raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:268940

Bilateral polymicrogyria

Type
Morphological anomaly
Group
Disorder
Inheritance
Autosomal recessive, X-linked dominant
Age of onset
Infancy, Neonatal
Status
active

Bilateral polymicrogyria is a rare cerebral malformation due to abnormal neuronal migration defined as a cerebral cortex with many excessively small convolutions. It presents with developmental delay, intellectual disability, seizures and various neurological impairments and may be isolated or comprise a clinical feature of many genetic syndromes. It may also be associated with perinatal cytomegalovirus infection.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBilateral polymicrogyria
frPolymicrogyrie bilatérale
dePolymikrogyrie, bilaterale
esPolimicrogiria bilateral
itPolimicrogiria bilaterale
nlBilaterale polymicrogyrie
ptPolimicrogiria bilateral
plObustronna małozakrętowość
csBilaterální polymikrogyrieNonlissencefalická kortikální dysplázie bilaterální
ukДвостороння полімікрогірія
zh双侧多小脑回
trBilateral polimikrogri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300388BTNTvalidated
OMIM606854BTNTvalidated
OMIM612691BTNTvalidated
OMIM615752BTNTvalidated
OMIM616531BTNTvalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LA05.50NTBTindexvalidated
MONDO0017091Evalidated
UMLSC4707565Evalidated

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 (1):

  • ORPHA:35981Polymicrogyria
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare neurological diseases

Children (5):

4

Genes

0 direct · 6 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SRPX2ORPHA:98889Bilateral perisylvian polymicrogyriaCandidate gene tested inNot yet assessedHGNC:30668ENSG00000102359300642Xq22.1sushi repeat containing protein X-linked 216497722[PMID]
FIG4ORPHA:208441Bilateral parasagittal parieto-occipital polymicrogyriaDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:16873ENSG000001123676093906q21FIG4 phosphoinositide 5-phosphatase24598713[PMID]
ADGRG1ORPHA:98889Bilateral perisylvian polymicrogyriaDisease-causing germline mutation(s) inAssessedHGNC:4512ENSG0000020533660411016q21adhesion G protein-coupled receptor G124531968[PMID]
ADGRG1ORPHA:101070Bilateral frontoparietal polymicrogyriaDisease-causing germline mutation(s) inAssessedHGNC:4512ENSG0000020533660411016q21adhesion G protein-coupled receptor G121349848[PMID]
GRIN1ORPHA:208447Bilateral generalized polymicrogyriaDisease-causing germline mutation(s) inAssessedHGNC:4584ENSG000001768841382499q34.3glutamate ionotropic receptor NMDA type subunit 129365063[PMID]
PI4KAORPHA:98889Bilateral perisylvian polymicrogyriaDisease-causing germline mutation(s) inAssessedHGNC:8983ENSG0000024197360028622q11.21phosphatidylinositol 4-kinase alpha25855803[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

44 annotations · validated 2019-03-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001250Seizure
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0007362Aplasia/Hypoplasia of the brainstem
HP:0012429Aplasia/Hypoplasia of the cerebral white matter
HP:0009878Cerebellar ataxia associated with quadrupedal gait
HP:0001272Cerebellar atrophy
HP:0100543Cognitive impairment
HP:0000750Delayed speech and language development
HP:0010522Dyslexia
HP:0000565Esotropia
HP:0007359Focal-onset seizure
HP:0004302Functional motor deficit
HP:0001263Global developmental delay
HP:0001256Intellectual disability, mild
HP:0002342Intellectual disability, moderate
HP:0002463Language impairment
HP:0001268Mental deterioration
HP:0001270Motor delay
HP:0002200Pseudobulbar signs
HP:0011099Spastic hemiparesis
HP:0001285Spastic tetraparesis
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:00068184-layered lissencephaly
HP:3000047Abnormal glossopharyngeal nerve morphology
HP:0410011Abnormality of masticatory muscle
HP:0002804Arthrogryposis multiplex congenita
HP:0002069Bilateral tonic-clonic seizure
HP:0011787Central hypothyroidism
HP:0002307Drooling
HP:0001260Dysarthria
HP:0001349Facial diplegia
HP:0011968Feeding difficulties
HP:0002123Generalized myoclonic seizure
HP:0002197Generalized-onset seizure
HP:0012469Infantile spasms
HP:0000369Low-set ears
HP:0000256Macrocephaly
HP:0000347Micrognathia
HP:0012650Perisylvian polymicrogyria
HP:0007024Pseudobulbar paralysis
HP:0000407Sensorineural hearing impairment
HP:0001762Talipes equinovarus
HP:0000183Tongue muscle weakness
HP:0000154Wide mouth

Run the differential on the 1 obligate / very frequent terms

Annotation source: 23750890[PMID]_18991192[PMID]_15863665[PMID]

7

Sources for this card