raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:435845

Lethal neonatal spasticity-epileptic encephalopathy syndrome

Synonyms: Lethal neonatal rigidity-multifocal seizure syndrome

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

A rare genetic neurological disorder characterized by neonatal onset of rigidity and intractable seizures, with episodic jerking already beginning <i>in utero</i>. Affected infants have small heads, remain visually inattentive, do not feed independently, and make no developmental progress. Frequent spontaneous apnea and bradycardia usually culminate in cardiopulmonary arrest and death in infancy, although some cases were described with a milder clinical course and survival into childhood.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLethal neonatal spasticity-epileptic encephalopathy syndromeLethal neonatal rigidity-multifocal seizure syndrome
frSyndrome néonatal létal de spasticité-encéphalopathie épileptiqueSyndrome néonatal létal de rigidité-convulsions multifocales
deLetale neonatale Spastik-epileptische Enzephalopathie-SyndromLetale neonatale Rigidität-multifokale Krämpfe-Syndrom
esSíndrome de espasticidad neonatal letal-encefalopatía epilépticaSíndrome de rigidez neonatal letal-crisis multifocales
itSindrome spasticità neonatale letale-encefalopatia epiletticaSindrome rigidità neonatale letale-convulsioni multifocali
nlLetale neonatale spasticiteit - epileptische encefalopathie-syndroomLetale neonatale rigiditeit - multifocale insulten-syndroom
ptEspasticidade neonatal grave com encefalopatia epilética
plZespół śmiertelnej spastyczności noworodków i encefalopatii padaczkowejZespół śmiertelnej spastyczności noworodków i wieloogniskowych ataków padaczkowych
csSyndrom zahrnující letální neonatální spasticitu a epileptickou encefalopatiiSyndrom zahrnující letální neonatální rigiditu a multifokální záchvaty
ukЛетальний синдром неонатальної спастичності-епілептичної енцефалопатіїЛетальний неонатальний ригідно-мультифокальний судомний синдром
zh致命性新生儿痉挛-癫痫性脑病综合征致命性僵直-多灶性癫痫综合征
trÖlümcül Yenidoğan spastisite-epileptik ensefalopati sendromuLetal yenidoğan sertlik-multifokal nöbet sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614498Evalidated
OMIM618056NTBTvalidated
ICD-10G40.4NTBTattributedvalidated
MONDO0013784Evalidated
MONDO13784Evalidated
UMLSC3281029Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
BRAT1Disease-causing germline mutation(s) inAssessedHGNC:21701ENSG000001060096145067p22.3BRCA1 associated ATM activator 125500575[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated25500575[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25500575[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.

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HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

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Sources for this card