raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457260

X-linked intellectual disability-hypotonia-movement disorder syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked dominant
Age of onset
Adolescent, Childhood
Status
active

A rare, genetic, syndromic intellectual disability characterized by mild to severe intellectual disability associated with variable features, including hypotonia, dyskinesia, spasticity, wide-based gait, microcephaly, epilepsy and behavioral problems. MRI imaging may show a corpus callosum hypoplasia or ventricular enlargement. Other variable features, such as joint hyperlaxity, skin pigmentary abnormalities, and visual impairment, have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability-hypotonia-movement disorder syndrome
frSyndrome de déficience intellectuelle liée à l'X-hypotonie-anomalie du mouvement
deX-chromosomale Intelligenzminderung-Hypotonie-Bewegungsstörungen-Syndrom
esSíndrome de discapacidad intelectual-hipotonía-trastorno del movimiento ligado al cromosoma X
itSindrome disabilità intellettiva-ipotonia-disturbi del movimento, legata all'X
nlX-gebonden intellectuele achterstand - hypotonie - bewegingsstoornis-syndroom
ptSíndrome de défice intelectual – hipotonia – doença do movimento, ligada ao cromossoma X
plZespół niepełnosprawności intelektualnej, hipotonii i zaburzeń ruchu sprzężony z chromosomem X
csSyndrom zahrnující X-vázanou mentální retardaci, hypotonii a poruchy hybnosti
ukХ-зчеплений синдром інтелектуальної недостатності-гіпотонії-рухових розладів
zhX连锁-智力障碍-肌张力低下-运动障碍综合征
trX'e bağlı zihinsel yetersizlik-hipotoni-hareket bozukluğu sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300958NTBTvalidated
ICD-10F78.8NTBTattributednot yet validated
ICD-11LD90NTBTattributedvalidated
MONDO0018709Evalidated
UMLSC5681121Evalidated
GARD12715Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DDX3XDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2745ENSG00000215301300160Xp11.4DEAD-box helicase 3 X-linked26235985[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families38 casesWorldwideCase(s)Validated26235985[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26235985[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

23 annotations · validated 2018-07-11
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001249Intellectual disability
Frequent (79-30%)
HP:0000504Abnormality of vision
HP:0000718Aggressive behavior
HP:0000729Autistic behavior
HP:0002136Broad-based gait
HP:0100660Dyskinesia
HP:0001290Generalized hypotonia
HP:0000752Hyperactivity
HP:0000252Microcephaly
HP:0001257Spasticity
Occasional (29-5%)
HP:0001999Abnormal facial shape
HP:0001000Abnormality of skin pigmentation
HP:0002539Cortical dysplasia
HP:0001263Global developmental delay
HP:0000365Hearing impairment
HP:0002079Hypoplasia of the corpus callosum
HP:0001382Joint hypermobility
HP:0000202Orofacial cleft
HP:0000826Precocious puberty
HP:0002650Scoliosis
HP:0001250Seizure
HP:0002119Ventriculomegaly
HP:0000505Visual impairment

Run the differential on the 1 obligate / very frequent terms

Annotation source: 26235985[PMID]

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Sources for this card