raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:477673

Postnatal microcephaly-infantile hypotonia-spastic diplegia-dysarthria-intellectual disability syndrome

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

A rare genetic neurological disorder characterized by postnatal microcephaly, hypotonia during infancy followed in most cases by progressive spasticity mainly affecting the lower limbs, and spastic diplegia or paraplegia, intellectual disability, delayed or absent speech, and dysarthria. Seizures and mildly dysmorphic features have been described in some patients.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPostnatal microcephaly-infantile hypotonia-spastic diplegia-dysarthria-intellectual disability syndrome
frSyndrome de microcéphalie postnatale-hypotonie infantile-diplégie spastique-dysarthrie-déficience intellectuelle
dePostnatale Microzephalie-infantile Hypotonie-spastische Diplegie-Dysarthrie-Intelligenzminderung-Syndrom
esSíndrome de microcefalia postnatal-hipotonía infantil-diplejía espástica-disartria-discapacidad intelectual
itSindrome microcefalia postnatale-ipotonia neonatale-diplegia spastica-disartria-disabilità intellettiva
nlPostnatale microcefalie - infantiele hypotonie - spastische diplegie - dysartrie - intellectuele achterstand-syndroom
ptSíndrome de microcefalia pós-natal-hipotonia da infância-diplegia espástica-disartria-perturbação do desenvolvimento intelectual
plZespół mikrocefalii postnatalnej, hipotonii niemowlęcej, diplegii spastycznej, dyzartrii i niepełnosprawności intelektualnej
csSyndrom postnatální mikrocefalie, infantilní hypotonie, spastické diplegie, dysartrie a intelektové nedostatečnosti
ukСиндром постнатальної мікроцефалії-інфантильної гіпотонії-спастичної диплегії-дизартрії- інтелектуальної недостатності
zh出生后小头畸形-小儿肌张力低下-痉挛性截瘫-构音障碍-智力障碍综合征
trDoğum sonrası mikrosefali-infantil hipotoni-spastik dipleji-dizartri-zihinsel yetersizlik sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616281Evalidated
ICD-10G11.4NTBTattributedvalidated
MONDO0014567Evalidated
UMLSC5567787Evalidated

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
GPT2Disease-causing germline mutation(s) inAssessedHGNC:18062ENSG0000016612313821016q11.2glutamic--pyruvic transaminase 225758935[PMID]_27601654[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families17 casesWorldwideCase(s)Validated25758935[PMID]_27601654[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25758935[PMID]_27601654[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

22 annotations · validated 2018-10-22
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0003487Babinski sign
HP:0002136Broad-based gait
HP:0000750Delayed speech and language development
HP:0002307Drooling
HP:0001260Dysarthria
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0001347Hyperreflexia
HP:0000601Hypotelorism
HP:0001249Intellectual disability
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0011470Nasogastric tube feeding in infancy
HP:0006829Severe muscular hypotonia
HP:0001258Spastic paraplegia
Occasional (29-5%)
HP:0011400Abnormal CNS myelination
HP:0001508Failure to thrive
HP:0002373Febrile seizure (within the age range of 3 months to 6 years)
HP:0002079Hypoplasia of the corpus callosum
HP:0000341Narrow forehead
HP:0001250Seizure
HP:0001337Tremor

Annotation source: 27601654[PMID]_25758935[PMID]

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Sources for this card