raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3078

Severe X-linked intellectual disability, Gustavson type

Synonyms: Gustavson syndrome

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

A rare, genetic, X-linked syndromic intellectual disability disorder characterized by severe intellectual disability, microcephaly, post-natal growth retardation, severe visual impairment or blindness (due to optic atrophy), severe hearing defect, spasticity, epileptic seizures, restricted large-joint movements and early death (in infancy or early childhood). Facial dysmorphic features (large dysplastic ears and short broad nose) are additionally observed. There have been no further descriptions in the literature since 1993.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere X-linked intellectual disability, Gustavson typeGustavson syndrome
frDéficience intellectuelle sévère liée à l'X type GustavsonSyndrome de Gustavson
deSchwere X-chromosomale Intelligenzminderung Typ GustavsonGustavson-Syndrom
esDiscapacidad intelectual grave ligada al cromosoma X tipo GustavsonSíndrome de Gustavson
itDisabilità intellettiva grave legata all'X, tipo GustavsonSindrome Gustavson
nlErnstige X-gebonden intellectuele achterstand, Gustavson-typeSyndroom van Gustavson
ptPerturbação do desenvolvimento intelectual grave ligado ao X, tipo GustavsonSíndrome Gustavson
plGłęboka niepełnosprawność intelektualna sprzężona z chromosomem X typu Gustavsona= en
csTěžká X-vázaná mentální retardace, Gustavsonův typ= en
ukТяжка Х-зчеплена розумова відсталість, тип Густавсона
zhX连锁严重智力障碍,Gustavson亚型
trAğır X'e bağlı zihinsel yetersizlik, Gustavson tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM309555Evalidated
ICD-10F72.9NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO0010661Evalidated
UMLSC4302744Evalidated
GARD5611Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RBMXDisease-causing germline mutation(s) inAssessedHGNC:9910ENSG00000147274300199Xq26.3RNA binding motif protein X-linked37277488[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated8456840[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_8456840[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.

6

HPO phenotypes

34 annotations · validated 2019-04-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001276Hypertonia
HP:0000252Microcephaly
HP:0000648Optic atrophy
HP:0012715Profound hearing impairment
HP:0001250Seizure
HP:0008850Severe postnatal growth retardation
Frequent (79-30%)
HP:0005949Apneic episodes in infancy
HP:0000618Blindness
HP:0012444Brain atrophy
HP:0002198Dilated fourth ventricle
HP:0010864Intellectual disability, severe
HP:0040288Nasogastric tube feeding
HP:0002788Recurrent upper respiratory tract infections
HP:0005486Small fontanelle
HP:0001518Small for gestational age
HP:0001257Spasticity
Occasional (29-5%)
HP:0000377Abnormal pinna morphology
HP:0001848Calcaneovalgus deformity
HP:0001321Cerebellar hypoplasia
HP:0001374Congenital hip dislocation
HP:0005781Contractures of the large joints
HP:0001305Dandy-Walker malformation
HP:0008110Equinovarus deformity
HP:0000239Large fontanelles
HP:0006956Lateral ventricle dilatation
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0001336Myoclonus
HP:0001838Rocker bottom foot
HP:0006829Severe muscular hypotonia
HP:0003196Short nose
HP:0001199Triphalangeal thumb
HP:0001629Ventricular septal defect
HP:0000076Vesicoureteral reflux

Run the differential on the 6 obligate / very frequent terms

Annotation source: 8456840[PMID]

7

Sources for this card