raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363528

Intellectual disability-strabismus syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, syndromic intellectual disability disorder characterized by moderate to severe intellectual disability and esotropia. Other associated features may include growth failure (underweight, failure to thrive, short stature), microcephaly, tone abnormalities (hypotonia, spasticity), epilepsy, behavioral problems (hyperactivity, aggressiveness), and/or abnormal brain morphology, including arachnoid cyst, cerebral atrophy, mild ventriculomegaly, abnormal CNS myelination or corpus callosum agenesis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-strabismus syndrome
frSyndrome de déficience intellectuelle-strabisme
deIntelligenzminderung-Strabismus-Syndrom
esSíndrome de discapacidad intelectual-estrabismo
itSindrome deficit cognitivo-strabismo
nlIntellectuele achterstand - strabisme-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual-estrabismo
plZespół niepełnosprawność intelektualna-zez
csSyndrom zahrnující mentální retardaci a strabismus
ukСиндром косоокості з інтелектуальною недостатністю
zh智力障碍-斜视综合征
trZihinsel yetersizlik-şaşılık sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615286Evalidated
ICD-10H50.8NTBTattributedvalidated
MONDO0014119Evalidated
UMLSC4750838Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ADAT3Disease-causing germline mutation(s) inAssessedHGNC:25151ENSG0000021363861530219p13.3adenosine deaminase tRNA specific 323620220[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families34 casesWorldwideCase(s)Validated23620220[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

72 annotations · validated 2019-11-08
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001508Failure to thrive
HP:0001249Intellectual disability
HP:0000486Strabismus
Frequent (79-30%)
HP:0012443Abnormality of brain morphology
HP:0000750Delayed speech and language development
HP:0005280Depressed nasal bridge
HP:0000286Epicanthus
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0000252Microcephaly
HP:0011220Prominent forehead
HP:0004322Short stature
HP:0001257Spasticity
HP:0000582Upslanted palpebral fissure
Occasional (29-5%)
HP:0001771Achilles tendon contracture
HP:0000718Aggressive behavior
HP:0001631Atrial septal defect
HP:0012444Brain atrophy
HP:0000028Cryptorchidism
HP:0000824Decreased response to growth hormone stimulation test
HP:0030353Decreased serum insulin-like growth factor 1
HP:0012448Delayed myelination
HP:0007162Diffuse demyelination of the cerebral white matter
HP:0000324Facial asymmetry
HP:0002020Gastroesophageal reflux
HP:0000365Hearing impairment
HP:0000348High forehead
HP:0000218High palate
HP:0002553Highly arched eyebrow
HP:0000752Hyperactivity
HP:0000316Hypertelorism
HP:0000966Hypohidrosis
HP:0000047Hypospadias
HP:0100710Impulsivity
HP:0001511Intrauterine growth retardation
HP:0001376Limitation of joint mobility
HP:0000276Long face
HP:0000369Low-set ears
HP:0000400Macrotia
HP:0012408Medullary nephrocalcinosis
HP:0000347Micrognathia
HP:0000054Micropenis
HP:0000418Narrow nasal ridge
HP:0001643Patent ductus arteriosus
HP:0001357Plagiocephaly
HP:0001561Polyhydramnios
HP:0000448Prominent nose
HP:0031123Recurrent gastroenteritis
HP:0000403Recurrent otitis media
HP:0001838Rocker bottom foot
HP:0001250Seizure
HP:0000470Short neck
HP:0003196Short nose
HP:0000340Sloping forehead
HP:0000664Synophrys
HP:0001762Talipes equinovarus
HP:0000506Telecanthus
HP:0012471Thick vermilion border
HP:0000154Wide mouth
Very rare (<4-1%)
HP:0000164Abnormality of the dentition
HP:0001274Agenesis of corpus callosum
HP:0100702Arachnoid cyst
HP:0012450Chronic constipation
HP:0000776Congenital diaphragmatic hernia
HP:0005879Congenital finger flexion contractures
HP:0011968Feeding difficulties
HP:0001288Gait disturbance
HP:0002079Hypoplasia of the corpus callosum
HP:0000821Hypothyroidism
HP:0009473Joint contracture of the hand
HP:0009830Peripheral neuropathy
HP:0002172Postural instability

Run the differential on the 3 obligate / very frequent terms

Annotation source: 26842963[PMID]_23620220[PMID]_31687266[PMID]

7

Sources for this card