raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:401866

Childhood-onset spasticity with hyperglycinemia

Synonyms: Childhood-onset spasticity with variant non-ketotic hyperglycinemia · Spasticity-ataxia-gait anomalies syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

Childhood-onset spasticity with hyperglycinemia is a rare neurometabolic disease characterized by a childhood onset of progressive spastic ataxia associated with gait disturbances, hyperreflexia, extensor plantar responses and non-ketotic hyperglycinemia typically revealed by biochemical analysis. Additional signs of upper extremity spasticity, dysarthria, learning difficulties, poor concentration, nystagmus, optic atrophy and reduced visual acuity may also be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enChildhood-onset spasticity with hyperglycinemiaChildhood-onset spasticity with variant non-ketotic hyperglycinemia · Spasticity-ataxia-gait anomalies syndrome
frSpasticité de l'enfant avec une hyperglycinémie non cétosiqueSyndrome spasticité-ataxie-anomalies de la marche
deSpastik mit Hyperglyzinämie, im Kindesalter beginnendIm Kindesalter beginnende Spastik mit nicht-ketotischer Hyperglyzinämie-Variante · Spastik-Ataxie-Ganganomalien-Syndrom
esEspasticidad de inicio infantil con hiperglicinemiaEspasticidad de inicio en la infancia con hiperglicinemia no cetósica · Síndrome de espasticidad-ataxia-anomalías de la marcha
itSpasticità ad esordio infantile con iperglicinemia
nlSpasticiteit met hyperglycinemie met aanvang in de kindertijdSpasticiteit - ataxie - ganganomalieën-syndroom · Spasticiteit met variante niet-ketotische hyperglycinemie met aanvang in de kindertijd
ptEspasticidade com hiperglicemia de início na infânciaSíndrome de espasticidade-ataxia-anomalias na marcha
plZespół spastyczność-ataksja-anomalie chodu= en
csSyndrom zahrnující spasticitu, ataxii a anomálie chůze= en
ukДитяча спастичність з гіперглікемією та гіперглікемієюДитяча спастичність з варіантом некетозної гіперглікемії · Синдром спастичнсті, атаксії та порушенням ходи
zh童年发作性痉挛伴高氨酸血症儿童期发病痉挛伴非酮症性高甘氨酸血症
trHiperglisinemi ile seyreden çocukluk çağı-başlangıçlı spastisiteSpastisite-ataksi-yürüyüş anormallikleri sendromu · Ketotik olmayan hiperglisinemi varyantı ile seyreden çocukluk çağı başlangıçlı spastisite

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616859Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.YNTBTattributedvalidated
MONDO0014803Evalidated
UMLSC4225178Evalidated

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
GLRX5Disease-causing germline mutation(s) inAssessedHGNC:20134ENSG0000018251260958814q32.13glutaredoxin 524334290[PMID]_24777537[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated24777537[PMID]_17485548[PMID]_24334290[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_17485548[PMID]_24334290[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

25 annotations · validated 2018-05-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008288Nonketotic hyperglycinemia
HP:0002191Progressive spasticity
Frequent (79-30%)
HP:0003487Babinski sign
HP:0002928Decreased activity of the pyruvate dehydrogenase complex
HP:0001347Hyperreflexia
HP:0001276Hypertonia
HP:0002415Leukodystrophy
HP:0008945Loss of ability to walk in early childhood
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000736Short attention span
HP:0001264Spastic diplegia
HP:0002464Spastic dysarthria
HP:0100561Spinal cord lesion
HP:0002317Unsteady gait
HP:0000505Visual impairment
Occasional (29-5%)
HP:0001251Ataxia
HP:0002376Developmental regression
HP:0011968Feeding difficulties
HP:0001290Generalized hypotonia
HP:0000737Irritability
HP:0001336Myoclonus
Very rare (<4-1%)
HP:0001712Left ventricular hypertrophy
Excluded (0%)
HP:0100543Cognitive impairment
HP:0002151Increased circulating lactate concentration

Run the differential on the 2 obligate / very frequent terms

Annotation source: 26100117[PMID]_24334290[PMID]

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Sources for this card