raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:314051

Leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Synonyms: COXPD12 · Combined oxidative phosphorylation defect type 12 · LTBL

Type
Disease
Group
Disorder
Inheritance
No data available
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic neurological disorder defined by early-onset of neurologic symptoms, biphasic clinical course, unique MRI features (incl. extensive, symmetrical, deep white matter abnormalities), and increased lactate in body fluids. The severe form is characterized by delayed psychomotor development, seizures, early-onset hypotonia, and persistently increased lactate levels. The mild form usually presents with irritability, psychomotor regression after six months of age, and temporary high lactate levels, with overall clinical improvement from the second year onward.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLeukoencephalopathy-thalamus and brainstem anomalies-high lactate syndromeCOXPD12 · Combined oxidative phosphorylation defect type 12 · LTBL
frSyndrome de leucoencéphalopathie-anomalies du thalamus et du tronc cérébral-hyperlactatémieCOXPD12 · Déficit combiné de la phosphorylation oxydative type 12 · LTBL
deLeukoenzephalopathie-Thalamus und Hirnstamm-Anomalien-Hoher Laktatwert-SyndromCOXPD12 · Kombinierter Defekt der oxidativen Phosphorylierung Typ 12 · LTBL
esSíndrome de leucoencefalopatía-anomalías del tálamo y tallo cerebral-lactato elevadoCOXPD12 · Deficiencia combinada de la fosforilación oxidativa tipo 12 · LTBL
itSindrome leucoencefalopatia-anomalie del talamo e del tronco encefalico-livelli elevati di lattatoCOXPD12 · Difetto combinato della fosforilazione ossidativa, tipo 12 · LTBL
nlLeuko-encefalopathie - anomalieën van thalamus en hersenstam - hoog lactaatgehalte-syndroomCOXPD12 · Gecombineerde oxidatieve fosforylatiedeficiëntie type 12 · Gecombineerde oxidatieve fosforyleringdeficiëntie type 12 · LTBL
ptLeucoencefalopatia - anomalias do tronco cerebral e talamus - lactato elevadoLTBL
plZespół leukoencefalopatii, wad podwzgórza i pnia mózgu i wysokiego poziomu mleczanówLTBL · COXPD12 · Złożony defekt fosforylacji oksydacyjnej typu 12
csSyndrom zahrnující leukoencefalopatii, anomálie thalamu a mozkového kmene a vysokou hladinu laktátuCOXPD12 · Kombinovaný deficit oxidativní fosforylace, typ 12 · LTBL
ukСиндром лейкоенцефалопатії-аномалій таламуса та стовбура мозк-підвищеного лактатуКомбінований дефект окисного фосфорилювання, тип 12 · COXPD12 · LTBL
zh脑白质病-丘脑脑干异常-高乳酸综合征联合氧化磷酸化缺陷12型
trLökoensefalopati-talamus ve beyin sapı anomalileri-yüksek laktat sendromuLTBL · COXPD12 · Kombine oksidatif fosforilasyon defekti tip 12

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614924Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTattributedvalidated
MONDO0013971Evalidated
UMLSC4706421Evalidated
GARD12893Evalidated

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
EARS2Disease-causing germline mutation(s) inAssessedHGNC:29419ENSG0000010335661279916p12.2glutamyl-tRNA synthetase 2, mitochondrial22492562[PMID]_24501781[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated22492562[PMID]_23008233[PMID]_25854774[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22492562[PMID]_23008233[PMID]_25854774[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

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

7

Sources for this card