raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:404473

Intellectual disability-eye abnormalities-microcephaly-peripheral spasticity syndrome

Synonyms: CTNNB1 syndrome · CTNNB1-NDD · CTNNB1-related neurodevelopmental disorder

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

A rare, genetic, syndromic intellectual disability disorder characterized by intellectual disability, significant motor delay, severe speech impairment, early-onset truncal hypotonia with progressive distal hypertonia/spasticity, microcephaly, and behavioral anomalies (autistic features, aggression or auto-aggressive behavior, sleep disturbances). Variable facial dysmorphism includes broad nasal tip with small alae nasi, long and/or flat philtrum, thin upper lip vermillion. Visual impairment (strabismus, hyperopia, myopia) is commonly associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-eye abnormalities-microcephaly-peripheral spasticity syndromeCTNNB1 syndrome · CTNNB1-NDD · CTNNB1-related neurodevelopmental disorder
frSyndrome de déficience intellectuelle-anomalies de l'oeil-microcéphalie-spasticité périphériqueCTNNB1-NDD · Syndrome CTNNB1 · Syndrome du neuro-développement lié à CTNNB1 · Syndrome neurodéveloppemental lié à CTNNB1
deIntelligenzminderung-Augenanomalien-Mikrozephalie-periphere Spastik-SyndromCTNNB1-NDD · CTNNB1-assoziierte neurologische Entwicklungsstörung · NEDSDV · Neurologische Entwicklungsstörung mit spastischer Diplegie und Sehstörungen
esSíndrome de discapacidad intelectual-anomalías oculares-microcefalia-espasticidad periféricaSíndrome CTNNB1 · TND-CTNNB1 · Trastorno del neurodesarrollo asociado a CTNNB1
itSindrome disabilità intellettiva-anomalie oculari-microcefalia-spasticità perifericaSindrome CTNNB1 · CTNNB1-NDD · Disturbo dello sviluppo neurologico correlato a CTNNB1
nlIntellectuele achterstand - oogafwijkingen - microcefalie - perifere spasticiteit-syndroomCTNNB1-NDD · CTNNB1-gerelateerde neurologische ontwikkelingsstoornis · CTNNB1-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual grave-diplegia espástica progressiva
plZespół niepełnosprawności intelektualnej-nieprawidłowości okulistycznych-małogłowia-spastyczności obwodowejtycznejZespół niepełnosprawności intelektualnej, spastyczności obwodowej i wysiękowej witreoretinopatii
csSyndrom zahrnující těžkou mentální retardaci a progresivní spastickou diplegii= en
ukСиндром прогресуючої спастичної диплегії з вираженою інтелектуальною недостатністюСиндром CTNNB1
zh严重智力障碍-进行性痉挛性截瘫综合征CTNNB1综合征
trAğır zihinsel yetersizlik-ilerleyici spastik dipleji sendromuCTNNB1 sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615075Evalidated
ICD-10G80.1BTNTattributedvalidated
MONDO0014035Evalidated
UMLSC5190576Evalidated
GARD3505Evalidated

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
CTNNB1Disease-causing germline mutation(s) inAssessedHGNC:2514ENSG000001680361168063p22.1catenin beta 124614104[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated24668549[PMID]_23033978[PMID]_24614104[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24668549[PMID]_23033978[PMID]_24614104[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

32 annotations · validated 2019-07-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0008936Axial hypotonia
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0001270Motor delay
HP:0002465Poor speech
HP:0001257Spasticity
Frequent (79-30%)
HP:0000478Abnormality of the eye
HP:0000708Atypical behavior
HP:0002376Developmental regression
HP:0011451Primary microcephaly
Occasional (29-5%)
HP:0025160Abnormal temper tantrums
HP:0000718Aggressive behavior
HP:0000729Autistic behavior
HP:0000455Broad nasal tip
HP:0002188Delayed CNS myelination
HP:0000540Hypermetropia
HP:0002079Hypoplasia of the corpus callosum
HP:0000343Long philtrum
HP:0009765Low hanging columella
HP:0000545Myopia
HP:0100716Self-injurious behavior
HP:0002360Sleep abnormality
HP:0000319Smooth philtrum
HP:0000486Strabismus
HP:0003396Syringomyelia
HP:0002144Tethered cord
HP:0000219Thin upper lip vermilion
HP:0000430Underdeveloped nasal alae
HP:0002119Ventriculomegaly
Very rare (<4-1%)
HP:0000365Hearing impairment
HP:0001250Seizure

Run the differential on the 7 obligate / very frequent terms

Annotation source: 25326669[PMID]_24614104[PMID]_23033978[PMID]

7

Sources for this card