raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:300496

Multiple congenital anomalies-hypotonia-seizures syndrome type 2

Synonyms: MCAHS type 2

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare, genetic, lethal, neurometabolic malformation syndrome characterized by multiple, variable, congenital cardiac (systolic murmur, atrial septal defect), urinary (duplicated collecting system, vesicoureteral reflux) and central nervous system (thin corpus callosum, cerebellar hypoplasia) malformations associated with neonatal hypotonia, early-onset epileptic encephalopathy, and myoclonic seizures. Craniofacial dysmorphism (prominent occiput, enlarged fontanel, fused metopic suture, upslanted palpebral fissures, overfolded helix, depressed nasal bridge, anteverted nose, malar flattening, microstomy with downturned corners, Pierre-Robin sequence, high arched palate, short neck) and other manifestations (joint contractures, hyperreflexia, dysplastic nails, developmental delay) are also observed.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMultiple congenital anomalies-hypotonia-seizures syndrome type 2MCAHS type 2
frSyndrome d'anomalies congénitales multiples-hypotonie-épilepsie type 2= en
deMultiple kongenitale Anomalien-Hypotonie-Krampfanfälle-Syndrom Typ 2MCAHS Typ 2
esSíndrome de anomalías congénitas múltiples-hipotonía-crisis tipo 2MCAHS tipo 2
itSindrome da anomalie congenite multiple, ipotonia e crisi epilettiche tipo 2MCAHS, tipo 2
nlMultipele congenitale anomalieën - hypotonie - insulten-syndroom type 2MCAHS type 2 · Meervoudige aangeboren afwijkingen - hypotonie - epileptische aanvallen-syndroom type 2
ptSíndrome de anomalias congénitas múltiplas-hipotonia-convulsões tipo 2
plZespół mnogie wady wrodzone-hipotonia-drgawki typu 2MCAHS typu 2
csSyndrom zahrnující mnohočetné vrozené anomálie, hypotonii a záchvaty, typ 2MCAHS typ 2
ukСиндром множинних вроджених аномалій-гіпотонії-судом, тип 2MCAHS тип 2
zh多发性先天性畸形-肌张力低下-癫痫综合征2型多发先天性畸形-肌张力低下-惊厥综合征2型
trÇoklu doğumsal anomaliler-hipotoni-nöbet sendromu tip 2MCAHS tip 2

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300868Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTattributedvalidated
MONDO0010466Evalidated
UMLSC4751110Evalidated
GARD12777Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PIGADisease-causing germline mutation(s) inAssessedHGNC:8957ENSG00000165195311770Xp22.2phosphatidylinositol glycan anchor biosynthesis class A
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families24 casesWorldwideCase(s)Validated16783569[PMID]_22305531[PMID]_24357517[PMID]_24259288[PMID]_24259184[PMID]_24706016[PMID]_26545172[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26545172[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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card