raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:397709

Intellectual disability-coarse face-macrocephaly-cerebellar hypotrophy syndrome

Synonyms: SNX14-related autosomal recessive spinocerebellar ataxia · Autosomal recessive spinocerebellar ataxia type 20 · Intellectual disability-coarse face-macrocephaly-cerebellar hypoplasia syndrome · SCAR20

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

A rare, genetic, central nervous system malformation syndrome characterized by early-onset, progressive, severe cerebellar ataxia associated with progressive, moderate to severe intellectual disability, global developmental delay, progressively coarsening facial features, relative macrocephaly and absence of seizures. Sensorineural hearing loss may be associated. Neuroimaging reveals cerebellar atrophy/hypoplasia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-coarse face-macrocephaly-cerebellar hypotrophy syndromeSNX14-related autosomal recessive spinocerebellar ataxia · Autosomal recessive spinocerebellar ataxia type 20 · Intellectual disability-coarse face-macrocephaly-cerebellar hypoplasia syndrome · SCAR20
frSyndrome de déficience intellectuelle-traits grossiers du visage-macrocéphalie-hypotrophie cérébelleuseAtaxie spinocérébelleuse autosomique récessive associée à SNX14 · Ataxie spinocérébelleuse autosomique récessive type 20 · SCAR20 · Syndrome de déficience intellectuelle-traits grossiers du visage-macrocéphalie-hypoplasie cérébelleuse
deIntelligenzminderung-grobe Gesichtsszüge-Makrozephalie-zerebelläre Hypoplasie-SyndromSNX14-assoziierte autosomal-rezessive spinozerebelläre Ataxie · Ataxie, spinozerebelläre, autosomal-rezessive, Typ 20 · SCAR20
esSíndrome de discapacidad intelectual-cara tosca-macrocefalia-hipotrofia cerebelosaAtaxia espinocerebelosa autosómica recesiva asociada al gen SNX14 · Ataxia espinocerebelosa autosómica recesiva tipo 20 · SCAR20 · Síndrome de discapacidad intelectual-cara tosca-macrocefalia-hipoplasia cerebelosa
itSindrome disabilità intellettiva-aspetto grossolano del viso-macrocefalia-ipotrofia cerebellareAtassia spinocerebellare autosomica recessiva correlata a SNX14 · SCAR20 · Sindrome deficit cognitivo-faccia grossolana-macrocefalia-ipoplasia cerebellare · Atassia spinocerebellare autosomica recessiva tipo 20
nlIntellectuele achterstand - grof aangezicht - macrocefalie - cerebellaire hypotrofie-syndroomSNX14-gerelateerde autosomaal recessieve spinocerebellaire ataxie · Autosomaal recessieve spinocerebellaire ataxie type 20 · Intellectuele achterstand - grof gelaat - macrocefalie - cerebellaire hypoplasie-syndroom · SCAR20
ptSíndrome de perturbação do desenvolvimento intelectual-facies grosseira-macrocefalia-hipotrofia cerebelosaAtaxia espinocerebelosa tipo 20 autossómica recessiva · SCAR20 · Síndrome de perturbação do desenvolvimento intelectual-facies grosseira-macrocefalia-hipoplasia cerebelosa
plZespół niepełnosprawności intelektualnej, grubych rysów twarzy, wielkogłowia i hipotrofii móżdżkuAutosomalna recesywna ataksja rdzeniowo-móżdżkowa typu 20 · SCAR20
csSyndrom zahrnující mentální retardaci, hrubé rysy tváře, makrocefalii a cerebelární hypotrofiiSyndrom zahrnující mentální retardaci, hrubé rysy, makrocefalii a cerebelární hypoplázii · SCAR20 · Autozomálně recesivní spinocerebelární ataxie, typ 20
ukСиндром інтелектуальної недостатності-грубого обличчя-макроцефалії-гіпотрофії мозочкаАутосомно-рецесивна спіноцеребеллярна атаксія, тип 20 · Синдром інтелектуальної недостатності - грубого обличчя - макроцефалії - гіпоплазії мозочка · SCAR20
zh智力障碍-粗糙面容-巨头-小脑萎缩综合征常染色体隐性遗传性脊髓小脑共济失调20型
trZihinsel yetersizlik-kaba yüz-makrosefali-serebellar hipotrofi sendromuZihinsel yetersizlik-kaba yüz-makrosefali-serebellar hipoplazi sendromu · SCAR20 · Otozomal çekinik spinoserebellar ataksi tip 20

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616354Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0014601Evalidated
UMLSC5190595Evalidated

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
SNX14Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:14977ENSG000001353176161056q14.3sorting nexin 1425439728[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27913285[PMID]
Cases/families30 casesWorldwideCase(s)Validated27913285[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

54 annotations · validated 2019-12-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0000280Coarse facial features
HP:0010862Delayed fine motor development
HP:0002194Delayed gross motor development
HP:0000750Delayed speech and language development
HP:0010864Intellectual disability, severe
HP:0011344Severe global developmental delay
Frequent (79-30%)
HP:0011842Abnormality of skeletal morphology
HP:0001344Absent speech
HP:0001251Ataxia
HP:0000729Autistic behavior
HP:0002136Broad-based gait
HP:0002007Frontal bossing
HP:0001252Hypotonia
HP:0002751Kyphoscoliosis
HP:0000158Macroglossia
HP:0000639Nystagmus
HP:0100540Palpebral edema
HP:0004482Relative macrocephaly
HP:0000407Sensorineural hearing impairment
Occasional (29-5%)
HP:0002500Abnormal cerebral white matter morphology
HP:0002186Apraxia
HP:0001631Atrial septal defect
HP:0003487Babinski sign
HP:0001156Brachydactyly
HP:0000289Broad philtrum
HP:0012385Camptodactyly
HP:0030084Clinodactyly
HP:0002002Deep philtrum
HP:0000678Dental crowding
HP:0005280Depressed nasal bridge
HP:0002219Facial hypertrichosis
HP:0000293Full cheeks
HP:0001433Hepatosplenomegaly
HP:0000218High palate
HP:0012110Hypoplasia of the pons
HP:0001265Hyporeflexia
HP:0000343Long philtrum
HP:0010471Oligosacchariduria
HP:0001643Patent ductus arteriosus
HP:0000768Pectus carinatum
HP:0000307Pointed chin
HP:0006951Retrocerebellar cyst
HP:0001250Seizure
HP:0012745Short palpebral fissure
HP:0000350Small forehead
HP:0001257Spasticity
HP:0008443Spinal deformities
HP:0001762Talipes equinovarus
HP:0000506Telecanthus
HP:0012471Thick vermilion border
HP:0002684Thickened calvaria
HP:0012810Wide nasal base
HP:0000431Wide nasal bridge

Run the differential on the 7 obligate / very frequent terms

Annotation source: 27913285[PMID]_25848753[PMID]_25439728[PMID]_24501761[PMID]

7

Sources for this card