raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:22

Succinic semialdehyde dehydrogenase deficiency

Synonyms: 4-hydroxybutyric aciduria · Gamma-hydroxybutyric aciduria · SSADH deficiency

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

A rare neurometabolic disorder of gamma-aminobutyric acid (GABA) metabolism with a nonspecific clinical presentation (ranging from mild to severe) with the most frequent symptoms being cognitive impairment with prominent deficit in expressive language, hypotonia, ataxia, epilepsy, and behavioral dysregulation.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSuccinic semialdehyde dehydrogenase deficiency4-hydroxybutyric aciduria · Gamma-hydroxybutyric aciduria · SSADH deficiency
frDéficit en succinate-semi-aldéhyde déshydrogénaseAcidurie 4-hydroxybutyrique · Acidurie gamma-hydroxybutyrique · Déficit en SSADH
deSuccinat-Semialdehyd-Dehydrogenase-Mangel4-Hydroxybutyrazidurie · Bernsteinsäure-Semialdehyd-Dehydrogenase-Mangel · Gamma-Hydroxybutyrazidurie · SSADH-Mangel
esDeficiencia de semialdehído succínico deshidrogenasaAciduria 4 hidroxibutírica · Aciduria gamma-hidroxibutírica · Deficiencia de SSADH
itDeficit di succinico semialdeide deidrogenasiAciduria 4-idrossibutirrica · Aciduria gamma-idrossibutirrica · Deficit di SSADH
nlSuccinyl-semialdehyde-dehydrogenasedeficiëntie4-hydroxyboterzuuracidurie · Barnsteenzuur-semialdehyde-dehydrogenasedeficiëntie · GHB-acidurie · Gamma-hydroxyboterzuuracidurie · SSADH-deficiëntie
ptDeficiência de semialdeído succínico desidrogenaseAcidúria 4-hidroxibutírica
plKwasica 4-hydroksymasłowaNiedobór dehydrogenazy semialdehydu bursztynowego
csDeficit sukcinátsemialdehyddehydrogenázy4-hydroxybutyrátová acidurie · Gama-hydroxybutyrátová acidurie · Deficit SSAHD
ukДефіцит бурштинової напівальдегід дегідрогенази4-гідроксимасляна ацидурія · Гамма-гідроксимасляна ацидурія · Дефіцит SSADH
zh琥珀酸半醛脱氢酶缺乏症γ-羟丁酸尿症
trSüksinik semialdehit dehidrojenaz eksikliğiSSADH eksikliği · 4-hidroksibütirik asidüri · Gama-hidroksibütirik asidüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM271980Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.E1NTBTindexvalidated
MONDO0010083Evalidated
MeSHC535803Evalidated
UMLSC0268631Evalidated
GARD7695Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ALDH5A1Disease-causing germline mutation(s) inAssessedHGNC:408ENSG000001122946100456p22.3aldehyde dehydrogenase 5 family member A120301374[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families450 casesWorldwideCase(s)Validated20301374[PMID]
Point prevalence1-9 / 1 000 0000.2 / 100 000WorldwideValue and classValidated34882073[PMID]_ORPHANET

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

9 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001939Abnormality of metabolism/homeostasis
HP:0001251Ataxia
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0001249Intellectual disability
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0002069Bilateral tonic-clonic seizure
HP:0002123Generalized myoclonic seizure
HP:0002133Status epilepticus

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card