raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:357043

Amyotrophic lateral sclerosis type 4

Synonyms: ALS4 · Distal hereditary motor neuropathy with upper motor neuron signs · dHMN with upper motor neuron signs

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Childhood
Status
active

A rare genetic motor neuron disease characterized by late childhood- or adolescent-onset of slowly progressive, severe, distal limb muscle weakness and wasting, in association with pyramidal signs, normal sensation, and absence of bulbar involvement, leading to degeneration of motor neurons in the brain and spinal cord.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAmyotrophic lateral sclerosis type 4ALS4 · Distal hereditary motor neuropathy with upper motor neuron signs · dHMN with upper motor neuron signs
frSclérose latérale amyotrophique type 4ALS4 · Neuropathie motrice distale avec atteinte des motoneurones supérieurs · SLA4 · dHMN avec atteinte des motoneurones supérieurs · dHMN avec atteinte des neurones moteurs supérieurs
deAmyotrophe Lateralsklerose Typ 4ALS4 · Neuropathie, distale hereditäre motorische, mit oberen Motoneuron-Signalen · dHMN mit oberen Motoneuron-Signalen
esEsclerosis lateral amiotrófica tipo 4ALS4 · Neuropatía motora distal hereditaria con signos de la motoneurona superior · dHMN con signos de la motoneurona superior
itSclerosi laterale amiotrofica tipo 4ALS4 · Neuropatia motoria ereditaria distale con segni del motoneurone superiore · dHMN con segni del motoneurone superiore
nlAmyotrofische laterale sclerose type 4ALS4 · Amyotrofe laterale sclerose type 4 · Distale hereditaire motorneuropathie met tekenen van hogere motorneuronen · dHMN met tekenen van de hogere motorneuronen
ptEsclerose lateral amiotrófica, tipo 4
plStwardnienie zanikowe boczne typu 4ALS4 · dHMN z objawami górnego neuronu ruchowego · Dystalna dziedziczna neuropatia ruchowa z objawami górnego neuronu ruchowego
csAmyotrofická laterální skleróza, typ 4ALS4 · Distální hereditární motorická neuropatie s příznaky léze horního motoneuronu · dHMN s příznaky léze horního motoneuronu
ukБічний аміотрофічний склероз, тип 4ALS4 · dHMN з ознаками верхнього моторного нейрона · Дистальна спадкова моторна нейропатія з ознаками верхніх моторних нейронів
zh肌萎缩性脊髓侧索硬化症4型远端遗传性运动神经病伴有上运动神经元体征
trAmyotrofik lateral skleroz tip 4ALS4 · Üst motor nöron belirtileri ile seyreden dHMN · Üst motor nöron belirtileri ile seyreden distal kalıtsal motor nöropati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM602433Evalidated
ICD-10G12.2NTBTattributedvalidated
ICD-118B60.0NTBTattributedvalidated
MONDO0011223Evalidated
MeSHC566550Evalidated
UMLSC1865409Evalidated

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
SETXDisease-causing germline mutation(s) inAssessedHGNC:445ENSG000001072906084659q34.13senataxin15106121[PMID]_15478096[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families70 casesWorldwideCase(s)Validated9497266[PMID]_12023320[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_9497266[PMID]_12023320[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

8 annotations · validated 2018-07-11
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0003487Babinski sign
HP:0002460Distal muscle weakness
HP:0003202Skeletal muscle atrophy
Occasional (29-5%)
HP:0001288Gait disturbance
HP:0001761Pes cavus
HP:0003474Somatic sensory dysfunction
HP:0001258Spastic paraplegia

Annotation source: 15106121[PMID]

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Sources for this card