raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457485

Macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndrome

Synonyms: MINDS syndrome · Smith-Kingsmore syndrome

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

A rare multiple congenital anomalies/dysmorphic syndrome with intellectual disability, characterized by macrocephaly, intellectual disability, seizures, dysmorphic facial features (including tall forehead, downslanting palpebral fissures, hypertelorism, depressed nasal bridge, and macrostomia), megalencephaly, and small thorax. Other reported features are umbilical hernia, muscular hypotonia, global developmental delay, autistic behavior, and café-au-lait spots, among others.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMacrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeMINDS syndrome · Smith-Kingsmore syndrome
frSyndrome de macrocéphalie-déficience intellectuelle-trouble neurologique du développement-petit thoraxSyndrome de Smith-Kingsmore · syndrome MINDS
deMakrozephalie-Intelligenzminderung-neurologische Entwicklungsstörungen-schmaler Thorax-SyndromMINDS-Syndrom · Smith-Kingsmore-Syndrom
esSíndrome de macrocefalia-discapacidad intelectual-trastorno del neurodesarrollo-tórax angostoSíndrome MINDS · Síndrome de Smith-Kingsmore
itSindrome macrocefalia-disabilità intellettiva-disturbo dello sviluppo neurologico-torace piccoloSindrome Smith-Kingsmore · Sindrome MINDS
nlMacrocefalie - intellectuele achterstand - neurologische ontwikkelingsstoornis - kleine thorax-syndroomMINDS-syndroom · Syndroom van Smith-Kingsmore
ptSíndrome de macrocefalia-perturbação do desenvolvimento intelectual-perturbação neurocomportamental-toráx estreitoSíndrome MINDS · Síndrome Smith-Kingsmore
plZespół wielkogłowia, niepełnosprawności intelektualnej, zaburzeń rozwojowych układu nerwowego i małej klatki piersiowejZespół MINDS
csSyndrom zahrnující makrocefalii, mentální retardaci, neurovývojové poruchy a malý hrudníkMINDS syndrom
ukСиндром макроцефалії-інтелектуальної недостатності-порушення нейророзвитку-малої грудної кліткиСиндром MINDS · Синдром Сміта-Кінгсмора
zh巨颅畸形-智力发育迟缓-神经发育迟缓-小胸廓-综合征史密斯·金斯莫尔综合征
trMakrosefali-zihinsel yetersizlik-nörogelişimsel bozukluk-küçük toraks sendromuMINDS sendromu · Smith-Kingsmore sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616638Evalidated
ICD-10Q87.0NTBTattributedvalidated
MONDO0014716Evalidated
UMLSC4225259Evalidated
GARD13636Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MTORDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:3942ENSG000001987936012311p36.22mechanistic target of rapamycin kinase25851998[PMID]_26542245[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated27753196[PMID]_DOI:10.4137/JGE.S12583[OTHER]_25851998[PMID]_26542245[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27753196[PMID]_DOI:10.4137/JGE.S12583[OTHER]_25851998[PMID]_26542245[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

45 annotations · validated 2019-07-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001249Intellectual disability
HP:0000256Macrocephaly
HP:0001355Megalencephaly
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0002167Abnormality of speech or vocalization
HP:0002212Curly hair
HP:0007359Focal-onset seizure
HP:0002007Frontal bossing
HP:0002197Generalized-onset seizure
HP:0001263Global developmental delay
HP:0001520Large for gestational age
HP:0001250Seizure
HP:0001328Specific learning disability
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0001273Abnormal corpus callosum morphology
HP:0002099Asthma
HP:0000729Autistic behavior
HP:0000957Cafe-au-lait spot
HP:0025104Capillary malformation
HP:0000028Cryptorchidism
HP:0001540Diastasis recti
HP:0001288Gait disturbance
HP:0001028Hemangioma
HP:0000752Hyperactivity
HP:0000316Hypertelorism
HP:0001053Hypopigmented skin patches
HP:0001252Hypotonia
HP:0004789Lactose intolerance
HP:0000343Long philtrum
HP:0000194Open mouth
HP:0001763Pes planus
HP:0002126Polymicrogyria
HP:0011220Prominent forehead
HP:0001538Protuberant abdomen
HP:0000486Strabismus
HP:0005257Thoracic hypoplasia
HP:0000154Wide mouth
Very rare (<4-1%)
HP:0012393Allergy
HP:0002720Decreased circulating IgA level
HP:0005280Depressed nasal bridge
HP:0000494Downslanted palpebral fissures
HP:0000047Hypospadias
HP:0005266Intestinal polyp
HP:0001998Neonatal hypoglycemia
HP:0000331Short chin

Run the differential on the 3 obligate / very frequent terms

Annotation source: 28892148[PMID]_27830187[PMID]_27753196[PMID]_26542245[PMID]_25851998[PMID]

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Sources for this card