raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:206580

Autosomal recessive lower motor neuron disease with childhood onset

Synonyms: Autosomal recessive distal spinal muscular atrophy type 4 · Distal spinal muscular atrophy type 4 · dSMA4

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

A rare, genetic, neuromuscular disease characterized by proximal muscle weakness with an early involvement of foot and hand muscles following normal motor development in early childhood, a rapidly progressive disease course leading to generalized areflexic tetraplegia with contractures, severe scoliosis, hyperlordosis, and progressive respiratory insufficiency leading to assisted ventilation. Cranial nerve functions are normal and tongue wasting and fasciculations are absent. Milder phenotype with a moderate generalized weakness and slower disease progress was reported.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive lower motor neuron disease with childhood onsetAutosomal recessive distal spinal muscular atrophy type 4 · Distal spinal muscular atrophy type 4 · dSMA4
frMaladie du motoneurone inférieur autosomique récessive de l'enfanceAmyotrophie spinale distale autosomique récessive type 4 · Amyotrophie spinale distale type 4 · dSMA4
deVorderhornerkrankung, autosomal-rezessive, des KindesDSMA4 · Muskelatrophie, distale spinale, Typ 4
esEnfermedad de la motoneurona inferior autosómica recesiva de la infanciaAtrofia espinal distal autosómica recesiva tipo 4 · Atrofia muscular espinal distal tipo 4 · DSMA4
itMalattia dei motoneuroni inferiori autosomica recessiva ad esordio infantileAtrofia muscolare spinale distale, autosomica recessiva, tipo 4 · Atrofia muscolare spinale distale, tipo 4 · DSMA4
nlAutosomaal recessieve lage motorneuronziekte met aanvang in de kindertijdAutosomaal recessieve distale spinale spieratrofie type 4 · DSMA4 · Distale spinale spieratrofie type 4
ptDoença do segundo neurónio motor, autossómica recessiva, com apresentação na infância
plAutosomalna recesywna choroba dolnego neuronu ruchowego o początku w wieku dziecięcymAutosomalny recesywny dystalny rdzeniowy zanik mięśni typu 4 · dSMA4 · Dystalny rdzeniowy zanik mięśni typu 4
csAutozomálně recesivní onemocnění dolního motoneuronu s počátkem v dětstvíDistální spinální svalová atrofie, typ 4 · dSMA4 · Autozomálně recesivní distální spinální svalová atrofie, typ 4
ukАутосомно-рецесивне захворювання нижніх моторних нейронів, що починається в дитячому віціАутосомно-рецесивна дистальна спінальна мязова атрофія, тип 4 · Дистальна спінальна мязова атрофія, тип 4 · dSMA4
zh儿童起病常染色体隐性下运动神经元病常染色体隐性遗传远端脊髓性肌萎缩4型
trÇocukluk çağında başlayan otozomal resesif alt motor nöron hastalığıdSMA4 · Distal spinal kas atrofisi tip 4 · Otozomal çekinik distal spinal müsküler atrofi tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611067Evalidated
ICD-10G12.2NTBTattributedvalidated
ICD-118B61.4NTBTindexvalidated
MONDO0012608Evalidated
MeSHC567023Evalidated
UMLSC1970211Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PLEKHG5Disease-causing germline mutation(s) inAssessedHGNC:29105ENSG000001716806111011p36.31pleckstrin homology and RhoGEF domain containing G517564964[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 casesWorldwideCase(s)Validated16728649[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_16728649[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.

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HPO phenotypes

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

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Sources for this card