raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:466791

Macrocephaly-intellectual disability-left ventricular non compaction syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

Macrocephaly-intellectual disability-left ventricular non compaction syndrome is a rare, genetic, syndromic intellectual disability characterized by motor and cognitive developmental delay with language impairment, macrocephaly, hypotonia, dysmorphic facial features (including long face, slanting palpebral fissures and prominent, flattened nose) and left ventricular noncompaction cardiomyopathy. Patients also present skeletal abnormalities (e.g. scoliosis, finger clinodactyly, pes planus), slender build and shy behavior. Strabismus and various neurological signs (including ataxia, tremor and hyperreflexia) may be associated, as well as epilepsy, autism and MRI findings showing a small cerebellum and abnormalities of the corpus callosum. A phenotypic variant with no cardiac involvement has been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMacrocephaly-intellectual disability-left ventricular non compaction syndrome
frSyndrome de déficience intellectuelle-macrocéphalie-non-compaction ventriculaire gauche
deMakrozephalie-Intelligenzminderung-linksventrikuläre Noncompaction-Kardiomyopathie-Syndrom
esSíndrome de macrocefalia-discapacidad intelectual-no compactación del ventrículo izquierdo
itSindrome da macrocefalia, disabilità intellettiva e ventricolo sinistro non compatto
nlMacrocefalie - intellectuele achterstand - non-compactie van linkerventrikel-syndroom
ptSíndrome de macrocefalia-perturbação do desenvolvimento intelectual-não compactação ventricular esquerda
plZespół wielkogłowia, niepełnosprawności intelektualnej i niescalenia mięśnia lewej komory
csSyndrom makrocefalie, intelektové nedostatečnosti a nekompaktní levé komory
ukСиндром макроцефалії-інтелектуальної недостатності-некомпресії лівого шлуночка
zh巨颅畸形-智力发育迟缓-左心室肌致密化不全综合征
trMakrosefali-zihinsel yetersizlik-sol ventrikül kompaksiyon olmayan sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300967Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0010501Evalidated
UMLSC5569083Evalidated

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
NONODisease-causing germline mutation(s) (loss of function) inAssessedHGNC:7871ENSG00000147140300084Xq13.1non-POU domain containing octamer binding26571461[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated26571461[PMID]_27329731[PMID]_27550220[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26571461[PMID]_27329731[PMID]_27550220[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

77 annotations · validated 2019-09-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0004482Relative macrocephaly
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0001711Abnormal left ventricle morphology
HP:0000739Anxiety
HP:0002194Delayed gross motor development
HP:0000750Delayed speech and language development
HP:0000678Dental crowding
HP:0006989Dysplastic corpus callosum
HP:0011968Feeding difficulties
HP:0001290Generalized hypotonia
HP:0002705High, narrow palate
HP:0001611Hypernasal speech
HP:0001256Intellectual disability, mild
HP:0002751Kyphoscoliosis
HP:0000276Long face
HP:0000272Malar flattening
HP:0000545Myopia
HP:0000446Narrow nasal bridge
HP:0000194Open mouth
HP:0001763Pes planus
HP:0002421Poor head control
HP:0002033Poor suck
HP:0000426Prominent nasal bridge
HP:0000448Prominent nose
HP:0100962Shyness
HP:0001533Slender build
HP:0000486Strabismus
HP:0009703Synostosis involving the 1st metacarpal
HP:0000582Upslanted palpebral fissure
Occasional (29-5%)
HP:0030872Abnormal cardiac ventricular function
HP:0000718Aggressive behavior
HP:0010627Anterior pituitary hypoplasia
HP:0001251Ataxia
HP:0001631Atrial septal defect
HP:0000717Autism
HP:0008689Bilateral cryptorchidism
HP:0001321Cerebellar hypoplasia
HP:0007099Chiari type I malformation
HP:0004209Clinodactyly of the 5th finger
HP:0007449Confetti-like hypopigmented macules
HP:0000028Cryptorchidism
HP:0000823Delayed puberty
HP:0000494Downslanted palpebral fissures
HP:0010316Ebstein anomaly of the tricuspid valve
HP:0000286Epicanthus
HP:0001508Failure to thrive
HP:0002007Frontal bossing
HP:0002020Gastroesophageal reflux
HP:0001822Hallux valgus
HP:0007083Hyperactive patellar reflex
HP:0000316Hypertelorism
HP:0002079Hypoplasia of the corpus callosum
HP:0032009Infantile constant exotropia
HP:0002080Intention tremor
HP:0001382Joint hypermobility
HP:0001712Left ventricular hypertrophy
HP:0040288Nasogastric tube feeding
HP:0002870Obstructive sleep apnea
HP:0001643Patent ductus arteriosus
HP:0001655Patent foramen ovale
HP:0001357Plagiocephaly
HP:0002465Poor speech
HP:0007024Pseudobulbar paralysis
HP:0001667Right ventricular hypertrophy
HP:0001250Seizure
HP:0000322Short philtrum
HP:0011098Speech apraxia
HP:0002558Supernumerary nipple
HP:0004684Talipes valgus
HP:0012471Thick vermilion border
HP:0002684Thickened calvaria
HP:0000219Thin upper lip vermilion
HP:0000325Triangular face
HP:0005180Tricuspid regurgitation
HP:0001629Ventricular septal defect
HP:0000154Wide mouth
HP:0000687Widely spaced teeth

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30773818[PMID]_27550220[PMID]_27329731[PMID]_26571461[PMID]

7

Sources for this card