raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:397933

Severe intellectual disability-progressive postnatal microcephaly-midline stereotypic hand movements syndrome

Synonyms: IQSEC2-related syndromic intellectual disability

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, syndromic intellectual disability characterized by severe intellectual disability, non-inherited, progressive, post-natal microcephaly, hypotonia, hyperkinesia, absence of speech, strabismus, and midline stereotypic hand movements (e.g. hand washing/rubbing). Additional features include developmental delay, seizures and behavioral disturbances, such as self injury and unexplained crying episodes.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere intellectual disability-progressive postnatal microcephaly-midline stereotypic hand movements syndromeIQSEC2-related syndromic intellectual disability
frSyndrome de déficience intellectuelle sévère-microcéphalie postnatale progressive-stéréotypies manuelles sur la ligne médianeDéficience intellectuelle syndromique associée à IQSEC2
deSchwere Intelligenzminderung-progressive postnatale Mikrozephalie-stereotype Mittellinien-Handbewegungen-SyndromIntelligenzminderung, syndromale, IQSEC2-assoziierte
esSíndrome de discapacidad intelectual grave-microcefalia postnatal progresiva-movimientos estereotipados de las manos en la línea mediaDiscapacidad intelectual sindrómica asociada a IQSEC2
itSindrome da disabilità intellettiva grave, microcefalia postnatale progressiva, movimenti stereotipati delle mani lungo la linea mediana
nlErnstige intellectuele achterstand - progressieve postnatale microcefalie - stereotiepe handbewegingen op de middellijn-syndroomIQSEC2-gerelateerde syndromale intellectuele achterstand
ptSíndrome de perturbação do desenvolvimento intelectual grave-microcefalia pós-natal progressiva-movimentos estereotipados das mãos na linha média
plZespół ciężkiej niepełnosprawności intelektualnej, postępującego małogłowia postnatalnego i stereotypowych ruchów dłoni w linii pośrodkowej ciała= en
csSyndrom zahrnující těžkou mentální retardaci, progresivní postnatální mikrocefalii a stereotypní pohyby rukou ve střední čáře= en
ukСиндром важкої розумової відсталості-прогресуючої постнатальної мікроцефалії-стереотипних рухів рук середньої лініїСиндромальна інтелектуальна недостатність, повязана з IQSEC2
zh重度智力障碍-进行性产后小头畸形-中线刻板手部动作综合征IQSEC2相关综合征性智力障碍
trAğır zihinsel yetersizlik-ilerleyici doğum sonrası mikrosefali-orta hat stereotipik el hareketleri sendromuIQSEC2-ilişkili sendromik zihinsel yetersizlik

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM301164Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0018347Evalidated
MONDO10656Evalidated
MONDO18347Evalidated
UMLSC2931498Evalidated
GARD13221Evalidated

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
IQSEC2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:29059ENSG00000124313300522Xp11.22IQ motif and Sec7 domain ArfGEF 223674175[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated23674175[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_23674175[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

17 annotations · validated 2019-09-10
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0002376Developmental regression
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0010864Intellectual disability, severe
HP:0000253Progressive microcephaly
HP:0012760Reduced social responsiveness
HP:0001250Seizure
HP:0012171Stereotypical hand wringing
Occasional (29-5%)
HP:0001344Absent speech
HP:0000666Horizontal nystagmus
HP:0002487Hyperkinetic movements
HP:0030215Inappropriate crying
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0100716Self-injurious behavior
HP:0000486Strabismus

Annotation source: 28815955[PMID]_27010919[PMID]

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Sources for this card