raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:468620

Intellectual disability-epilepsy-extrapyramidal syndrome

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

A rare genetic neurological disorder characterized by hypotonia, delayed motor development, dyskinesia of the limbs, intellectual disability with impaired speech development, seizures, autistic features, stereotypic movements, and sleep disturbance. Onset of symptoms is in infancy. Bilateral abnormalities in the putamen on brain MRI have been reported in some patients.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-epilepsy-extrapyramidal syndrome
frSyndrome extrapyramidal-déficience intellectuelle-épilepsie
deIntelligenzminderung-Epilepsie-extrapyramidale Störung-Syndrom
esSíndrome extrapiramidal-discapacidad intelectual-epilepsia
itSindrome disabilità intellettiva-epilessia-sintomi extrapiramidali
nlIntellectuele achterstand - epilepsie - extrapiramidaal-syndroom
ptSíndrome extrapiramidal-perturbação do desenvolvimento intelectual-epilepsia
plNiepełnosprawność intelektualna-padaczka-zespół pozapiramidowy
csSyndrom zahrnující mentální retardaci, epilepsii a extrapyramidové symptomy
ukІнтелектуальна недостатність - епілепсія - екстрапірамідний синдром
zh智力障碍-癫痫-锥体束外综合征
trZihinsel yetersizlik-epilepsi-ekstrapiramidal sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617171Evalidated
ICD-10G93.8NTBTattributedvalidated
MONDO0014952Evalidated
UMLSC5568848Evalidated
GARD13474Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DEAF1Disease-causing germline mutation(s) inAssessedHGNC:14677ENSG0000017703060263511p15.5DEAF1 transcription factor26048982[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated26048982[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26048982[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

30 annotations · validated 2020-01-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0410263Brain imaging abnormality
HP:0002019Constipation
HP:0001249Intellectual disability
HP:0000817Reduced eye contact
HP:0011344Severe global developmental delay
HP:0002360Sleep abnormality
Frequent (79-30%)
HP:0010832Abnormality of pain sensation
HP:0000718Aggressive behavior
HP:0000717Autism
HP:0002136Broad-based gait
HP:0002376Developmental regression
HP:0000712Emotional lability
HP:0011968Feeding difficulties
HP:0008947Floppy infant
HP:0002066Gait ataxia
HP:0000252Microcephaly
HP:0002719Recurrent infections
HP:0030051Tip-toe gait
Occasional (29-5%)
HP:0001344Absent speech
HP:0000713Agitation
HP:0000729Autistic behavior
HP:0002312Clumsiness
HP:0002307Drooling
HP:0002141Gait imbalance
HP:0004305Involuntary movements
HP:0000256Macrocephaly
HP:0001250Seizure
HP:0002133Status epilepticus
HP:0002317Unsteady gait
HP:0002515Waddling gait

Run the differential on the 6 obligate / very frequent terms

Annotation source: 30923367[PMID]_26048982[PMID]

7

Sources for this card