raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2254

Pontocerebellar hypoplasia type 1

Synonyms: Norman disease · PCH1

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

A severe, genetic form of pontocerebellar hypoplasia (PCH) characterized by spinal cord anterior horn cell degeneration in addition to pontocerebellar hypoplasia. Clinically, patients manifest with a severe global development deficit that is evident early on from difficulties in feeding and swallowing

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPontocerebellar hypoplasia type 1Norman disease · PCH1
frHypoplasie pontocérébelleuse type 1HPC1 · PCH1
dePontozerebelläre Hypoplasie Typ 1Norman-Krankheit · PCH1
esHipoplasia pontocerebelosa tipo 1Enfermedad de Norman · HPC1
itIpoplasia pontocerebellare, tipo 1Malattia di Norman · PCH1
nlPontocerebellaire hypoplasie type 1PCH1 · Ziekte van Norman
ptHipoplasia pontocerebelosa tipo 1
plHipolplazja mostu i móżdżku typu 1Choroba Normana · PCH1
csPontocerebelární hypoplázie, typ 1Normanova nemoc · PCH1
ukГіпоплазія мозочка, тип 1Хвороба Нормана · PCH1
zh脑桥小脑发育不全1型Norman 病
trPontoserebellar hipoplazi tip 1PCH1 · Norman hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607596BTNTvalidated
OMIM614678BTNTvalidated
OMIM616081BTNTvalidated
OMIM618065BTNTvalidated
OMIM619303BTNTvalidated
OMIM619304BTNTvalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LD20.01NTBTindexvalidated
MONDO0016396Evalidated
MeSHC548069Evalidated
UMLSC5442006Evalidated
GARD10704Evalidated

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

6 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC25A46Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:25198ENSG000001642096108265q22.1solute carrier family 25 member 4628637197[PMID]
AGTPBP1Disease-causing germline mutation(s) inAssessedHGNC:17258ENSG000001350496068309q21.33ATP/GTP binding carboxypeptidase 130976113[PMID]
EXOSC3Disease-causing germline mutation(s) inAssessedHGNC:17944ENSG000001073716064899p13.2exosome component 322544365[PMID]_25144110[PMID]
EXOSC8Disease-causing germline mutation(s) inAssessedHGNC:17035ENSG0000012069960601913q13.3exosome component 824989451[PMID]
EXOSC9Disease-causing germline mutation(s) inAssessedHGNC:9137ENSG000001237376061804q27exosome component 929727687[PMID]
VRK1Disease-causing germline mutation(s) inAssessedHGNC:12718ENSG0000010074960216814q32.2VRK serine/threonine kinase 119646678[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families40 familiesWorldwideFamily(ies)Validated[EXPERT]
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

29 annotations · validated 2022-09-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0002398Degeneration of anterior horn cells
HP:0001263Global developmental delay
HP:0001265Hyporeflexia
HP:0001252Hypotonia
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0002878Respiratory failure
HP:0003202Skeletal muscle atrophy
Frequent (79-30%)
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0012110Hypoplasia of the pons
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000253Progressive microcephaly
HP:0000529Progressive visual loss
Occasional (29-5%)
HP:0002350Cerebellar cyst
HP:0002120Cerebral cortical atrophy
HP:0004886Congenital laryngeal stridor
HP:0001347Hyperreflexia
HP:0003477Peripheral axonal neuropathy
HP:0001250Seizure
HP:0001257Spasticity
HP:0000486Strabismus
HP:0033725Thin corpus callosum
HP:0001308Tongue fasciculations
Very rare (<4-1%)
HP:0002804Arthrogryposis multiplex congenita
HP:0001251Ataxia
HP:0000565Esotropia

Run the differential on the 9 obligate / very frequent terms

Annotation source: 29656927[PMID]_35893425[PMID]_35852507[PMID]_24989451[PMID]

7

Sources for this card