raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2524

Pontocerebellar hypoplasia type 2

Synonyms: PCH2

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

A rare, genetic form of pontocerebellar hypoplasia characterized by pontocerebellar hypoplasia and progressive neocortical atrophy that manifests clinically with uncoordinated sucking and swallowing, and generalized clonus in the neonate. In early childhood, spasticity, chorea/dyskinesia, seizures and progressive microcephaly develop. Voluntary motor development is lacking.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPontocerebellar hypoplasia type 2PCH2
frHypoplasie pontocérébelleuse type 2HPC2 · PCH2
dePontozerebelläre Hypoplasie Typ 2= en
esHipoplasia pontocerebelosa tipo 2HPC2
itIpoplasia pontocerebellare, tipo 2= en
nlPontocerebellaire hypoplasie type 2= en
ptHipoplasia pontocerebelosa tipo 2
plHipoplazja mostu i móżdżku typu 2= en
csPontocerebelární hypoplázie, typ 2= en
ukГіпоплазія мозочка, тип 2= en
zh脑桥小脑发育不全2型= en
trPontoserebellar hipoplazi tip 2= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM277470BTNTvalidated
OMIM612389BTNTvalidated
OMIM612390BTNTvalidated
OMIM613811BTNTvalidated
OMIM617026BTNTvalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LD20.01NTBTindexvalidated
MONDO0016759Evalidated
MeSHC548070Evalidated
UMLSC2932714Evalidated
GARD10705Evalidated

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

5 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TSEN15Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:16791ENSG000001988606087561q25.3tRNA splicing endonuclease subunit 1527392077[PMID]
SEPSECSDisease-causing germline mutation(s) inAssessedHGNC:30605ENSG000001096186130094p15.2Sep (O-phosphoserine) tRNA:Sec (selenocysteine) tRNA synthase20920667[PMID]
TSEN2Disease-causing germline mutation(s) inAssessedHGNC:28422ENSG000001547436087533p25.2tRNA splicing endonuclease subunit 223562994[PMID]
TSEN34Disease-causing germline mutation(s) inAssessedHGNC:15506ENSG0000017089260875419q13.42tRNA splicing endonuclease subunit 3418711368[PMID]
TSEN54Disease-causing germline mutation(s) inAssessedHGNC:27561ENSG0000018217360875517q25.1tRNA splicing endonuclease subunit 5420301773[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families81 familiesWorldwideFamily(ies)Validated[EXPERT]
Point prevalenceUnknown—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

40 annotations · validated 2020-12-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001321Cerebellar hypoplasia
HP:0001320Cerebellar vermis hypoplasia
HP:0001266Choreoathetosis
HP:0011968Feeding difficulties
HP:0002123Generalized myoclonic seizure
HP:0006850Hypoplasia of the ventral pons
HP:0031162Impaired oropharyngeal swallow response
HP:0001250Seizure
HP:0011344Severe global developmental delay
HP:0002360Sleep abnormality
Frequent (79-30%)
HP:0002104Apnea
HP:0002020Gastroesophageal reflux
HP:0002365Hypoplasia of the brainstem
HP:0012469Infantile spasms
HP:0001270Motor delay
HP:0200136Oral-pharyngeal dysphagia
HP:0002268Paroxysmal dystonia
HP:0002033Poor suck
HP:0000253Progressive microcephaly
HP:0002719Recurrent infections
HP:0007663Reduced visual acuity
HP:0000340Sloping forehead
Occasional (29-5%)
HP:0002536Abnormal cortical gyration
HP:0008936Axial hypotonia
HP:0003487Babinski sign
HP:0007598Bilateral single transverse palmar creases
HP:0025190Bilateral tonic-clonic seizure with generalized onset
HP:0100704Cerebral visual impairment
HP:0006989Dysplastic corpus callosum
HP:0011471Gastrostomy tube feeding in infancy
HP:0002079Hypoplasia of the corpus callosum
HP:0006895Lower limb hypertonia
HP:0011171Simple febrile seizure
HP:0001257Spasticity
HP:0200049Upper limb hypertonia
HP:0002119Ventriculomegaly
HP:0003558Viral infection-induced rhabdomyolysis
HP:0012765Widened cerebellar subarachnoid space
Very rare (<4-1%)
HP:0002350Cerebellar cyst
Excluded (0%)
HP:0001999Abnormal facial shape

Run the differential on the 10 obligate / very frequent terms

Annotation source: 23562994[PMID]_20301773[PMID]

7

Sources for this card