raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457351

Microcephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndrome

Synonyms: Microcephaly-intellectual disability-sensorineural deafness-epilepsy-abnormal muscle tone syndrome

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

A rare genetic disease characterized by microcephaly, global developmental delay, intellectual disability, abnormal muscle tone, and sensorineural hearing impairment. Additional variable manifestations include epilepsy, cortical visual impairment, gastrointestinal disturbances, growth restriction, scoliosis, as well as immunodeficiency and thrombocytopenia. Brain imaging may show cerebral atrophy, thin corpus callosum, and hypomyelination.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMicrocephaly-intellectual disability-sensorineural hearing loss-epilepsy-abnormal muscle tone syndromeMicrocephaly-intellectual disability-sensorineural deafness-epilepsy-abnormal muscle tone syndrome
frSyndrome de microcéphalie-déficience intellectuelle-surdité neurosensorielle-épilepsie-tonus musculaire anormal
deMikrozephalie-Intelligenzminderung-sensorineuraler Hörverlust-Epilepsie-abnormer Muskeltonus-SyndromNEDHSB · Neurologische Entwicklungsstörung mit Hörverlust, Krampfanfällen und Hirnanomalien
esSíndrome de microcefalia-discapacidad intelectual-hipoacusia neurosensorial-epilepsia-trastorno del tono muscularSíndrome de microcefalia-discapacidad intelectual-sordera neurosensorial-epilepsia-trastorno del tono muscular
itSindrome microcefalia-disabilità intellettiva-sordità neurosensoriale-epilessia-anomalie del tono muscolare
nlMicrocefalie - intellectuele achterstand - sensorineuraal gehoorverlies - epilepsie - abnormale spiertonus-syndroomMicrocefalie - intellectuele achterstand - sensorineurale doofheid - epilepsie - abnormale spiertonus-syndroom
ptSíndrome de microcefalia-perturbação do desenvolvimento intelectual-perda auditiva neurossensorial-epilepsia-anomalias do tónus muscularSíndrome de microcefalia-perturbação do desenvolvimento intelectual-surdez neurossensorial-epilepsia-anomalias do tónus muscular
plZespół małogłowia, niepełnosprawności intelektualnej, czuciowo-nerwowej utraty słuchu, padaczki i nieprawidłowego napięcia mięśniowegoZespół małogłowia, niepełnosprawności intelektualnej, głuchoty czuciowo-nerwowej, padaczki i nieprawidłowego napięcia mięśniowego
csSyndrom zahrnující mikrocefalii, mentální retardaci, senzorineurální ztrátu sluchu, epilepsii a abnormální svalový tonusSyndrom zahrnující mikrocefalii, mentální retardaci, senzorineurální hluchotu, epilepsii a abnormální svalový tonus
ukСиндром мікроцефалії-інтелектуальної недостатності-сенсоневральної приглухуватості-епілепсії- порушення мязового тонусуСиндром мікроцефалії-інтелектуальної недостатності-сенсоневральної глухоти-епілепсії- порушення мязового тонусу
zh小头畸形-智力障碍-感音性听力障碍-癫痫-肌张力异常综合征小头畸形-智力障碍-感音神经性耳聋-癫痫-异常肌张力综合征
trMikrosefali-zihinsel yetersizlik-sensörinöral işitme kaybı-epilepsi-anormal kas tonusu sendromuMikrosefali-zihinsel yetersizlik-sensörinöral sağırlık-epilepsi-anormal kas tonusu sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616577Evalidated
ICD-10Q02NTBTattributedvalidated
MONDO0014698Evalidated
UMLSC4225276Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AFG2ADisease-causing germline mutation(s) inAssessedHGNC:18119ENSG000001453756139404q28.1AAA ATPase AFG2A26299366[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated26299366[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26299366[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

50 annotations · validated 2019-12-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002353EEG abnormality
HP:0001263Global developmental delay
HP:0000252Microcephaly
HP:0000407Sensorineural hearing impairment
HP:0000505Visual impairment
Frequent (79-30%)
HP:0012443Abnormality of brain morphology
HP:0001344Absent speech
HP:0000729Autistic behavior
HP:0002069Bilateral tonic-clonic seizure
HP:0006808Cerebral hypomyelination
HP:0100704Cerebral visual impairment
HP:0008947Floppy infant
HP:0002123Generalized myoclonic seizure
HP:0002121Generalized non-motor (absence) seizure
HP:0002540Inability to walk
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0000817Reduced eye contact
HP:0001250Seizure
HP:0006863Severe expressive language delay
HP:0011352Severe receptive language delay
HP:0001257Spasticity
Occasional (29-5%)
HP:0012444Brain atrophy
HP:0011229Broad eyebrow
HP:0002120Cerebral cortical atrophy
HP:0002019Constipation
HP:0005280Depressed nasal bridge
HP:0011290EEG with frontal sharp slow waves
HP:0002283Global brain atrophy
HP:0010838High nonceruloplasmin-bound serum copper
HP:0002553Highly arched eyebrow
HP:0002079Hypoplasia of the corpus callosum
HP:0002521Hypsarrhythmia
HP:0002721Immunodeficiency
HP:0012469Infantile spasms
HP:0002509Limb hypertonia
HP:0003189Long nose
HP:0001319Neonatal hypotonia
HP:0011451Primary microcephaly
HP:0000278Retrognathia
HP:0001873Thrombocytopenia
HP:0000430Underdeveloped nasal alae
Very rare (<4-1%)
HP:0000733Abnormal repetitive mannerisms
HP:0001631Atrial septal defect
HP:0020049Exodeviation
HP:0011471Gastrostomy tube feeding in infancy
HP:0002451Limb dystonia
HP:0004532Sacral hypertrichosis
HP:0002650Scoliosis
HP:0100716Self-injurious behavior

Run the differential on the 5 obligate / very frequent terms

Annotation source: 27683084[PMID]_26299366[PMID]_27246907[PMID]

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Sources for this card