raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:412217

Dystonia-aphonia syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood, Infancy
Status
active

Dystonia-aphonia syndrome is a rare, genetic, persistent combined dystonia disorder characterized by slowly progressive, severe, caudo-rostrally spreading generalized dystonia with prominent facial and oro-mandibular involvement leading to severe anarthria and/or aphonia, swallowing difficulties, and gait disturbances. Additional manifestations include slowed horizontal saccades, subclinical epilepsy, photic myoclonus, oral hypertrophic changes (e.g. gingival or lingual hyperplasia), as well as delayed milestones and cognitive impairment.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDystonia-aphonia syndrome
frSyndrome de dystonie-aphonie
deDystonia-Aphonie-Syndrom
esSíndrome de distonía-afonía
itSindrome da distonia e afonia
nlDystonie - afonie-syndroom
ptSíndrome de distonia - afonia
plZespół dystonia-afonia
csSyndrom zahrnující dystonii a afonii
ukСиндром дистонії-афонії
zh肌张力障碍-失声综合征
trDistoni-afoni sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G24.8NTBTattributedvalidated
MONDO0018476Evalidated
UMLSC5190573Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families32 casesWorldwideCase(s)Validated24359844[PMID]_26924602[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26924602[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

24 annotations · validated 2018-04-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001288Gait disturbance
HP:0007325Generalized dystonia
HP:0005216Impaired mastication
HP:0000183Tongue muscle weakness
Frequent (79-30%)
HP:0012087Abnormal mitochondrial shape
HP:0012088Abnormal urinary odor
HP:0008777Abnormal vocal cord morphology
HP:0002425Anarthria
HP:0001272Cerebellar atrophy
HP:0002059Cerebral atrophy
HP:0000158Macroglossia
HP:0007327Mixed demyelinating and axonal polyneuropathy
HP:0012048Oromandibular dystonia
HP:0001250Seizure
HP:0007885Slowed horizontal saccades
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0000739Anxiety
HP:0100543Cognitive impairment
HP:0001618Dysphonia
HP:0000212Gingival overgrowth
HP:0001263Global developmental delay
HP:0001336Myoclonus

Run the differential on the 6 obligate / very frequent terms

Annotation source: 24359844[PMID]

7

Sources for this card