raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:391376

Congenital microcephaly-severe encephalopathy-progressive cerebral atrophy syndrome

Synonyms: Asparagine synthetase deficiency

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

A rare, genetic, neurometabolic disorder characterized by severe, progressive microcephaly, severe to profound global development delay, intellectual disability, seizures (typically tonic and/or myoclonic and frequently intractable), hyperekplexia, and axial hypotonia with appendicular spasticity, as well as hyperreflexia, dyskinetic quadriplegia, and abnormal brain morphology (cerebral atrophy with variable additional features including ventriculomeglay, pons and/or cerebellar hypoplasia, simplified gyral pattern and delayed myelination). Cortical blindness, feeding difficulties and respiratory insufficiency may also be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital microcephaly-severe encephalopathy-progressive cerebral atrophy syndromeAsparagine synthetase deficiency
frSyndrome de microcéphalie congénitale-encéphalopathie sévère-atrophie cérébrale progressiveDéficit en asparagine synthétase
deKongenitale Mikrozephalie-schwere Enzephalopathie-progressive zerebrale Atrophie-SyndromAsparagin-Synthetase-Mangel
esSíndrome de microcefalia congénita-encefalopatía grave-atrofia cerebral progresivaDeficiencia de asparagina sintetasa
itSindrome da microcefalia congenita, encefalopatia grave e atrofia cerebrale progressivaDeficit dell'asparagina sintentasi
nlCongenitale microcefalie - ernstige encefalopathie - progressieve cerebrale atrofie-syndroomAsparaginesynthetasedeficiëntie
ptSíndrome de microcefalia congénita-encefalopatia grave-atrofia cerebral progressiva
plZespół wrodzone małogłowie-ciężka encefalopatia- postępujący zanik mózguNiedobór syntetazy kwasu asparaginianowego
csSyndrom zahrnující vrozenou mikrocefalii, těžkou encefalopatii a progresivní mozkovou atrofiiDeficit asparagin syntetázy
ukСиндром вродженої мікроцефалії-тяжкої енцефалопатії-прогресуючої церебральної атрофіїДефіцит аспарагінсинтетази
zh先天性小头畸形-重度脑病-进行性脑萎缩综合征天冬酰胺合成酶缺乏症
trDoğumsal mikrosefali-ağır ensefalopati-ilerleyici serebral atrofi sendromuAsparagin sentetaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615574Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.YNTBTattributedvalidated
MONDO0014258Evalidated
UMLSC3809971Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ASNSDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:753ENSG000000706691083707q21.3asparagine synthetase (glutamine-hydrolyzing)24139043[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated28776279[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28776279[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