raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457359

Megalencephaly-severe kyphoscoliosis-overgrowth syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by overgrowth and macrocephaly with megalencephaly apparent at birth, global developmental delay, intellectual disability, and dysmorphic facial features (including frontal bossing, long face, sparse eyebrows, hypertelorism, downslanting palpebral fissures, and prognathism). Patients may exhibit tall stature with dolichostenomelia, arachnodactyly, kyphoscoliosis, and joint laxity, as well as neurologic manifestations, such as hypotonia, gait ataxia, or seizures. Brain imaging may show increased white matter volume, thick corpus callosum, or small cerebellum.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMegalencephaly-severe kyphoscoliosis-overgrowth syndrome
frSyndrome de croissance excessive-mégalencéphalie-cyphoscoliose sévère
deMegalenzephalie-schwere Kyphoskoliose-Großwuchs-Syndrom
esSíndrome de megalencefalia-cifoscoliosis grave-sobrecrecimiento
itSindrome megalencefalia - cifoscoliosi grave - iperaccrescimento
nlMegalencefalie - ernstige kyfoscoliose - overgroei-syndroom
ptSíndrome de megalencefalia-cifoescoliose grave-sobrecrescimento
plZespół mózgu olbrzymiego, ciężkiej kifoskoliozy i przerostu
csSyndrom zahrnující megalencefalii, těžkou kyfoskoliózu a nadměrný růst
ukСиндром мегаленцефалії-тяжкого кіфосколіозу-надмірного росту
zh巨颅畸形-严重脊柱后凸-过度生长综合征
trMegalensefali-ağır kifoskolyoz-aşırı büyüme sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617011NTBTvalidated
ICD-10Q87.3NTBTattributedvalidated
ICD-11LD2CNTBTattributedvalidated
MONDO0018710Evalidated
UMLSC5681123Evalidated

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
HERC1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4867ENSG0000010365760510915q22.31HECT and RLD domain containing E3 ubiquitin protein ligase family member 126138117[PMID]_27108999[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated26138117[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26138117[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

54 annotations · validated 2019-12-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001166Arachnodactyly
HP:0011229Broad eyebrow
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0010864Intellectual disability, severe
HP:0000276Long face
HP:0001548Overgrowth
HP:0011220Prominent forehead
HP:0045075Sparse eyebrow
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0001344Absent speech
HP:0002069Bilateral tonic-clonic seizure
HP:0001519Disproportionate tall stature
HP:0000494Downslanted palpebral fissures
HP:0002307Drooling
HP:0002066Gait ataxia
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0000218High palate
HP:0002751Kyphoscoliosis
HP:0001520Large for gestational age
HP:0001833Long foot
HP:0000256Macrocephaly
HP:0000400Macrotia
HP:0000303Mandibular prognathia
HP:0001355Megalencephaly
HP:0000358Posteriorly rotated ears
HP:0000520Proptosis
HP:0001533Slender build
HP:0000582Upslanted palpebral fissure
Occasional (29-5%)
HP:0001555Asymmetry of the thorax
HP:0001321Cerebellar hypoplasia
HP:0002120Cerebral cortical atrophy
HP:0001334Communicating hydrocephalus
HP:0007204Diffuse white matter abnormalities
HP:0000297Facial hypotonia
HP:0011003High myopia
HP:0001382Joint hypermobility
HP:0002808Kyphosis
HP:0001376Limitation of joint mobility
HP:0000472Long neck
HP:0002938Lumbar hyperlordosis
HP:0000272Malar flattening
HP:0011330Metopic synostosis
HP:0000054Micropenis
HP:0001998Neonatal hypoglycemia
HP:0001763Pes planus
HP:0000426Prominent nasal bridge
HP:0012760Reduced social responsiveness
HP:0006863Severe expressive language delay
HP:0000586Shallow orbits
HP:0007074Thick corpus callosum
HP:0000325Triangular face
HP:0002119Ventriculomegaly

Run the differential on the 9 obligate / very frequent terms

Annotation source: 26138117[PMID]_26153217[PMID]_27108999[PMID]

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Sources for this card