0009166Evalidated
MeSHC536716Evalidated
UMLSC1856974Evalidated
GARD343Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TSEN54Disease-causing germline mutation(s) inAssessedHGNC:27561ENSG0000018217360875517q25.1tRNA splicing endonuclease subunit 54
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 familiesWorldwideFamily(ies)Validated[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20952379[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

14 annotations · validated 2019-08-01
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0002804Arthrogryposis multiplex congenita
HP:0002871Central apnea
HP:0001276Hypertonia
HP:0002365Hypoplasia of the brainstem
HP:0001336Myoclonus
HP:0006955Olivopontocerebellar hypoplasia
HP:0001561Polyhydramnios
HP:0011451Primary microcephaly
HP:0004887Respiratory failure requiring assisted ventilation
HP:0001250Seizure
Occasional (29-5%)
HP:0000347Micrognathia
HP:0011800Midface retrusion
HP:0000340Sloping forehead

Annotation source: 20952379[PMID]_21824568[PMID]_20301773[PMID]_20956791[PMID]

7

Sources for this card