raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:209370

MECP2-related severe neonatal encephalopathy

Synonyms: Severe congenital encephalopathy due to MECP2 mutation

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

Severe neonatal-onset encephalopathy with microcephaly is a rare monogenic disease with epilepsy characterized by neonatal-onset encephalopathy, microcephaly, severe developmental delay or absent development, breathing abnormalities (including central hypoventilation and/or respiratory insufficiency), intractable seizures, abnormal muscle tone and involuntary movements. Early death is usual.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMECP2-related severe neonatal encephalopathySevere congenital encephalopathy due to MECP2 mutation
frEncéphalopathie néonatale sévère liée à la protéine MECP2Encéphalopathie congénitale sévère due à une mutation du gène MECP2
deMECP2-assoziierte schwere neonatale EnzephalopathieEnzephalopathie, kongenitale schwere, durch MECP2-Genmutation
esEncefalopatía neonatal grave asociada a MECP2Encefalopatía congénita grave por una mutación del gen MECP2
itEncefalopatia neonatale grave correlata a MECP2Encefalopatia congenita grave da mutazione di MECP2
nlMECP2-gerelateerde ernstige neonatale encefalopathieErnstige congenitale encefalopathie door MECP2-mutatie
ptEncefalopatia grave de apresentação neo-natal com microcefalia
plCiężka encefalopatia noworodków związana z MECP2= en
csTěžká novorozenecká encefalopatie s mikrocefaliíTěžká vrozená encefalopatie způsobená mutací MECP2
ukТяжка неонатальна енцефалопатія з мікроцефалієюТяжка вроджена енцефалопатія внаслідок мутації MECP2
zh重度新生儿期起病的脑病伴小头畸形MECP2基因突变所致重度先天性脑病
trMikrosefali ile seyreden ağır yenidoğan başlangıçlı ensefalopatiMECP2 mutasyonuna bağlı ağır doğumsal ensefalopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300673Evalidated
ICD-10Q02NTBTattributedvalidated
ICD-11LD20.2NTBTindexvalidated
MONDO0010397Evalidated
UMLSC1968556Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MECP2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:6990ENSG00000169057300005Xq28methyl-CpG binding protein 218477000[PMID]_20301670[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 casesWorldwideCase(s)ValidatedORPHANET
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

19 annotations · validated 2022-12-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002104Apnea
HP:0001298Encephalopathy
HP:0002093Respiratory insufficiency
HP:0011344Severe global developmental delay
Frequent (79-30%)
HP:0002069Bilateral tonic-clonic seizure
HP:0010843EEG with focal slow activity
HP:0002020Gastroesophageal reflux
HP:0011471Gastrostomy tube feeding in infancy
HP:0008935Generalized neonatal hypotonia
HP:0001510Growth delay
HP:0004305Involuntary movements
HP:0000252Microcephaly
HP:0002033Poor suck
HP:0001250Seizure
HP:0001257Spasticity
Occasional (29-5%)
HP:0002059Cerebral atrophy
HP:0000218High palate
HP:0010841Multifocal epileptiform discharges
HP:0002126Polymicrogyria

Run the differential on the 4 obligate / very frequent terms

Annotation source: 34271245[PMID]_18477000[PMID]_20301670[PMID]_16832102[PMID]

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Sources for this card