raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2995

Baraitser-Winter cerebrofrontofacial syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare multiple congenital anomalies/dysmorphic syndrome characterized by facial dysmorphism (hypertelorism with ptosis, broad bulbous nose, ridged metopic suture, arched eyebrows, progressive coarsening of the face), ocular coloboma, pachygyria and/or band heterotopias with antero-posterior gradient, progressive joint stiffening, and intellectual deficit of variable severity, often with severe epilepsy. Fryns-Aftimos syndrome (FA; pachygyria, epilepsy, intellectual disability, dysmorphism) corresponds to the appearance of Baraitser-Winter cerebrofrontofacial syndrome (BWS) in elder patients.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBaraitser-Winter cerebrofrontofacial syndrome
frSyndrome de Baraitser-Winter cérébrofrontofacial
deBaraitser-Winter zerebro-fronto-faziales SyndromBWCFF · Baraitser-Winter-Syndrom
esSíndrome cerebrofrontofacial de Baraitser-Winter
itSindrome di Baraitser-WinterSindrome cerebro-fronto-facciale, tipo 3 · Sindrome coloboma irideo-ptosi-deficit cognitivo
nlCerebrofrontofaciaal syndroom van Baraitser-Winter
ptSíndrome cerebro-fronto-facial Baraitser-Winter
plZespół mózgowo-czołowo-twarzowy Baraitsera i WinteraRozszczep tęczówki - ptoza - niepełnosprawność intelektualna · Zespół mózgowo-czołowo-twarzowy typu 3
csBaraitserův-Winterův syndromCerebrofrontofaciální syndrom, typ 3 · Syndrom zahrnující kolobom duhovky, ptózu a mentální retardaci · Baraitser-Winterův syndrom
ukЦереброфронтофаціальний синдром Барайзера-Вінтера
zhBaraitser-Winter脑额面部综合征
trBaraitser-Winter serebrofrontofasiyal sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM243310BTNTvalidated
OMIM614583BTNTvalidated
ICD-10Q87.0NTBTattributedvalidated
MONDO0017579Evalidated
UMLSC5680770Evalidated
GARD5279Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACTBDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:132ENSG000000756241026307p22.1actin beta22366783[PMID]
ACTG1Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:144ENSG0000018400910256017q25.3actin gamma 122366783[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families60 casesWorldwideCase(s)Validated27625340[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27625340[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

62 annotations · validated 2017-07-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002381Aphasia
HP:0000280Coarse facial features
HP:0000437Depressed nasal tip
HP:0000494Downslanted palpebral fissures
HP:0010529Echolalia
HP:0000286Epicanthus
HP:0012905Euryblepharon
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0000293Full cheeks
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0002553Highly arched eyebrow
HP:0000316Hypertelorism
HP:0001249Intellectual disability
HP:0000612Iris coloboma
HP:0001339Lissencephaly
HP:0000637Long palpebral fissure
HP:0000343Long philtrum
HP:0000347Micrognathia
HP:0002300Mutism
HP:0040188Osteochondrosis
HP:0001302Pachygyria
HP:0001302Pachygyria
HP:0000307Pointed chin
HP:0002126Polymicrogyria
HP:0005487Prominent metopic ridge
HP:0000508Ptosis
HP:0000278Retrognathia
HP:0001250Seizure
HP:0002000Short columella
HP:0002652Skeletal dysplasia
HP:0001328Specific learning disability
HP:0000506Telecanthus
HP:0000233Thin vermilion border
HP:0000154Wide mouth
HP:0000431Wide nasal bridge
HP:0000445Wide nose
Frequent (79-30%)
HP:0010935Abnormality of the upper urinary tract
HP:0002120Cerebral cortical atrophy
HP:0100308Cerebral cortical hemiatrophy
HP:0000270Delayed cranial suture closure
HP:0001100Heterochromia iridis
HP:0000126Hydronephrosis
HP:0000072Hydroureter
HP:0001387Joint stiffness
HP:0000239Large fontanelles
HP:0003189Long nose
HP:0002162Low posterior hairline
HP:0000252Microcephaly
HP:0000448Prominent nose
HP:0030502Retinoschisis
HP:0000470Short neck
HP:0012157Subcortical cerebral atrophy
HP:0000243Trigonocephaly
Occasional (29-5%)
HP:0009942Duplication of thumb phalanx
HP:0000482Microcornea
HP:0000588Optic disc coloboma
HP:0100540Palpebral edema
HP:0002650Scoliosis
HP:0002326Transient ischemic attack
HP:0000465Webbed neck

Run the differential on the 12 obligate / very frequent terms

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Sources for this card