raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:466926

Seizures-scoliosis-macrocephaly syndrome

Synonyms: SSM syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

Seizures-scoliosis-macrocephaly syndrome is a rare, genetic neurometabolic disorder characterized by seizures, macrocephaly, delayed motor milestones, moderate intellectual disability, scoliosis with no exostoses, muscular hypotonia present since birth, as well as renal dysfunction. Coarse facial features (including hypertelorism and long hypoplastic philtrum) and bilateral cryptorchidism (in males) are also commonly reported. Additional manifestations include abnormal gastrointestinal motility (resulting in constipation, diarrhea, gastroesophageal reflux and dysphagia), gait disturbances, strabismus and ventricular septal defects.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSeizures-scoliosis-macrocephaly syndromeSSM syndrome
frSyndrome de convulsions-scoliose-macrocéphalie
deKrämpfe-Skoliose-Makrozephalie-SyndromSSM-Syndrom
esSíndrome de crisis-escoliosis-macrocefalia
itSindrome crisi epilettiche - scoliosi - macrocefalia
nlInsulten - scoliose - macrocefalie-syndroomSSM-syndroom
ptSíndrome de convulsões-escoliose-macrocefalia
plZespół napadów padaczkowych, skoliozy i małogłowiaZespół SSM
csSyndrom zahrnující křeče, skoliózu a makrocefaliiSSM syndrome · SSM syndrom
ukСиндром судоми-сколіоз-макроцефаліяSSM-синдром
zh癫痫-脊髓灰质炎-大头畸形综合征SSM综合征
trNöbetler-skolyoz-makrosefali sendromuSSM sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616682Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-115C54.1NTBTattributedvalidated
MONDO0014731Evalidated
UMLSC4225248Evalidated

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
EXT2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3513ENSG0000015134860821011p11.2exostosin glycosyltransferase 226246518[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated30997052[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30997052[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

31 annotations · validated 2020-01-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000750Delayed speech and language development
HP:0001263Global developmental delay
HP:0004349Reduced bone mineral density
HP:0001250Seizure
Frequent (79-30%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000077Abnormality of the kidney
HP:0000356Abnormality of the outer ear
HP:0000951Abnormality of the skin
HP:0000717Autism
HP:0002136Broad-based gait
HP:0000414Bulbous nose
HP:0002019Constipation
HP:0000028Cryptorchidism
HP:0002020Gastroesophageal reflux
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0001256Intellectual disability, mild
HP:0002342Intellectual disability, moderate
HP:0000343Long philtrum
HP:0000256Macrocephaly
HP:0002018Nausea
HP:0001845Overlapping toe
HP:0002650Scoliosis
Occasional (29-5%)
HP:0001631Atrial septal defect
HP:0100777Exostoses
HP:0004425Flat forehead
HP:0000348High forehead
HP:0010864Intellectual disability, severe
HP:0000252Microcephaly
HP:0001561Polyhydramnios
HP:0011220Prominent forehead

Run the differential on the 4 obligate / very frequent terms

Annotation source: 30997052[PMID]_26246518[PMID]_30288735[PMID]

7

Sources for this card